Team Member Full Name *

Email *

Department

Role/Position:

Who is your direct supervisor?

ACRM Start Date

Growth Conversation Date

Overall Rating

Exceeds Expectations

Meets Expectations

Needs Improvement

Supervisor Notes/Comments:

Excellence

Exceeds Expectations

Meets Expectations

Needs Improvement

Growth Mindset

Exceeds Expectations

Meets Expectations

Needs Improvement

Initiative

Exceeds Expectations

Meets Expectations

Needs Improvement

Teamwork

Exceeds Expectations

Meets Expectations

Needs Improvement

Accountability

Exceeds Expectations

Meets Expectations

Needs Improvement

Systems Driven

Exceeds Expectations

Meets Expectations

Needs Improvement

Has the team member taken on responsibilities beyond their original role during the review period?

Yes

No

If yes, describe the additional responsibilities and their impact.

List the team member's most significant achievements during the review period.

What areas should the employee focus on improving over the next review period?

Goal 1

Goal 2

Goal 3

Goal 4

Goal 5

Summarize the employee's overall contribution, strengths, and development priorities.

Supervisor Signature

Clear

Team Member Signature

Clear

Date Signed