Performance Appraisal Self Assessment Form
RUL Self-Assessment Form
Parts I & II are to be completed by the supervisor who is conducting the performance appraisal.
Parts III & IV to be completed by the appraisee.
Supervisor Completes:
Part I: Duties & Responsibilities
Key duties are based on the position description and mutual agreement with the employee.
Please list the key duties in order of importance.
1.
2.
3.
4.
5.
Part II: Performance Standards
Please list the standards for the Meets Standards level of performance as developed during the
performance planning meeting. Each key duty listed above must have a corresponding standard.
1.
2.
3.
4.
5.