PAGE 1 OF 2 P ERFORMANCE DIALOGUE APPRAISAL FOR

Employee ‘s Name:

Date:

Position:

Department / Unit:

Immediate Supervisor's Name:

Reference Period:

PERFORMANCE and special ACHIEVEMENTS

Use Performance Dialogue PLAN to assess the contribution.

Contribution to the ongoing service or objectives of the department / unit:

Occasions where objectives were exceeded:

Reasons why objectives were not met: (within and outside the person’s control)

Achievements for special projects / assignments (if applicable):

Review pre-established training and development priorities and learning opportunities pursued this year

IDENTIFY EMPLOYEE’S STRENGTHS AND AREAS FOR DEVELOPMENT

(Consider competencies, job-related technical skills and the evolving work environment)

Demonstrated skills & Competencies

Areas for Skills Improvement / Enhancement

Other Development / Learning Needs to Enhance Performance

Employee’s Name:

Signature:

Date:

Immediate Supervisor's Name:

Signature:

Date:

Supervisor’s Manager’s Name:

Signature:

Date: