Sample Appraisal Form (to be filled by the employee)

Employee Name
Position/Title
Division
Evaluation Period
Line Manager/Appraiser
How would you rate yourself on the Following

Attributes Score Max marks

Quantity of work
Meeting job requirements on a timely basis 10
Quality of work
Effectiveness & Accuracy 10
Knowledge of job
extent to which the employee knows and demonstrates all phases of assigned work 10
Team Spirit 10
Decision Making Ability 10
Attendance, reliability and dependability 10
Planning and organizational effectiveness
Meeting deadlines, managing resources, and balancing tasks. 10
Communication Skills 10
Initiative and creativity 10
Supervisory ability (if applicable) 10

What do I consider to be the important abilities that my job requires?

What are my major accomplishments for the past year?

What have I done for my personal and/or professional development

Employers Comments

Employee Signature/Date
Evaluator Signature/Date
Authorized Unit Administrator Signature/Date (if applicable)

The Pre-appraisal Checklist (for the Employer)

Set a calendar date and time in advance that is mutually convenient for both you and the employee, and that will allow enough time for
each of you to do preparation.

Make sure you have:

• The job description and performance standards

• Goals set from the last appraisal

• Work rules and procedures

• Any feedback or letters from customers/co-workers

• Current disciplinary memos

• The previous performance appraisal

• If you have asked the employee to do a self-appraisal, be sure to obtain that early enough so you have a chance to review it as
part of your preparation.
Before filling out the appraisal form:

• List the main areas of responsibility

• What the employee has done well

• What the employee needs to improve in

• What you can do to help the employee do a better job