Performance Appraisal Form Page 3

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HJF Form 235
V20110824
Strengths and Areas for Development (If more space is needed, please attach additional sheets.)
1.
Identify employee’s strengths in the work place.
2.
Identify areas in which the employee could further develop performance.
3.
Identify goals and objectives for performance and development during the next 12 months.
Based on all previous measures of performance, the overall performance rating is:
Excellent
Exceeds Expectations
Meets Expectations
Needs Improvement
Unsatisfactory
Signatures
In signing this form, the employee acknowledges that this appraisal has been reviewed with him/her and
understands the supervisor’s expectations and comments.
I do not agree with appraisal (attach explanation if desired)
Employee Signature: __________________________________________
Date: __________________
Supervisor/Evaluator Signature: __________________________________
Date: __________________
Reviewer Signature: ____________________________________________
Date: __________________
HJF Official’s Signature: _________________________________________
Date: __________________
(Required if evaluator and reviewer are not employees of HJF.)
Supervisor/Evaluator/Reviewer Comments (optional)
(If more space is needed, please use back of page.)
Please return completed form to the Human Resources Department
6720-A Rockledge Drive · Suite 100 · Bethesda, Maryland 20817 · Telephone: (240) 694-4008 · Fax: (240) 694-3145 ·
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