Performance Review Employee Self-Assessment Form Page 2

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Please outline any accomplishments, awards, or activities over the past year that might give a more complete picture of
your strengths and abilities.
What are your career goals?
How will you incorporate the Service Excellence Values into your work and department at NSU?
Do you have any other questions that you would like to discuss at this meeting?
Employee Signature
Date
Supervisor’s signature indicates review of the above information, and does not necessarily indicate agreement with the employee’s comments.
Supervisor Signature Following Review with Employee
Date
HR PA 5-29-13

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