Performance Appraisal Form Filled Sample

PERFORMANCE APPRAISAL AND EVALUATION RECORD

I. EMPLOYEE AND REVIEW INFORMATION

Employee Name: [___________________________]
Employee ID: [___________________________]
Job Title: [___________________________]
Department: [___________________________]
Reporting Manager: [___________________________]
Review Period: From [____/____/____] to [____/____/____]
Date of Appraisal: [____/____/____]

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II. PERFORMANCE RATING SCALE

• 5 – Exceptional: Consistently exceeds expectations in all areas.
• 4 – Exceeds Expectations: Often performs above established requirements.
• 3 – Meets Expectations: Fully competent and meets all requirements.
• 2 – Needs Improvement: Performance inconsistent; development required.
• 1 – Unsatisfactory: Consistently fails to meet minimum requirements.

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III. CORE COMPETENCIES EVALUATION

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IV. KEY PERFORMANCE INDICATORS (KPI) REVIEW

Objective 1: [________________________________________________]
Status: [________________] | Outcome: [__________________________________]

Objective 2: [________________________________________________]
Status: [________________] | Outcome: [__________________________________]

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V. EMPLOYEE SELF-ASSESSMENT

To be completed by the employee:
[__________________________________________________________________________]
[__________________________________________________________________________]

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VI. PROFESSIONAL DEVELOPMENT PLAN

Areas for Growth: [________________________________________________]
Proposed Training/Mentorship: [___________________________________________]
Resources Required: [________________________________________________]

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VII. MANAGER SUMMARY & CONCLUDING REMARKS

Overall Performance Assessment:
[__________________________________________________________________________]
[__________________________________________________________________________]

Next Review Date: [____/____/____]

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VIII. SIGNATURES

By signing below, the parties acknowledge that this performance appraisal has been discussed and that the contents have been reviewed. A signature does not necessarily indicate agreement with all ratings, but confirms that the evaluation process was conducted.

Employee Signature:

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Date: [____/____/____]

Manager Signature:

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Date: [____/____/____]

Human Resources Representative:

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Date: [____/____/____]