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MGT USE ONLY: <br />THIS SECTION TO BE COMPLETED BY IMMEDIATE SUPERVISOR AND/OR DEPARTMENT HEAD <br />Please provide your comments below. If using a printed copy of the form and additional space is needed, <br />please use the back of this form or attach an additional sheet. Rngcug"fq"pqv"octm"kp"gornq{ggҀu"rqtvkqp"qh" <br />the questionnaire. The intent of this section is informational for MGT use only and not intended for <br />distribution. <br />30Fq"{qw"citgg"ykvj"vjg"gornq{ggҀu"cpuygtu"vq"cnn"qh"vjg"cdqxg"swguvkqpuA"Kh"pqv."rngcug"gzrnckp0 <br />2.List any job duties or assignments which the employee performs which are in addition to those listed on <br />the job description or this form. <br />3.How long has this employee worked for you? <br />60Cffkvkqpcn"eqoogpvu"htqo"vjg"gornq{ggҀu"koogfkcvg"uwrgtxkuqt< <br />Type your name and the date below, then email this form to your Department Head (if applicable) or to <br />Administration. If using a printed copy of this form, sign and date it before forwarding. <br />UWRGTXKUQTҀU"UKIPCVWTG"QT"V\[RGF"PCOG"DATE" <br />Kh"Uwrgtxkuqt"kupҀv"Fgrctvogpv"Jgcf."Fgrctvogpv"Jgcf"ujqwnf"tgxkgy"vjku"hqto"cu"ygnn0" <br />I have read the above and substantially concur. <br />I have read the above and have the following comments: <br />Type your name and the date below, and then email this form to Administration. If using a printed copy of <br />this form, sign and date it before forwarding. <br />DEPARTMENT HEAD SIGNATURE OR TYPED NAME"DATE <br />IMPORTANT DATES: <br />1/23: Employees complete and submit the JAQs to their Supervisors. Please save file as follows: <br />JobTitle.LastName.FirstName. <br /> <br />1/30:Supervisors and Department Heads review and then submit the JAQs to Administration. <br />2/6: Administration reviews and then submits the JAQs to MGT. <br />Week of February 16th: MGT conducts virtual interviews with employees <br />26 <br />32 <br /> <br />