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To:

From:

Date:

Subject: Performance Improvement Plan (PIP)

When performance does not meet expectations, a performance improvement plan is

initiated and implemented to provide the necessary support to achieve success in
your job responsibilities. Performance will be reviewed weekly and documented in a
Performance Review Report.

Performance Concerns:
1.

2.

3.

NOTE: These are the main components of your position with [name of
company].
Performance Expectations:
1.

2.

3.
NOTE: Failure to complete the main function of your role during this PIP or
any time following the conclusion of the PIP may be grounds for further
disciplinary action up to and including termination.
Manager’s Responsibilities:

Weekly review meetings will take place during the next 30 days. The established
dates for these meetings are listed below. During these review meetings, honest,
constructive, and timely feedback will be provided in addition to reasonable support on
an ongoing basis to achieve satisfactory performance.

Performance Improvement Period Start Date:

Performance Improvement Period Review Date:

Dates of Weekly 30-minutes Check-Ins:





Team Member Responsibilities:

Before each weekly meeting, submit a short (no more than 1-page) Word document
summarizing your progress toward your specific goals for that week and including
any areas with which you are having difficulty. Plan to provide some specific
examples of your completed work for review.

The goal for each week is to become proficient and independent in your work on each
topic, or that you can identify areas in which you need further training.

Due Date: Submit the report the day before the scheduled weekly check-in (see
schedule below for weekly check-in dates).




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Acknowledgment of Performance Improvement Plan:
By signing this form, you confirm that you understand the information in this notice.
Signing this form does not necessarily indicate that you agree with this notice, just that
the notice was communicated to you.

Team Member’s Signature: Date:

Manager’s Signature: Date: