Potential Appraisal Form
Potential Appraisal Form
Potential Appraisal Form
2010
Employee Name:__________________________________________________________
Department:________________________________ Campus:______________________
Title:____________________________________Supervisor:______________________
Please complete the following Appraisal of Potential for your employee. This Appraisal
concentrates on other types of tasks, or other greater responsibility the employee is
capable of doing, and in what direction their personal interests lead them. Within the
Appraisal of Potential, you should be examining the following five Management by
Objective concepts: (1) determine results expected in the upcoming year; (2) determine
proposed target dates; (3) establish target dates; (4) analyze previous years’ goals and
objectives; and (5) establish new goals for the next year. As a reminder, completing this
form is just one step in the Appraisal process. Please schedule a meeting to discuss this
assessment with your staff member.
What is he/she personally doing to become more proficient in his/her assignment, and to
prepare for more responsibility?
What are your plans and recommendations for a development program for this employee?
Be specific.
Indicate major performance results achieved in the supervision of others. Include such
items as staffing, delegating, motivating, resolving conflict, and development of staff.
Describe how well performance results were achieved compared to position standards
and specific performance requirements.
Comment on the methods and approach used by the employee in performing the job.
________________________________________ ____________________
Signature of Supervisor Date
________________________________________ ____________________
Reviewer’s Signature Date
Employee’s Comments: The employee is invited to make comments below or on
additional sheets if required. The employee is requested to sign below. This does not
necessarily indicate agreement with the review. This does acknowledge that the
Appraisal of Potential was reviewed with the employee.
_____________________________________________ _______________
Employee’s Signature Date
Supervisor: