EMPLOYEE SELF-EVALUATION FORM

Name	Date
Department	Position
Please complete this form as part of the annual performance evaluation process.
Based on your current job description/work assignments:
After reviewing the essential functions of your position as noted in your job description, do you have any questions about your job responsibilities and performance expectations?
What do you consider to be the top three to five priorities of your job as your understand them?
What relationship(s) do you see between your position and the NWESD mission, vision, values and goals?
What do you see as your greatest accomplishments or successful efforts during the past year?
During the past year, what aspect(s) of your work gave you the most satisfaction?
During the past year, what have you found challenging?
What activities, classes or trainings have you participated in this year in order to develop yourself professionally?
In what areas would you like to gain more experience, training, and/or education?
What suggestions do you have to further enhance collaboration within your work environment?
What would help you to sustain or improve your performance (amount of work assigned, clearer instructions, clarification of priorities, communication within the office, more feedback from supervisor, etc.)?
Please make any other comments regarding your job or department/program that you consider important and want to discuss.
Please provide year-end status for the current evaluation period Annual Emphasis Goals (Form 5240-F3) and return to your supervisor along with the self-evaluation form. In addition, please develop a draft of Annual Emphasis Goals (Form 5240-F3) that you want to focus on for the upcoming year.