Performance Appraisal Self Assessment Form Page 2

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RUL Self-Assessment Form (continued)
Employee (Appraisee) Completes:
Part III. Overall Assessment
Please assess your performance by giving yourself a rating for each duty and an overall
assessment rating.
Ratings: Meets standards [MS]
Does Not Meet Standards [DNM]
1.
4.
2.
5.
3.
Overall Assessment
Part IV: Support for Appraisal
Please provide support and/or documentation for your assessment. Attach an additional sheet if
necessary. You may wish to consider the following questions as you work through this process:
a. What were my significant achievements this year?
b. Did I meet with my supervisor to discuss performance expectations?
c. Have my responsibilities changed significantly during the appraisal period?
d. If my responsibilities have changed, were the performance expectations revised?
e. Did I meet my performance expectations? Provide examples
f. Did I exceed my performance expectations? Provide examples
g. Was I unable to meet the expectations? Provide reason
h. Do I have responsibilities that were not included in the performance expectations?

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