VALLEY CITY STATE UNIVERSITY
Employee
Title
PROBATIONARY EXTENSION
Department
Probationary Review Date
Policy 4.1.1 states: Extension of the original probationary period for a specific period of time not to exceed
six months may be recommended by the supervisor to the Human Resource Administrator/Vice President
of Business Affairs. The reasons for the extension shall be written, signed by the supervisor and employee
with a copy given to the employee, and to the Human Resource Administrator.
Please complete and return to Human Resources prior to the probationary date.
If you have any questions or are in need of assistance, please call 845-7401.
Issues/Concerns:
Expectations going forward:
Course of Action & Deadlines (If Applicable):
Length of Extension (Up to 6 months):
Supervisor's signature
New Probationary Review Date:
Title
Employee's signature
An employee's signature does not necessarily mean that the employee agrees with the review, but that the
employee has seen it and has been given the opportunity to discuss it.
Employee comments:
Date
Date