Template: Performance Evaluation Form - Executive Director/
Chief Executive Officer
Note: This document is provided for information purposes only. Health
professional associations making use of this resource should revise and modify it
for use in their specific circumstances.
This performance evaluation can be adapted for the position of senior
The Association of Ob/Gyn of XXX
Please note: If no performance objectives have been set for the first performance evaluation, skip
Section 1 and proceed with the next sections.
Date of the evaluation:
Name of the Executive Director/Chief Executive Officer:
Name of the evaluators:
Period covered by this evaluation:
SECTION 1: KEY OBJECTIVES AND PERFORMANCE EVALUATION
Key objectives of the Executive Director/Chief Executive Officer’s job description: