EMPLOYEE COACHING/COUNSELING WORKSHEET

 Preventive Coaching

 Early Stage Counseling		Employee:      

 Mid Stage Counseling		Subject of Concern:      

 Final Stage Counseling		Date:      

Description of problem/incident:
     

Supervisor Signature:      

Corrective action plan:
(To be completed by employee and supervisor jointly)
     

Employee Signature:      

		
HR Approval:          						Date:      

Manager:                       					Date: