Employee Self-Evaluation Form (Rev. 07/15) Distribution: Original Personnel Copy - Employee
Chaffey ^ College
Classified Employee Self-Evaluation Form
Employee Name Colleague ID# Department
Evaluation Period (From/To) Position
PERFORMANCE NARRATIVE
Accomplishments / successes
during current evaluation cycle.
Challenges experienced during
current evaluation cycle.
Professional goals to achieve
during the next evaluation
cycle.
Ways in which the district can
assist employee in achieving
goals during next evaluation
cycle.
Employee Signature
Date
Supervisor Signature
Date
A copy of the self-evaluation will be attached to the Employee Evaluation and placed in the employees personnel file.
Please check either: Probationary Evaluation
4 months 8 months 12 months
or one of the following: Permanent Evaluation
Re-evaluation ( 1
st
2
nd
)
Special Evaluation
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signature
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