EMPLOYEE SELF-ASSESSMENT TEMPLATE

NAME
DEPARTMENT/UNIT
JOB/ROLE
PERIOD FOR SELF-REVIEW
DATE OF SELF-REVIEW SUBMISSION
Below, provide details and examples of your accomplishments during the review period. Include the status/outcomes related to the organization’s goals and objectives that you set for the review period. Treat this as an opportunity to assess your work performance in order to facilitate a substantial conversation with your supervisor regarding the overall review process. Submit this information to your supervisor prior to your performance review. Additionally, submit any documentation supporting your accomplishments.
SELF-ASSESSMENT AREAS	NOTES/EXAMPLES
Job-Specific Knowledge Do you possess and apply the expertise, experience, and background to accomplish solid results? Do you work effectively and efficiently?
Job-Specific Skills Do you demonstrate the aptitude and competence to carry out your job responsibilities. Do you achieve the results that your organization expects of you?
COMPETENCIES
Adaptability Are you flexible and receptive regarding new ideas and approaches? In response to unexpected events and the fluctuating demands of your job, do you adapt easily to plans, goals, and actions?
Collaboration Do you cultivate positive relationships? How willing are you to learn from others? Do you recognize how personal behaviors and emotions impact others?
Communication Do you convey your thoughts clearly and respectfully? Do you demonstrate effective listening skills?
Leadership Qualities Are you self-motivated and able to build the trust of others? Can you inspire them to work toward a common goal? Do you acknowledge the contributions of others?
Integrity Do you have the ability to make decisions for the right/ethical reasons? Do you practice honesty/integrity when fulfilling your work responsibilities?
Inclusivity Do you promote an inclusive environment by showing respect for differences in lifestyle, viewpoint, race, nationality, ethnicity, religion, belief, sexual orientation, disability, and age?
Responsiveness Are you accessible to others? Do you reach out in a timely and responsive manner? Are you diplomatic, courteous, and welcoming?
Results Do you identify goals that are aligned with the organization’s strategic direction and achieve results accordingly? Do you persist through significant difficulties to achieve those goals?
Initiative Do you anticipate needs, solve problems, and take action, all without explicit instructions? Do you take the initiative to discover new work challenges and to help shape events that lead to the organization’s success?
Development Are you committed to improving your knowledge and skills? What steps do you take to improve and develop your skills?
Accomplishments What are your major accomplishments during this review period?
Growth Identify areas for development and improvement that you can accomplish in the next review period.

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