EMPLOYEE FEEDBACK FORM

Rating Period: ________________________________

ACTION PLAN
RESOURCES
STRENGTHS DEVELOPMENT NEEDS (Recommended Development TIMELINE
NEEDED
Intervention)

School Fund
Personal Fund

Employee Feedback:
 PART II. COMPETENCIES
CORE BEHAVIORAL COMPETENCIES Teamwork CORE SKILLS
Willingly does his/her share of responsibility.
Self-Management Promoted collaboration and removes barriers to teamwork and goal Oral Communication
Sets personal goals an direction, needs and development accomplishment across the organization. Follows instructions accurately
Undertakes personal actions and behaviors that are clear and purposive Applies negotiation principles in arriving at win-win agreements. Expresses self clearly, fluently, and articulately
and takes into account personal goals and values congruent to that of the Drives consensus and team ownership of decisions Uses appropriate medium for the message
organization Works constructively and collaboratively with others and across Adjust communication style to others
Displays emotional maturity and enthusiasm for and is challenged by organizations to accomplish organizational goals and objectives. Guides discussions between and among peers to meet an objective
higher goals
Prioritize work tasks and schedules (through Gannt charts, checklists, Service Orientation Written Communication
etc.) to achieve goals Can explain and articulate organizational directions. Issues and Knows the different written business communication formats used in
Sets high quality, challenging, realistic goals for self and others. problems. DepEd
Takes personal responsibility for dealing with and/or correcting Writes routine correspondence/communications, narrative and
Professionalism and Ethics customer service issues and concerns. descriptive report on readily available information data with minimal
Demonstrates the values and behavior enshrined in the Norms of Initiates activities that promote advocacy for men and women spelling or grammatical errors (e.g. memos, minutes, etc.)
Conduct and Ethical Standards for public officials and employees (RA empowerment Secures information from requires references (i.e. Directories,
6713) Participates in updating of office vision, mission, mandates and schedules, notices, instructions) for specific purposes
Practices ethical and professional behavior and conduct taking into strategies based on DepEd strategies and directions xSelf-edits words, numbers, phonetic notation and content, if necessary
account the impact of his/her actions and decisions. Develops and adopts service improvement programs through simplifies Demonstrates clarity, fluency, impact, conciseness and effectiveness in
Maintains a professional image: being trustworthy, regularity of procedures that will further enhance service delivery his/her written communication
attendance and punctuality, good grooming and communication.
Makes personal sacrifices to meet the organizations needs. Computer/ICT Skills
Acts with a sense of urgency and responsibility to meet the organizations Innovation Prepares basic compositions (e.g. letters, reports, spreadsheets and
needs. Improve systems and help others improve their effectiveness. Examines the root cause of problems and suggests effective solutions. graphics presentation using Word Processing and Excel)
Fosters new ideas, processes, and suggests better ways to do things Identifies different computer parts, turns the computer on/off and work
Result Focus (cost and/or operationalefficiency) on a given task with acceptable speed and accuracy and connects
Demonstrates an ability to think beyond the box. Continuously computer peripherals (e.g. printers, modems, multimedia projectors
Achieves results with optimal use of time and resources most of the time. focuses on improving personal productivity to create higher value and etc.)
Avoids rework, mistakes and wastage through effective work methods by results. Prepares simple presentations using PowerPoint
placing organizational needs before personal needs. Promotes a creative climate and inspires co-workers to develop original Utilizes technologies to: access information and to enhance professional
Delivers error-free outputs most of the time by conforming to standard ideas or solutions productivity, assists in conducting research and communicate through
operating procedures, correctly and consistently. Able to produce very Translates creative thinking into tangible changes and solutions that local and global professional network
satisfactory quality of work in terms of usefulness/acceptability and improve the work unit and organization.
completeness with no supervision required. Uses ingenious methods to accomplish responsibilities. Demonstrates
Expresses a desire to do better and may express frustration at waste or resourcefulness and the ability to succeed with minimal resources
inefficiency. May focus on new or more precise way of meeting goals set. OVERALL COMPETENCY RATINGS
Makes specific changes in the system or in own work methods to
improve performance. Examples may include doing something better, CORE BEHAVIORAL COMPETENCIES
faster, at a lower cost, more efficiently, or improving quality, customer
CORE VALUES
satisfaction, morale, without setting any specific goal.
OVERALL RATING
PART III. SUMMARY OF RATINGS FOR DISCUSSION
Final Performance Results Rating Adjectival Rating

Accomplishments of KRAs and Objectives

Rater-Ratee Agreement
The signatures below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.
Name of Employee Name of Superior
JOEL B. SALVADOR, Ed.D.
Signature Signature

Date Date
April 22, 2016 April 22, 2016

PART IV. DEVELOPMENT PLANS

ACTION PLAN
STRENGTHS DEVELOPMENT NEEDS TIMELINE RESOURCES NEEDED
(Recommended Development Intervention)

Demonstrates professionalism and good Improve skills in the competencies of Attend seminars/ trainings that will enhance the 2016 - 2017 School/ Personal Fund
ethics innovation, service orientation and people development needs.
Works collaboratively with others to development.
accomplish goals and objectives.

_____________________ MYRAFLOR A. TIMBOL JOEL B. SALVADOR, Ed.D.

Ratee Rater Approving Authority