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My Name: My Manager:
My Director: Date of My
Appraisal:
1.1. My progress against my objectives for the year: (mark x in appropriate box)
Missed Didn’t achieve the objective (e.g. not started, late delivery, financial measure missed)
Met Achieved the objective (e.g. completed at agreed time, benefits were achieved)
Exceeded Overachieved (e.g. early delivery, better business result than planned)
1.3 My general views about my role and my contribution to the business over the past 12 months:
Examples
Behaviours and Rating
Provide specific examples of events and activities to
Skills A B C D E
support rating.
Focus on Results
Planning and
Organisation
Communication
Reliability and
Work Ethic
Confidential Page 2|5
Teamwork
Job Knowledge
Embracing and
Initiating Change
No Objective Measure
My signature
Signed Date
My manager’s signature
Signed Date
My Director’s signature
Signed Date