Staff Appraisal

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COMPANY NAME

STAFF PERFORMANCE APPRAISAL FORM

Instructions: Employee should complete and return to supervisor prior to the performance
appraisal Interview.

Name

Position

Employee Number

Date of Employment :

Appraisal date & time:

PERFORMANCE

I. What were your major achievements/contributions this past year related to your current
performance plan?

II. What suggestions do you have for improving your performance plan for the next year?

DEVELOPMENT

III. What are your work-related goals for the upcoming year?

IV. What are your long-range development goals (i.e., 1-3 years)?
A. What actions are you taking to achieve these goals?

B. What actions could be taken to improve your performance in your current position
by you, and your boss?

V. What sort of training / experiences would benefit you in the next year? Not just Job
skills-also your natural strengths and passion youd like to develop- you and your work
can benefit from these

EMPLOYEES SIGNATURE / DATE SUPERVISORS SIGNATURE / DATE

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