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Position Title:
Department:
Manager:
INSTRUCTIONS: Please complete the following information to help you prepare for your annual
performance review. Focus your responses based on your experiences during the prior
performance year. You may use additional pages as necessary. This form must be
completed and forwarded to your manager.
1.
Over the past 12 months, what do you think your most outstanding accomplishment was, and why?
2. Which of your duties did you do best, or improve in the most? What contributed to this?
3. Over the past 12 months, what duties assignments could you performed better? What affected
your performance?
5. What further assistance could your manager have provided to help you be more effective?
6. What are your suggestions in improving the work environment within the: a) team b)
department c) company
7. Do you have skills that you are not using, are being underutilized, or that you would like to
use more? Please be specific.
8. Are there any skills that you do not have now (or could develop more) that you would like to
develop?
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PERFORMANCE MANAGEMENT
Employee Self-Evaluation Form
9. These skills and behaviors are important at E4D. Please review and consider how you have
demonstrated these in your job and how you might improve on any of these going forward.
Initiative and
Results Oriented
Customer Focus
Problem Solving/
Creativity
Collaboration/
Teamwork
Uses diplomacy and tact to maintain harmonious and effective work relationships
with co-workers and constituents; adapts to changing priorities and demands;
shares information and resources with others to promote positive and collaborative
work relationships; supports diversity initiatives by demonstrating respect for all
individuals.
Your comments and/or suggestions for improvement
__________________________
Communication/
Interpersonal Skills
_________________________________________
Employee Signature
_________________
Date
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