Leadership Review Selection Survey Form
Use this form to select and prioritize employees or candidates for a leadership review based on role, leadership readiness, and supporting input.
Nominee Identification
Nominee's Full Name
*
First Name
Middle Name
Last Name
Department or Team
Current Job Title
Reviewer or Submitter Name
*
First Name
Middle Name
Last Name
Leadership Review Selection Criteria
Main reason for leadership review consideration
*
Promotion consideration
Leadership potential
Performance concern
Succession planning
Team feedback
Other
Overall leadership readiness
*
Low readiness
1
2
3
4
High readiness
5
1 is Low readiness, 5 is High readiness
Rate core leadership qualities
*
Rows
1
2
3
4
5
Communication
1
2
3
4
5
Decision-making
6
7
8
9
10
Accountability
11
12
13
14
15
Collaboration
16
17
18
19
20
Strategic thinking
21
22
23
24
25
Include nominee in next leadership review cycle?
*
Yes
No
Defer
Supporting Notes
Supporting justification notes
Review priority
*
Immediate
Next cycle
Low priority
Submit
Should be Empty: