Self-Appraisal of Performance

Please complete this form prior to your annual performance review. Thanks!

Name:*
Date:*
Date Format: MM slash DD slash YYYY
Position Title:*
1. What have been your major accomplishments or contributions during the last 12 months?*
(Indicate progress toward and/or completion of job-related goals as well as awards, special projects, committee activities, etc. Highlight with an asterisk your most important contribution.)
2. What are the skills and competencies that most directly relate to the successes that you have achieved?*
3. What suggestions or ideas have you offered in the past year for improving productivity or service?*
4. In the past year, how have you developed your professional background, skills and/or learned/improved competencies?*
5. What specific abilities or skills would you like to concentrate on developing with additional experience or training in the next year?*
6. If there were one thing I could change about my position, what would it be?*
7. What is the biggest challenge that you face on your job?*
8. Job Goals: List your specific job-related goals (both short- and long-term).*
9. What do you need help with to achieve your goals?*