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Supervisor’s Performance Feedback Form

Department of Human Resources & Equal Opportunity 1246 W. Campus Rd, Room 103 I Lawrence, KS 66045-7521 I (785) 864-4946 I Fax (785) 864-5790 I I 5/2009 | Page 1 of 5 Supervisor s Performance Feedback Form Department: evaluation Date: evaluation Period: 1. Immediate Supervisor Name: 2. Supervisor s Supervisor Name: 3. Dean/Department Head Name: 4. Name and Signature of Evaluator (optional): Departments are encouraged to establish a system of Performance evaluation Feedback for supervisors by staff that reflects an impartial input to each supervisor regarding his/her Performance . Formal Feedback can be a positive means to assist the supervisor in improving job Performance .

overall performance evaluation and submitted to HR/EO. Department of Human Resources & Equal Opportunity 1246 W. Campus Rd, Room 103 I Lawrence, KS 66045-7521 I (785) 864-4946 I Fax (785) 864-5790 I www.hreo.ku.edu I 5/2009 | Page 3 of 5

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