Revised 5/5/2008
A Sample Self-Assessment
Annual Performance Evaluation Form
Non-Probationary, Classified Employees
Employee Name:
Jane Smith
PeopleSoft ID#: 100012345 Position #: 00044
Department:
English Department
Date prepared:
August 5, 2008
Core Responsibilities, Special Assignments & Departmental Values
Contributor Extraordinary Contributor Below Contributor
In my supervision of Kate, the Office Services
Assistant, I have observed that she has learned her
position very quickly. She has told me often that she
feels encouraged in her job and our working
relationship. All performance management deadlines
have been or are being met.
I need to help Kate more on the technical aspect of her
job and how it fits into the big picture.
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.
Contributor Extraordinary Contributor Below Contributor
I think I have done a good job maintaining the
Director’s schedule and making her appointments.
I always make sure needed repairs are made quickly.
I’d like to work on sending out correspondence and e-
mails that are error free. Even though I proof-read
them before I send them, I still seem to make
mistakes. I feel like I need to show more attention to
detail in my role as building coordinator.
I would like help with correspondence and e-mails before I send them out. I feel embarrassed occasionally with
my grammatical errors.
Contributor Extraordinary Contributor Below Contributor
Student records are accurate and well-managed.
There are times when the office is full of students and I
find myself disorganized when that happens. I feel like
I can’t control the flow of students during certain hours.
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