Employee Self-Evaluation Form

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* 1. Employee name:

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* 2. Job title:

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* 3. Supervisor name:

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* 4. Date:

Date

Date

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* 5. What were your key accomplishments this review period? Please include specific examples and data, where possible.

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* 6. How did you make progress toward your goals this review period?

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* 7. How have you demonstrated the company core values this review period?

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* 8. What areas of growth have you identified this review period and how do you plan to address them in the next review period?

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* 9. What are your professional goals for next review period?

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* 10. What support do you need to accomplish these goals?