Sample Chief Executive Officer Performance Appraisal Process And Assessment Form Page 8

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Assessment of Essential CEO Accountabilities (cont.)
Circle the Applicable Performance Rating and
Include Your Comments
Board Relations
1
2
3
4
5
N/A
•
Comments:
Keeps the Board well-informed of important developments
and issues
•
Ensures a positive working relationship with the Board
founded on honesty, trust and collaboration
•
Recommends appropriate actions and policies for Board
consideration, providing clear and timely information to
inform deliberation and decision-making when appropriate
•
Directs the functions of the organization in accordance with
the mission, vision and direction established by the Board
•
Ensures continuous education for the Board on issues/topics
important to ensure effective, evidence-based governing
leadership
CEO Self-Rating: [Insert CEO rating from self-evaluation here before giving to Board members]
CEO Comments: [Insert CEO comments from self-evaluation here before giving to Board members]
AHA 2017 Sample CEO Performance Appraisal Process and Assessment Form
8

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