Employee Self-Evaluation Form
Name
First Name
Last Name
ID
Position
Department
Date of evaluation
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Responsibilities
Evaluation of success in responsibilities
1
2
3
4
5
Goals
Self-Assesment
Rows
Poor
Not Sure
Good
Excellent
Knowledge
1
2
3
4
Skills
5
6
7
8
Communication
9
10
11
12
Initiative
13
14
15
16
Development
17
18
19
20
Signature
Overall Self-Evaluation
1
2
3
4
5
Overall comments/suggestions
Submit
Should be Empty: