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A Sample Self-Assessment
Annual Performance Evaluation Form
Non-Probationary, Classified Employees

|Employee Name: |PeopleSoft ID#: 100012345 Position #: 00044 | |Jane Smith | | |Department: |Date prepared: | |English Department |August 5, 2008 |

Core Responsibilities, Special Assignments & Departmental Values |Core |Evaluation | |Responsibility | | |1 | Contributor Extraordinary Contributor Below Contributor | | |Positive Factors |Areas For Improvement | | |In my supervision of Kate, the Office Services Assistant, I have observed|I need to help Kate more on the technical aspect of her job and how it fits| | |that she has learned her position very quickly. She has told me often |into the big picture. | | |that she feels encouraged in her job and our working relationship. All | | | |performance management deadlines have been or are being met. | | | |Additional Comments | | |I’d like to update Kate’s position description to include student/department scheduling. I think it would challenge her a bit more and help her | | |learn a new program. | |2 | Contributor Extraordinary Contributor Below Contributor | | |...

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