Performance Improvement Plan Template

For Employee

First Name

Last Name

Areas of improvement (Check all that apply)

Efficacy Attendence Quality Teamwork Productivity Professional Conduct Other

Please Specify

Please describe the reason(s) for submitting this plan.

Improvement Goals

Please describe the goals for improvement.

Performance Goals

Please describe the activities that need to be completed to meet these goals.

Date for improvements to be completed.*

Supervisor Name

First Name

Last Name

Supervisor Signature

Use your mouse or finger to draw your signature above

Employee Signature

Use your mouse or finger to draw your signature above