Employee Self Evaluation Form

2. PERFORMANCE EVALUATION: EMPLOYEE SELF-EVALUATION

4. First Name*

5. Last Name*

7. Supervisor*

8. Date*
   Date

9. INSTRUCTIONS:
   Before completing this form, review your job description, the goals and expectations you and your supervisor agreed on at the beginning of the review period for your job, and the “Performance Assessment System Handbook for Employees.” Then, please complete the following questions. This completed form will be used as a communications tool to discuss your job performance with your supervisor and will be placed in your personnel file along with your supervisor’s review of your performance.

   Before completing this form, review your job description, the goals and expectations you and your supervisor agreed on at the beginning of the review period for your job, and the “Performance Assessment System Handbook for Employees.” Then, please complete the following questions. This completed form will be used as a communications tool to discuss your job performance with your supervisor and will be placed in your personnel file along with your supervisor’s review of your performance.

11. 1. List and explain the strengths and abilities you bring to your job.*

13. 2. List and explain the significant accomplishments you achieved in your job during the past year.*

15. 3. Are your customers satisfied with your work, and how do you know they are satisfied?*

17. 4. How have you contributed to positive employee morale and teamwork?*

19. 5. List any conditions or situations which may have hindered your job performance in the past year.*

21. 6. Describe the work areas where you could improve to increase your effectiveness in performing your job.*

23. 7. What specific actions do you plan to take so that you can perform your job better?*

25. 8. What have you done in the last year to improve your skills and knowledge?*

27. Electronic Signature*

29. By typing my name to the above (Electronic Signature), I understand that I am signing this legal document for the City of Fredericksburg.

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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

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