Please enable JavaScript in your browser to complete this form.Team Member Name *FirstLastSupervisor Name *FirstLastDate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Team Member Position *Crew LeaderCrew MemberTechnicianSafety: We choose to prioritize safety in all that we do. Team Member adheres to all safety policies and procedures, zero safety incidents *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5(1 = Does not meet expectations, 2 = Meets most expectations, 3 = Meets expectations, 4 = Exceeds most expectations, 5 = Exceeds all expectations)Collaboration: We earn each other’s trust through conscientious partnership. Treats fellow Team Members with respect, works well with fellow Team Members, manages conflict well. *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5(1 = Does not meet expectations, 2 = Meets most expectations, 3 = Meets expectations, 4 = Exceeds most expectations, 5 = Exceeds all expectations)Professionalism: We protect our brand by operating with integrity. Complies with Dress Code, adheres to company policies, demonstrates integrity, punctual. *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5(1 = Does not meet expectations, 2 = Meets most expectations, 3 = Meets expectations, 4 = Exceeds most expectations, 5 = Exceeds all expectations)Accountability: We deliver as promised for each other and our clients. Consistently produces quality work, trusted by Supervisor and fellow Team Members, follows directions well. *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5(1 = Does not meet expectations, 2 = Meets most expectations, 3 = Meets expectations, 4 = Exceeds most expectations, 5 = Exceeds all expectations)Achievement: We are determined to grow both as individuals and as a team. Committed to personal and professional growth, receptive to feedback, responds to change well, embraces learning. *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5(1 = Does not meet expectations, 2 = Meets most expectations, 3 = Meets expectations, 4 = Exceeds most expectations, 5 = Exceeds all expectations)Additional Feedback *Overall Performance Rating *Please make a note of the Overall Performance rating for your Team Member. 1 = Does not meet expectations, 2 = Meets most expectations, 3 = Meets expectations, 4 = Exceeds most expectations, 5 = Exceeds all expectationsTeam Member Signature *Clear SignatureSupervisor / Manager Signature *Clear SignatureSubmit
