Team Member Name: ___________________________________ Team Member Role:______________________________
Date of Counseling: __________________________________
Supervisor’s Name: ______________________________ Date of Expected Improvement: _________________________
| AREAS FOR IMPROVEMENT |
| EXPLAIN IN DETAIL THE AREAS/ACTIONS EMPLOYEE NEEDS TO IMPROVE ON: |
| SUCCESS LOOKS LIKE |
| DEFINE WHAT SUCCESS WOULD LOOK LIKE: |
| INITIATIVES FOR IMPROVEMENT |
DEFINE WHAT ACTIONS/BEHAVIORS EMPLOYEE AND MANAGER WILL TAKE TO HELP REACH THAT SUCCESS: |
| PROGRESS/RESULTS |
TRACK EMPLOYEES PROGRESS AND COMPLETION BASED ON EXPECTED DATES: |
Signature of Employee: _______________________________________________________________________________
Signature of Supervisor Administering Counseling: ________________________________________________
