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CITY OF EUGENE <br /> PUBLIC WORKS DEPARTMENT <br /> PERFORMANCE EVALUATION FORM -MEMO FORMAT <br /> I <br /> <br /> _ Name: <br /> Job Class: Range/Step: <br /> I, Department: Public Works Division: <br /> Date of Evaluation Reason for Evaluation <br /> ~ Scheduled <br /> Evaluation Period: Mo. Yr._ to Mo._ Yr._ Special <br /> j Time in Present Job: .Yrs. Mo. Probationary <br /> ' Immediate Supervisor: <br /> Name: <br /> j Title: <br /> i <br /> Employee Self-Appraisal for the time period from to <br /> Please use the following categories when considering your answers to the questions below: <br /> • Occupational/Technical Knowledge (keeping current and using skills effectively). <br /> • Interpersonal/Communication Skills (keeping others informed, listening and responding, respecting <br /> others). <br /> • Leadership/Initiative Skills (setting goals, developing strategies, initiating action). <br /> • Supervisory Skills, if applicable (delegating, setting priorities). <br /> • Self-Management/Reliability and Dependability/Quality and Quantity of Work Skills (seeking feedback, <br /> learning from experience, efficiency and .effectiveness, personal and career development, completing <br /> assignments). <br /> • Judgement/Analytical Skills (problem-solving, decision-making, recognizing opportunities). <br /> 1. Summary of major job responsibilities for this time period. <br /> 2. During this review period, what do you consider to have been your major accomplishments (please <br /> review last year's goals, if applicable)? <br /> 3. What situations/assignments caused you the most difficulty? Why? What could be done to improve <br /> those situations? <br /> 4. What do you believe are your strongest skills, qualities, or assets as they relate to your work during this <br /> period? <br /> 5. What areas or skills do you need to develop or improve? What ideas do you have for developing these <br /> skills? <br /> _ _ <br /> <br />