Review Period	 	to                          
Employee Name			Employee Title  	
Supervisor Name		 __________________________________________      Supervisor Title  ______________________________________________

Pre-evaluation 
      Complete a self-evaluation (Employee Goals and Performance Assessment Forms) and submit to supervisor.
      Make suggestions for changes to your job description, if applicable.
	Review and assess your progress towards achieving departmental goals.
	Develop goals for the coming year.
	Review and revise your career-related professional development goals.
      Review your organization’s mission, vision, and guiding values.	During the evaluation
	Discuss any differences between your job description and responsibilities.
	Provide additional contributions that might not be obvious.
	Explore career-related professional development opportunities of interest.

Post-evaluation
	Review supervisor modifications to Performance Assessment after meeting.
	Sign the Performance Assessment form.
	Add comments if applicable.
	Retain copies of your forms as you plan for the year.	
Discussion Questions (Be prepared to discuss these items during your performance review.  Create additional items based on your unit, as needed.)	
List special contributions you feel you have made to your department during the performance review period not previously noted. 	

	
List any notable obstacles you encountered in accomplishing your job responsibilities during the performance review period not previously noted. 		
What can your supervisor do to contribute to your success? 		
Any additional information that you wish to have considered in your evaluation.