STAFF APPRAISAL RECORD FORM

Appraisee
Job Title
Line Manager
Date	6 Month Update Date
Checklist – for the appraisal meeting you will need to look at and bring with you: · your job description, · the appraisal guidance notes, · a copy of the YDNPA Business plan, · your last appraisal record, · your self preparation questionnaire · your Training Plan & Training Bid Forms · Training Evaluation Records The line manager must also summarise the feedback from your agreed list for 360° feedback. ACHIEVEMENTS SINCE LAST APPRAISAL (This is to include a review of any training and development that has taken place since your last appraisal discussion. Please use the evaluation forms provided in “The Training Track”)
Achievement or Objective		Comments and Learning
CONCERNS AND PROBLEM AREAS
Work Area		Comments and Learning

Business Plan Objective or Work Area and Specific Targets	Target Date	Comments at the Six Month Review
To complete and return the appraisal report on time and to a satisfactory standard	(N.B. End of April at the latest)
"Pulling together" - taking YDNPA forward, a Corporate Objective
Personal Development Objective (Look at your training plan)

TRAINING AND DEVELOPMENT NEEDS (See Guidance Notes)
TRAINING NEEDS FOR THE COMING YEAR
Proposed T & D Solutions	Estimated Cost £	Rating 1-3 (See Guidance Notes)	Funding Type T-D (See Guidance Notes)

HEALTH & SAFETY
				Yes	No
Familiar with relevant Codes of Practice and the Health & Safety Policy in general?
Any clarification/guidance needed?
OVERALL PERFORMANCE Please refer to Guidance Notes before making your assessment
Excellent	Good	Fair	Concern
NOTES & COMMENTS
YOU MUST AGREE A DATE TO FORMALLY REVIEW THESE OBJECTIVES IN SIX MONTHS’ TIME? ADDITIONAL REVIEW MEETINGS MAY BE REQUIRED, DEPENDING ON THE NATURE OF YOUR OBJECTIVES. Please note it on the front page of this form
Agreed:

Appraisee	Date
Line Manager	Date
SIGNED OFF BY HEAD OF DEPARTMENT
Name	Date
N.B. A copy of this form should be provided to Personnel for filing, following the six monthly review meeting.