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Selma Medical Associates, Inc. Performance Appraisal Employee: Elizabeth Ogle Title: Licensed Practical Nurse Department: Nursing-Float Employee Payroll #: 8040-40 Reason For Review Annual: Promotional: Unsatisfactory Performance: [_] Merit:[[] Other: Instructions: Carefully evaluate the employee's performance in relation to the essential funetions of the jab. Check Rating box that indicates the employee's performance. Indicate N/A if not applicable. Assign points for each rating within the Seale and write that number ion the corresponding Points box. Points will be totaled and averaged for an overall performance score. 0-Outstanding. Performance is exceptional in all areas and is Improvement Needed. Performance is deficient in certain areas, recognizable as being far superior to others. Improvement is necessary. YV-Very Good. Results ciearly exceed most position requirements. U-Unsatisfactory. Results are generally unacceptable and require Performance is of high quality and is achieved on a consistent immediate improvement. No merit increase should be granted to basis. individuals with this rating, G-Good. Competent and dependable level of performance. Meets N/A-Not Applicable or too soon to rate. performance standards of the job. T Quality “The extent. 100-30 Work is typically accurate, which an employee's work 89-80 thorough and neat. eua

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