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