Performance Review Form

CCT is committed to providing the highest quality services to our clients and participants. We achieve this by supporting our employees in their roles and by ensuring everyone is meeting our high standards. This performance appraisal form is to gather information from you about how you think you are performing, and will be followed up in a formal discussion between you and your supervisor.

First Name *

Last Name *

Employee Start Date:

6 month probationary review

Annual Review

Which client services have you provided to CCT clients? *

Which areas of your work performance are you most proud of and which you believe exceed CCT standards and why? *

What training have you undertaken since you started working with CCT? (If none, why?) *

What formal training would you be interested in doing? *

Which parts of your role would you like to improve and what would you like to achieve in the next year? *

How many Team Meetings have you participated in? *

If zero or only 1 or 2, please describe the barriers to you participating.

Of the clients you have supported, who have you personally encouraged to give feedback to the office about their services? *

Do you have everything you need to perform your job to the required high standard? *

How could CCT better support you in your role? What could your supervisor change to make you more satisfied at work? *

How would you describe your working relationship with your CCT colleagues? How could this be improved? *

What are your ideal working conditions to be the most productive? *

What do you hope to be doing in your career in 3-5 years? *

Any other comments about your work with CCT?

SW Signature: *

clear

Date: * +

Work performance discussion held with:

Date:

Notes and agreed actions:

Outcome of work performance review:

Probation successful

Probation period extended to: ______/______/___________

Work performance below expectations – performance improvement plan to be implemented

Work performance meets expectations

Work performance exceeds expectations

Supervisor Signature:

Date:

Next performance review due date:

Personal care	Domestic Assistance	Social Support	Medication prompt
Transport	Safety check	Skill & Capacity Building (NDIS)	Overnight stay
Community Support (NDIS)	Other: Other:

Certificate III - Aged Care	Certificate III - Disability	Certificate III - Community Services
Certificate IV - Aged Care	Certificate IV - Disability	Certificate IV - Community Services
First Aid & CPR	Assist clients with medication	Nursing
Dementia Training	Other: Other: