Employee Responsibilities Form

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Employee Name *

First

Last

Date *

Company *

Job Title *

Direct Supervisor: *

not Please include

Core Responsibilities Please list the primary responsibilities of the employee's role. Be specific and include measurable outcomes if applicable. *

Secondary Responsibilities List additional tasks or responsibilities that may not be primary but are still part of the employee's role. *

Additional Notes *

Supervisor Signature *

Clear Signature

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