Intensive Goal Summary Form

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2080 Citygate Drive • Columbus, OH 43219
p: 614.445.3750 │ f: 614.445.3767
www.escofcentralohio.org
Intensive Evaluation
Summary Report
ESCCO Staff Member __________________________________________
Position _____________________________________________________
Please report (1) progress in meeting goals and (2) include a statement as to what was
learned/gained from focusing this year on goal area(s). If necessary, attach additional evidence
supporting goal achievement to Summary Report.
Goal #1:
Goal #2:
Goal #3:
Supervisor Comments (if appropriate):
Employee Name (print) _________________________________________
Date _______________
Employee Signature ___________________________________________
Date _______________
Supervisor Name (print) ________________________________________
Date _______________
Supervisor Signature___________________________________________
Date _______________
Rev. 10/09
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