HUMAN RESOURCES
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Performance Appraisal - Self-Assessment Form

The University Mission
Our mission is to create, interpret, and share knowledge, to prepare our students to lead productive, responsible, and creative lives, and to promote the application of relevant knowledge to benefit the State of Vermont and society as a whole.

Division/Department Mission (Complete this section with your division/department mission statement)
 
 
 
 

The performance appraisal is a communication tool designed to support each individual's contribution to the University. The appraisal provides a way to measure skills and accomplishments with reasonable accuracy and uniformity. It provides you with a tool to help identify barriers to top performance. It should help identify areas for professional growth. It should not, however, be considered your only communication tool. Open lines of communication throughout the year keep barriers from rising and help to make effective working relationships.

 Each employee is entitled to a thoughtful and careful appraisal. Its success depends on your supervisor's willingness to complete a constructive and objective assessment, and on your willingness to assess your own work, respond to constructive criticism a nd to work with your supervisor to overcome problems that affect your performance.

 This is a performance appraisal form designed for self-assessment. As you review your work during the evaluation period, think about your accomplishments, your goals, areas that need improvement and obstacles that may be keeping you from doing your best w ork. This will be helpful when you review your performance with your supervisor.

Part I

 1. WORK QUALITY
Standard: Provides accurate, thorough, professional work regularly.
 

2. JOB KNOWLEDGE
Standard: Well-informed and educated in performing to the level expected for the job.
 

3. NEW KNOWLEDGE
Standard: Seeks new knowledge, applies it to the job and shares it with others.
 

4. ORGANIZATION & PLANNING
Standard: Organizes, plans, and forecasts work skillfully to meet job needs.
 

5. ANALYSIS & JUDGMENT
Standard: Analyzes problems skillfully; uses logic and good judgment to reach solutions.
 

6. DEPENDABILITY & CONSISTENCY
Standard: Personally responsible, steadfast and can be called upon for difficult and pressured challenges.
 

7. COMMUNICATION
Standard: Communicates knowledge clearly, accurately and thoroughly.
 

8. LISTENING SKILLS
Standard: Listens attentively and responds thoughtfully to needs, goals and aspirations.
 

9. INTERPERSONAL SKILLS
Standard: Works well with others; gets things done with people, and keeps information lines open at all levels.
 

10. INITIATIVE
Standard: Helps to determine the needs of the work place; helps all to meet the goals.
 

11. TEAMWORK
Standard: Coordinates own work with others, seeks opinions, values working relationships.
 

12. RESOURCE USE
Standard: Effectively uses human resources and funds available to accomplish the job.
 

13. SERVICE-CENTERED WORK
Standard: Regularly seeks to provide quality service to achieve customer satisfaction.
 

14. AFFIRMATIVE ACTION & DIVERSITY SUPPORT
Standard: Demonstrates a responsible commitment to affirmative action and diversity.
 

15. ATTENDANCE & PUNCTUALITY
Standard: Regularly present and punctual
 

16. SAFETY & HEALTH OBSERVANCE
Standard: Regularly attentive to safety and health regulations
 

 1. Evaluation of performance

 A. Describe your accomplishments and achievements during the appraisal period:
 

B. Describe steps you might take to achieve your own growth and improvement:
 
 
 

2. Individual goals and training on which you and your supervisor have jointly focused this year:

 A. Goals:
 

B. Training:
 

3. Individual goals for the position which you would plan to pursue next year:

 4. Ideas for training or course work that would substantially increase the likelihood of your success for these goals:

 5. Are your work efforts well supported by your supervisor? How could your supervisor help you improve your work in the major area of responsibility? What is currently helpful to you?

 6. Describe any obstacles, large or small, that stand in the way of performing your work successfully.