Self-Evaluation Form

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Complete Self-Evaluation Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

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SELF-EVALUATION FORM
Demographic Data
Last 4
XXX - XX -
Employee Name
SSN #
Last
First
MI
Supervisor
Name
Department
Job Title
Review Period
through
Type of Evaluation (select one):
Mid-Year
Annual
Why should I do a self-evaluation?
This form is an evaluation tool for enhancing feedback and performance success. Conducting an annual or mid-year self-evaluation will
allow you to provide information to your supervisor about your performance and shed light on your accomplishments and goals during
this evaluation period. This tool may also help new supervisors get to know their staff better. Knowing employees is a basic
requirement for the successful management of a work team.
Job Function Performance
How I believe I performed my Essential Functions, overall:
Accomplishments
Accomplishments and Essential Functions I believe I have handled well this past year:

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