Employee Self Evaluation Form

Master Coach Self Evaluation Form

EMPLOYEE INFORMATION

Today's Date *

Employee's Name *

First

Last

Department *

Supervisor's Name *

First

Last

Review Period *

Enter period of time - Jan - June and year for example

EMPLOYEE SELF-EVALUATION

Please review and complete the following. 1 – Poor 2 – Needs Improvement 3 – Meets expectations 4 – Exceeds requirement 5 – Exceptional work

Organization Success Factors

The following performance criteria have been established by the organization due to their importance to the success of the organization.

Please supply any comments and examples of the employee performance related to the above ratings:

Communication

Customer Relations

Judgment

Planning, Innovation and Problem Solving

Teamwork

Work Habits

Professional Development and Adaptability

Technical Ability

Leadership Success Factors

Complete for Administrative & Supervisory Staff

Human Resource Management

Accountability and Results Orientation

Strategic Thinking

Primary Position Responsibilities

Employee will identify and outline major position responsibilities. Additional duties can be identified and attached if necessary after meeting with the supervisor.

1 *

Please describe your primary position responsibilities.

Review of objectives over the last 12 months *

Please outline any major objectives you have achieved over the last 12 months and indicate the level of completion using the following scale - 1 – Poor, 2 – Needs Improvement, 3 – Meets expectations, 4 – Exceeds requirement, 5 – Exceptional work.

Objectives for the next 6 - 12 months *

Employee will identify specific objectives to be accomplished over the next six to twelve months.