2010 PERFORMANCE EVALUATION

EMPLOYEE’S SELF-ASSESSMENT

Employee Name: Gustavo A Aguilera

Employee Title: Laboratory Technician
Manager: Dave Simpson
Date of Hire: 09/30/09
Date of Review:

INSTRUCTIONS

 The employee must complete the Self-Assessment

o Think about how you fulfilled the job's requirements. Think about your
achievements of both corporate and professional development objectives.

o Cite specific examples of your accomplishments. Consider the following

factors, as well as any other relevant requirements:
 Job Knowledge: Your knowledge/expertise and capability to meet
objectives and overcome challenges
 Planning & Organizing: Your ability to manage, planed and execute
projects
 Leadership: Give examples of your leadership; delegate effectively,
build strong teams, colleague relationships, mentoring
 Judgment & Responsibility: Think about how you exercise good
judgment in programs and/or utilize company resources (time &
money) efficiently

 Print your completed Self-Assessment and provide this to your manager. Your
manager should then set up a time with you to discuss the Performance
Evaluation.
 EMPLOYEE’S SELF-ASSESSMENT FORM

1. ASSESS YOUR PERFORMANCE SINCE YOUR LAST REVIEW (OR DATE OF HIRE):

Overall rating: Exceeds expectations

I have gone above and beyond to make sure that the laboratory is stocked with plenty of supplies before
there is a shortage of anything needed. A positive accomplishment that also contributes to this rating is that I
was able to learn the job here at LS9 rather quickly.

2. AREAS OF STRENGTH AND OPPORTUNITIES TO UTILIZE CAPABILITIES:

I am always up for the challenge of learning new skills and receiving additional training.

3. AREAS FOR IMPROVEMENT AND SPECIFIC ACTIONS TO IMPROVE:

I would like to develop new skills in different areas of the job so that I can be a versatile employee. An area
which needs improvement would be for me to be able to express my opinion when I am asked, instead of going
with the flow so often.

4. OTHER COMMENTS:

The LS9 team has been very helpful, supportive, encouraging, and attentive in incorporating me into this
company. All of my co workers have been very helpful in providing positive and constructive criticism which I
take with me and try to incorporate it into my everyday job.

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Manager Initials:_____
Employee Initials:_____