Performance Appraisal Form Template

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usage guide
performance appraisal form template
location/based at:
org/division/dept:
name:
position:
ref:
year or period covered:
time in present position:
length of service:
appraisal date & time:
appraisal venue:
appraiser:
Part A
Appraisee to complete before the interview and return to the appraiser by (date)
A1
State your understanding of your main duties and responsibilities.
A2 Discussion points:
1. Has the past year been good/bad/satisfactory or otherwise for you, and why?
2. What do you consider to be your most important achievements of the past year?
3. What do you like and dislike about working for this organisation?
4. What elements of your job do you find most difficult?
5. What elements of your job interest you the most, and least?
usage guide
performance appraisal form template
location/based at:
org/division/dept:
name:
position:
ref:
year or period covered:
time in present position:
length of service:
appraisal date & time:
appraisal venue:
appraiser:
Part A
Appraisee to complete before the interview and return to the appraiser by (date)
A1
State your understanding of your main duties and responsibilities.
A2 Discussion points:
1. Has the past year been good/bad/satisfactory or otherwise for you, and why?
2. What do you consider to be your most important achievements of the past year?
3. What do you like and dislike about working for this organisation?
4. What elements of your job do you find most difficult?
5. What elements of your job interest you the most, and least?
6. What do you consider to be your most important aims and tasks in the next year?
7. What action could be taken to improve your performance in your current position by you, and your boss?
8. What kind of work or job would you like to be doing in one/two/five years time?
9. What sort of training/experiences would benefit you in the next year? Not just job-skills - also your natural
strengths and personal passions you'd like to develop - you and your work can benefit from these.
A3
List the objectives you set out to achieve in the past 12 months (or the period covered by this appraisal)
with the measures or standards agreed - against each comment on achievement or otherwise, with reasons
where appropriate. Score the performance against each objective (1-3 = poor, 4-6 = satisfactory, 7-9 = good, 10
= excellent):
objective
measure/standard
score
comment
A4
Score your own capability or knowledge in the following areas in terms of your current role requirements (1-
3 = poor, 4-6 = satisfactory, 7-9 = good, 10 = excellent). If appropriate bring evidence with you to the appraisal
to support your assessment. The second section can be used if working towards new role requirements.
1. commercial judgement
others (for current or new role):
2. product/technical knowledge
18. corporate responsibility and ethics
3. time management
4. planning, budgeting and forecasting
5. reporting and administration
6. communication skills
7. delegation skills
8. IT/equipment/machinery skills
9. meeting deadlines/commitments
10. creativity
11. problem-solving and decision-making
12. team-working and developing others
13. energy, determination and work-rate
14. steadiness under pressure
15. leadership and integrity
16. adaptability, flexibility, and mobility
17. personal appearance and image
A5
In light of your current capabilities, your performance against past objectives, and your future personal
growth and/or job aspirations, what activities and tasks would you like to focus on during the next year. Again,
also think of development and experiences outside of job skills - related to personal aims, fulfilment, passions.
Part B
To be completed during the appraisal by the appraiser - where appropriate and safe to do so, certain items
can completed by the appraiser before the appraisal, and then discussed and validated or amended in discussion with
the appraisee during the appraisal.
B1
Describe the purpose of the appraisee's job. Discuss and compare with self-appraisal entry in A1.
Clarify job purpose and priorities where necessary.
B2
Review the completed discussion points in A2, and note the points of and action.
B3
List the objectives that the appraisee set out to achieve in the past 12 months (or the period covered by this
appraisal - typically these objectives will have been carried forward from the previous appraisal record) with the
measures or standards agreed - against each comment on achievement or otherwise, with reasons where
appropriate. Score the performance against each objective (1-3 = poor, 4-6 = satisfactory, 7-9 = good, 10 =
excellent). Compare with the self-appraisal in A3. Discuss and note points of significance, particularly
training and development needs and wishes, which should be noted in B6.
objective
measure/standard
self-score/app'r score
comment

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