What are the steps and required information for completing an Annual Staff Performance Appraisal Form?

• The form is an Annual Staff Performance Appraisal Form.
• Copies are to be kept by the Appraisee, in the Appraisee's personal file, and forwarded to the Performance Appraisal Coordinator.

• Period of Appraisal: From (Month & Year) to.
• Date of Appraisal: (Date field).

Personal Data (to be completed by the Appraisee).

• Employee Number: (Field with multiple boxes).
• Surname: (Line for input).
• Other Names: (Line for input).
• (Write names in full): (Instruction).
• Date of Birth: (Line for input).
• Sex/Gender: (Checkboxes for F and M).
• Type of Institution: (Checkboxes for various institution types):
  • Headquarters
  • Regional Health Directorate
  • Regional Hospital
  • District Health Directorate
  • District Hospital
  • Poly Clinics
  • Health Centre
  • RCH Centre
  • CHPS/R. Clinic
  • Others
• Full name of Station: (Line for input).
• District: (Line for input).
• Department / Unit / Sub-District: (Line for input).
• Surveillance Unit: (Line for input).
• Date should be completed as dd/mm/yyyy: (Instruction).
• Date of 1st Appointment: (Line for input).
• Date of Current Appointment: (Line for input).
• Current Job Title: (Line for input).
• Officer: (Line for input).
• Profession: (Line for input).
• Specialty: (Line for input).
• Administrative duties: (Line for input).
• Basic Qualification (Professional / Academic): (Line for input).
• Year: (Line for input).
• Additional Qualification(s): (Line for input).
• Year: (Line for input).
• Current Salary Level/Band: (Line for input).
• Current Step: (Line for input).