1. F4
INTENSIVE ASSISTANCE PLAN
Employee: Pers. # Position:
School/Department: Date:
Evaluator: Evaluator Title:
IAP Begin Date: IAP Conclusion Date:
1. Objective(s) to be accomplished and expected level of performance:
_______________________________________________________________________
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2. Assistance/Support/Resource Activities
a. Beginning Date__________ Ending Date __________
________________________________________________________________
________________________________________________________________
________________________________________________________________
b. Beginning Date _________ Ending Date _________
________________________________________________________________
________________________________________________________________
________________________________________________________________
c. Beginning Date_________ Ending Date __________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Signature does not imply agreement. I have received a copy.
________________________________ ___________________________________
Evaluator Date Evaluatee Date
3. Follow-up Conference: To be completed at the conclusion of the IAP (Describe
evaluatee’s progress toward objectives and action to be taken. Attach additional pages if
necessary.)
Date of Follow-Up Conference:_____________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Signature does not imply agreement. I have received a copy.
________________________________ ___________________________________
Evaluator Date Evaluatee Date