CONFIRMATION APPRAISAL FORM

NAME :

DESIGNATION :

DATE OF JOINING :

REPORTING TO :

1. KEY EXPECTED RESULTS/WORK ASSIGNMENTS

Key expected results/work assignments Result achieved/Accomplishments

Assessment by HOD

Describe key expected results or work To be completed at the end of the probation period. If
assignments (which correspond to tasks of there have been specific, unexpected constraints
continuous nature) to be achieved and/or affecting the results/accomplishments, please explain.
accomplished during probation period, and
for which the staff member is responsible.
They must be specific, realistic, measurable
and consistent with the staff member’s job
description. Expected results should also be
time-bound.

Work assignment - 1

Work assignment – 2

Work assignment – 3
Rating
5 = Unusual contribution: truly exceptional and rare performance which far exceeds reasonable
expectations inclusive of creativity, originality and initiative.
4 = Exceed expectations: distinctly better performance than is reasonably expected.
3 = Fully satisfactory: competent performance that fully meets reasonable expectation.
2 = Partly satisfactory: performance meets some or even more most requirements but is in need of
improvement.
1 = Unsatisfactory: performance does not meet reasonable requirements.
Item evaluated Rating Comments Rating Comments by
(self) (analyze your own by HOD
strength/ weakness) HOD
Quality of Work:
1. Professional knowledge and skills
2. Thoroughness and accuracy
3. Analytical ability to assess and
synthesize information
4. Creativity in problem solving
Quantity of Work:
1. Volume of Work
2. Promptness of response
3. Ability to organize/prioritize
Working under pressure:
1. Ability to maintain quality of work
2. Readiness to accept added duties
3. Willingness to volunteer when
necessary
4. Morale and poise under stress
Interpersonal skills:
1. Ability to work harmoniously with
HOD
2. Ability to work harmoniously with
team members
3. Ability to establish and maintain
external contacts
4. Leadership ability
Communication skills
1. Written presentation
2. Oral expression
Dependability and adaptability
1. Reliability in working with
minimum supervision
2. Willingness to adapt to new
requirements

STAFF MEMBER’S COMMENTS

Learning objectives: in view of your above self-assessment state those areas where you wish to
improve and how you intend to do so.

Date:
Signature of the staff member:
2. OVERALL COMMENTS ON STAFF PERFORMANCE

To be completed by the head of department at the end of the probation period.

2 a. OVERALL ASSESSMENT (Including strengths and development areas)

2 b. OVERALL PERFORMANCE RATING

□ Fully meets expectations

□ Partially meets expectations
□ Does not meet expectations
Any additional comment(s) in the case of an outstanding contribution by the staff member.

Date :

Signature of HOD:

NOTES BY EXECUTIVE DIRECTOR

Date :

Signature of the Executive Director :