Self-Appraisal Form Page 2
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23. Goals and Objectives. (State specific and achievable goals/objectives you hope to achieve during the next
appraisal period.)
4. What other issues (which may include your working relationship with your supervisor) would you like to
discuss in the appraisal review discussion?
SIGNATURES
Employee
Signature:
Date:
Supervisor
I have read and discussed this self-appraisal with my employee and I understand its contents. My signature does not imply that I agree
or disagree with the contents.
Signature:
Date:
p. 2
Rev. 05/16/2012
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