EMPLOYEE SELF-EVALUATION FORM

EMPLOYEE INFO
EMPLOYEE NAME	DEPARTMENT
EMPLOYEE ID	POSITION HELD
REVIEW PERIOD	DATE OF REVIEW
CURRENT RESPONSIBILITIES
List key responsibilities.
Assess your performance in relation to your key responsibilities.
PERFORMANCE GOALS
List performance and work objectives.
Assess your performance in regard to previously set performance and work objectives.
CORE VALUES
Assess your performance in relation to core values.
COMMENTS AND APPROVAL
Include any additional comments.
EMPLOYEE SIGNATURE