Self Appraisal

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SELF – APPRAISAL

Employe :

Date :

Position Title :

Departement :

1. Job description and responsibilities:


___________________________________________________________________________
___________________________________________________________________________
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2. Specify ways that you feel met or exceeded job requirements and any reasons why.
a. ________________________________________________________________________
________________________________________________________________________
b. ________________________________________________________________________
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c. ________________________________________________________________________
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3. Specify the ways that you feel you did not meet job requirements and any reasons why.
a. ________________________________________________________________________
________________________________________________________________________
b. ________________________________________________________________________
________________________________________________________________________
c. ________________________________________________________________________
________________________________________________________________________

4. In what specific areas would you like to improve your job performance?
a. ________________________________________________________________________
________________________________________________________________________
b. ________________________________________________________________________
________________________________________________________________________
c. ________________________________________________________________________
________________________________________________________________________

5. List the steps you would like to take to improve your preparation for future opportunities.
a. ________________________________________________________________________
________________________________________________________________________
b. ________________________________________________________________________
________________________________________________________________________
c. ________________________________________________________________________
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6. What job – related goals would you like to accomplish in the nexy 6 (12) months?

a. ________________________________________________________________________
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b. ________________________________________________________________________
________________________________________________________________________
c. ________________________________________________________________________
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7. List additional items you would like to discuss


a. ________________________________________________________________________
________________________________________________________________________
b. ________________________________________________________________________
________________________________________________________________________
c. ________________________________________________________________________
________________________________________________________________________

Employee signature

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