Sample Performance Appraisal Page 2

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The performance appraisal has two sections:
• Section I covers core responsibilities/duties (from current job descriptions).
• Section II covers the individual's actions that support the core responsibilities/duties.
You are to check the appropriate box for each line within the categories. Ratings are 1-5 or
N/A if the category does not apply. Carry this total to page 9 and enter on the appropriate
line.
In section II, the last performance elements, leadership and performance coaching, are
worded to apply to supervisory positions. For non-supervisory staff, the entire category would
be N/A (not applicable).
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Parent category: Business