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
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.
A copy of the self-evaluation will be attached to the Employee Evaluation and placed in the employee’s 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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