• Employee Self-Evaluation Form

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• Date
• Employee Last Name, First Name*
• Employee ID
• Email
• Department
• Position/Title
• Supervisor Name*
• Email
• 
  
• Date of Last Evaluation*
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• 1. Describe your most important accomplishments since your last evaluation.*
• 2. Describe your biggest challenges. How did you solve them?*
• 3. What areas would you like to improve? Describe your plan for improvement.*
• 4. What support can your supervisor offer to help with your improvement plan?*
• 5. What are your workplace goals for the next year?*
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• Rate Your Capabilities

  	Excellent	Good	Fair	Poor
  Communicate well with team members/management
  Complete work in a timely manner
  Improve and maintain relevant skills
  Set achievable goals and work plans
  Share skills and ideas with team/management
  Take initiative on projects/assignments

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• Employee Signature and Date*
• Supervisor Signature and Date*