Employee Performance Self Review

EMPLOYEE PERFORMANCE SELF REVIEW

Personal Information

Position Information

Start Date:

Review Period

From:    To:

Performance Summary

Provide a concise summary of your overall performance during the review period, addressing major objectives and core responsibilities.

Core Competencies — Self Rating

For each competency, indicate your assessment by selecting the box that best describes your performance during the review period. (Select one per competency.)

Development & Goals

Employment History (Most Recent — last 2 employers)

Education

Graduation Date:

Professional References

Provide three professional references (not family members).

Legal Disclosures & Authorizations

At‑Will Employment: I understand that, unless subject to a written agreement signed by an authorized representative of the employer, my employment is at-will. Either I or the employer may terminate the employment relationship at any time, with or without cause or prior notice.

Equal Employment Opportunity: The employer provides equal employment opportunity to all employees and applicants without regard to protected characteristics as defined by applicable law. Employment decisions are based on job-related factors and business needs.

Authorization to Contact: By signing below I authorize the employer to contact current and prior employers, educational institutions, references, and other listed sources to verify information provided in this review and in the employee record. I authorize those parties to disclose such information to the employer.

Background Checks: I consent to any background, criminal, credit, or other checks as permitted by law that the employer may conduct in connection with employment administration, compliance, or investigations related to my employment and performance. I understand that any adverse information discovered may be considered in employment decisions consistent with law.

I hereby indicate my consent to the foregoing authorizations:

Employee Certification

I certify that the statements made in this self review are accurate and reflect my performance and professional development needs. I understand that intentionally providing false or misleading information may result in disciplinary action up to and including termination. I acknowledge that this document will be retained in my personnel file and may be used in compensation, promotion, and disciplinary decisions.

Sign Now