{{company_name}}
{{company_address}}
Phone: {{phone}} | Email: {{email}} | Web: {{website}}
Instructions
Complete prior to the annual review meeting. Both employee self-assessment and manager assessment are required.
Information
| Field | Response |
|---|---|
| Employee Name | ____________________ |
| Job Title | ____________________ |
| Department | ____________________ |
| Manager | ____________________ |
| Review Period | ____________________ |
Goals Achieved
Competencies
| Competency | Rating (1–5) | Comments |
|---|---|---|
| Job knowledge | ||
| Quality of work | ||
| Communication | ||
| Teamwork | ||
| Initiative |
Development Goals
Overall Rating
[ ] Exceeds [ ] Meets [ ] Partially Meets [ ] Below Expectations
| Signature | Date | |
|---|---|---|
| {{employee_name}} | ____________________ | {{date}} |
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