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Your English School | Supervisor/Self Appraisal Form | 2015
1
YES! WeInnovateandWeRock!
Your English School
Jl. Arcamanik Endah No. 50C, Bandung
022 7237946 | www.yesindonesia.or.id| Twitter : YES_4_English
Employee Name: Title:
Period:
Type of Review (checkone)  Annual  Special ___________
Supervisor /Self Appraisal of Performance on Relevant Performance Factors
Performance Rating Definitions
The following ratings must be used to ensure commonality of language and consistency on overall
ratings: (There should be supporting comments to justify ratings of “Outstanding”, “Below
Expectations, and “Unsatisfactory”)
5 = Outstanding / Performance is consistently superior
4 = Exceeds Expectations / Performance is routinely above job requirements
3 = Meets Expectations / Performance is regularly competent and dependable
2 = Below Expectations / Performance fails to meet job requirements on a
frequent basis
1 = Unsatisfactory / Performance is consistently unacceptable
RELEVANT PERFORMANCE FACTORS SUPERVISOR
APPRAISAL
SELF
APPRAISAL
1. Adaptability
 Adapts to changes in the work environment
 Manages competing demands
 Accepts instruction and/or constructivefeedback
 Changes approach or method to best fit the situation
Rating: Rating:
Comment: Comment:
2. Attendance and Punctuality
 Schedules time off in advance
 Begins working on time
 Keeps absences within guidelines
 Ensures work responsibilities arecovered when
absent
 Arrives at meetings and appointments on time
Rating: Rating:
Comment: Comment:
3. Communications
 Expresses ideas and thoughts well verbally
 Expresses ideas and thoughts well in written form
 Exhibits good listeningand comprehension
 Keeps others adequately informed
 Selects and uses appropriatecommunication methods
Rating: Rating:
Comment: Comment:
Your English School | Supervisor/Self Appraisal Form | 2015
2
YES! WeInnovateandWeRock!
Your English School
Jl. Arcamanik Endah No. 50C, Bandung
022 7237946 | www.yesindonesia.or.id| Twitter : YES_4_English
4. Cooperation/Collegiality
 Establishes and maintains effectiverelations
 Exhibits tactand consideration
 Displayspositiveoutlook and pleasantmanner
 Offers assistanceand supportto co-workers
 Works cooperatively in group situations
 Works actively to resolveconflicts
Rating: Rating:
Comment: Comment:
5. Dependability
 Responds to requests for serviceand assistance
 Follows instructions,responds to management
direction
 Takes responsibility for own actions
 Commits to doingthe best job possible
 Keeps commitments
Rating: Rating:
Comment: Comment:
6. Initiative
 Volunteers readily
 Undertakes self-development activities
 Seeks increased responsibilities
 Takes independent actions and calculated risks
 Looks for and takes advantage of opportunities
 Asks for help when needed
Rating: Rating:
Comment: Comment:
7. Job Knowledge
 Competent in required job skillsand knowledge
 Exhibits ability to learn and apply new skills
 Keeps abreastof current developments
 Requires minimal supervision
 Displaysunderstandingof how job relates to others
 Uses resources effectively
Rating: Rating:
Comment: Comment:
8. OrganizationSupport
 Follows policies and procedures
 Completes administrativetasks correctly and on time
 Supports organization’s goalsand values
 Benefits organization through outsideactivities
 Supports and respects diversity
Rating: Rating:
Comment: Comment:
9. Planningand Organization
 Prioritizes and planswork activities
 Uses time effectively
 Plans for additional resources
 Integrates changes smoothly
 Sets goals and objectives
 Works in an organized manner
Rating: Rating:
Comment: Comment:
10. ProblemSolving
 Identifies problems in a timely manner
 Gathers and analyzes information skillfully
 Develops alternativesolutions
 Resolves problems in early stages
 Works well in group problem solvingsituations
Rating: Rating:
Comment: Comment:
Your English School | Supervisor/Self Appraisal Form | 2015
3
YES! WeInnovateandWeRock!
Your English School
Jl. Arcamanik Endah No. 50C, Bandung
022 7237946 | www.yesindonesia.or.id| Twitter : YES_4_English
11. Productivity
 Consistently handles assigned workload
 Establishes and manages priorities effectively
 Works efficiently and uses time effectively
 Establishes processes and procedures for getting work
done
Rating: Rating:
Comment: Comment:
12. Quality
 Demonstrates accuracy and thoroughness
 Displays commitment to excellence
 Looks for ways to improve and promote quality
 Applies feedback to improve performance
 Monitors own work to ensure quality
Rating: Rating:
Comment: Comment:
13. Core Values
 Demonstrates student centeredness
 Demonstrates professional development and
scholarship
 Demonstrates integrity and ethics
 Demonstrates respect, diversity and pluralism
 Demonstrates innovation and flexibility
 Demonstrates teamwork and collaboration
Rating: Rating:
Comment: Comment:
14. Additional Performance Factors Relatedto this
Position





Rating: Rating:
Comment: Comment:
OVERALL PERFORMANCE
Strengths and Accomplishments:
( Include those which are relevant during this evaluation period. This should be related to performance or
behavioral aspects you appreciated in your performance.)
Performance areas which need improvement:
Your English School | Supervisor/Self Appraisal Form | 2015
4
YES! WeInnovateandWeRock!
Your English School
Jl. Arcamanik Endah No. 50C, Bandung
022 7237946 | www.yesindonesia.or.id| Twitter : YES_4_English
Plan of action toward improved performance:
Job Description Review Section: (Please checkthe appropriate box.)
 Employee job description has been reviewed during this evaluation and no changes have been
made to the job description at this time.
 Employee job description has been reviewed duringthis evaluation and modifications have been
proposed to the job description. The modified job description is attached to this evaluation.
Signatures:
Employee Date
Reviewed by Date

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KPI 2015

  • 1. Your English School | Supervisor/Self Appraisal Form | 2015 1 YES! WeInnovateandWeRock! Your English School Jl. Arcamanik Endah No. 50C, Bandung 022 7237946 | www.yesindonesia.or.id| Twitter : YES_4_English Employee Name: Title: Period: Type of Review (checkone)  Annual  Special ___________ Supervisor /Self Appraisal of Performance on Relevant Performance Factors Performance Rating Definitions The following ratings must be used to ensure commonality of language and consistency on overall ratings: (There should be supporting comments to justify ratings of “Outstanding”, “Below Expectations, and “Unsatisfactory”) 5 = Outstanding / Performance is consistently superior 4 = Exceeds Expectations / Performance is routinely above job requirements 3 = Meets Expectations / Performance is regularly competent and dependable 2 = Below Expectations / Performance fails to meet job requirements on a frequent basis 1 = Unsatisfactory / Performance is consistently unacceptable RELEVANT PERFORMANCE FACTORS SUPERVISOR APPRAISAL SELF APPRAISAL 1. Adaptability  Adapts to changes in the work environment  Manages competing demands  Accepts instruction and/or constructivefeedback  Changes approach or method to best fit the situation Rating: Rating: Comment: Comment: 2. Attendance and Punctuality  Schedules time off in advance  Begins working on time  Keeps absences within guidelines  Ensures work responsibilities arecovered when absent  Arrives at meetings and appointments on time Rating: Rating: Comment: Comment: 3. Communications  Expresses ideas and thoughts well verbally  Expresses ideas and thoughts well in written form  Exhibits good listeningand comprehension  Keeps others adequately informed  Selects and uses appropriatecommunication methods Rating: Rating: Comment: Comment:
  • 2. Your English School | Supervisor/Self Appraisal Form | 2015 2 YES! WeInnovateandWeRock! Your English School Jl. Arcamanik Endah No. 50C, Bandung 022 7237946 | www.yesindonesia.or.id| Twitter : YES_4_English 4. Cooperation/Collegiality  Establishes and maintains effectiverelations  Exhibits tactand consideration  Displayspositiveoutlook and pleasantmanner  Offers assistanceand supportto co-workers  Works cooperatively in group situations  Works actively to resolveconflicts Rating: Rating: Comment: Comment: 5. Dependability  Responds to requests for serviceand assistance  Follows instructions,responds to management direction  Takes responsibility for own actions  Commits to doingthe best job possible  Keeps commitments Rating: Rating: Comment: Comment: 6. Initiative  Volunteers readily  Undertakes self-development activities  Seeks increased responsibilities  Takes independent actions and calculated risks  Looks for and takes advantage of opportunities  Asks for help when needed Rating: Rating: Comment: Comment: 7. Job Knowledge  Competent in required job skillsand knowledge  Exhibits ability to learn and apply new skills  Keeps abreastof current developments  Requires minimal supervision  Displaysunderstandingof how job relates to others  Uses resources effectively Rating: Rating: Comment: Comment: 8. OrganizationSupport  Follows policies and procedures  Completes administrativetasks correctly and on time  Supports organization’s goalsand values  Benefits organization through outsideactivities  Supports and respects diversity Rating: Rating: Comment: Comment: 9. Planningand Organization  Prioritizes and planswork activities  Uses time effectively  Plans for additional resources  Integrates changes smoothly  Sets goals and objectives  Works in an organized manner Rating: Rating: Comment: Comment: 10. ProblemSolving  Identifies problems in a timely manner  Gathers and analyzes information skillfully  Develops alternativesolutions  Resolves problems in early stages  Works well in group problem solvingsituations Rating: Rating: Comment: Comment:
  • 3. Your English School | Supervisor/Self Appraisal Form | 2015 3 YES! WeInnovateandWeRock! Your English School Jl. Arcamanik Endah No. 50C, Bandung 022 7237946 | www.yesindonesia.or.id| Twitter : YES_4_English 11. Productivity  Consistently handles assigned workload  Establishes and manages priorities effectively  Works efficiently and uses time effectively  Establishes processes and procedures for getting work done Rating: Rating: Comment: Comment: 12. Quality  Demonstrates accuracy and thoroughness  Displays commitment to excellence  Looks for ways to improve and promote quality  Applies feedback to improve performance  Monitors own work to ensure quality Rating: Rating: Comment: Comment: 13. Core Values  Demonstrates student centeredness  Demonstrates professional development and scholarship  Demonstrates integrity and ethics  Demonstrates respect, diversity and pluralism  Demonstrates innovation and flexibility  Demonstrates teamwork and collaboration Rating: Rating: Comment: Comment: 14. Additional Performance Factors Relatedto this Position      Rating: Rating: Comment: Comment: OVERALL PERFORMANCE Strengths and Accomplishments: ( Include those which are relevant during this evaluation period. This should be related to performance or behavioral aspects you appreciated in your performance.) Performance areas which need improvement:
  • 4. Your English School | Supervisor/Self Appraisal Form | 2015 4 YES! WeInnovateandWeRock! Your English School Jl. Arcamanik Endah No. 50C, Bandung 022 7237946 | www.yesindonesia.or.id| Twitter : YES_4_English Plan of action toward improved performance: Job Description Review Section: (Please checkthe appropriate box.)  Employee job description has been reviewed during this evaluation and no changes have been made to the job description at this time.  Employee job description has been reviewed duringthis evaluation and modifications have been proposed to the job description. The modified job description is attached to this evaluation. Signatures: Employee Date Reviewed by Date