Staff Self Evaluation Report

ANDERSON UNIVERSITY Staff Self Evaluation Report

Employee: Date: Department: Position: The purpose of this form is to identify goals and other activities that you wish to share with your supervisor as part of the annual performance evaluation process. Complete the form, attach additional documentation as needed, and return it to your supervisor. Your supervisor will review this information as part of your annual performance review.

1. Aspects of your job you would like to discuss with your supervisor: 2. Personal and/or professional activities that have enhanced your job effectiveness this year: 3. Changes that you would like to see in your job or department to increase effectiveness: 4. Progress made toward the goals established by you and your supervisor last year: 5. Other accomplishments made since your last performance review: 6. Personal and work goals you would like to establish for next year: 7. Please rate yourself on each of the following statements, checking the number that most appropriately describes you (1 is the lowest, 8 is the highest). Your candid responses will be helpful to your supervisor and best contribute to the evaluation process. 1 2 3 4 5 6 8 a. I establish high standards for my performance. b. I perform my work within those standards. c. I establish clearly stated goals for my work. d. I achieve my work-related goals. e. I establish priorities for my work. f. I complete assignments on schedule. g. I respond to correspondence, phone calls and other requests promptly. h. I effectively manage my time on the job. i. I keep myself aware of new knowledge and trends affecting my job assignment. j. I effectively delegate work to others (if applicable). k. I use group methods of decision-making when useful or appropriate. l. I am open and receptive to new ideas. m. I build vacation, recreation, and renewal time into my schedule. n. I protect time for activities with family/friends and building those relationships. o. I am committed to my spiritual needs and personal growth.

UNIVERSITY CORE VALUES Disagree Agree

SelfEval 1 Rev. 2014 Integrity Adheres to a code of moral values, shared virtues, and traditions; conforming to biblical standards of personal behavior; and keeping faith with university policies and standards. Excellence Consistent, high-quality performance, innovation and creativity in the performance of job assignment Servant Serves others, shows sensitivity to others with conflicting needs Leadership while resolving problems/issues, and demonstrating a sacrificial attitude toward meeting others' needs. Responsibility Committed to personal and social accountability as evidenced by good stewardship of personal and university resources. Generosity An attitude of hospitality and readiness to give of one’s gifts and talents with a spirit of openness and gratitude.

Date completed by Employee: Employee:

Date reviewed by Supervisor: ______

SelfEval 2 Rev. 2014 Supervisor:

SelfEval 3 Rev. 2014