Youth Development Project of the Diocese of London
T40 – Appraisal form (sample) and guidance
Name
Job title
Appraisal details
Date of last appraisal
Date of this appraisal
Name of appraiser
Date next appraisal due
1. Target achievement
Target/objectives
Progress
List the main duties from you job
description or the targets set
from previous appraisal
Did you achieve your
target/objective? What
demonstrates success?
2. Additional achievements
Use this space to list any one-off tasks which are not mentioned in
your job description that you feel should be highlighted and
comment on your performance in relation to these.
3. Target setting
Target/objectives
Progress
List your targets for the coming
year [or insert number of
months]. These should be
decided in discussion with your
What will be your milestones?
By when will you achieve them?
What will demonstrate success?
line manager
4. Core responsibilities
How well do you meet the core responsibilities required by your post?
Please tick one box only as Excelled (E), Achieved Well (AW), Achieved (A) or Not
Achieved (NA)
(Refer to responsibilities in your job description/person specification – give examples
as evidence to back-up statements).
[The responsibilities below are examples]
Agreeing and meeting targets
E
AW
A
NA
Managing yourself
Building positive and productive
relationships with young people
Communicating with young people
Planning and delivering youth
activities
Continuously improving
5. Continuous development – Looking back
Personal learning needs identified to support you in achieving your agreed
targets/objectives
Learning activities
undertaken &
dates
Impact of your learning on
your performance/your team
performance
Costs
Looking forward
Refer to job description, past and current targets, team plan etc.
Learning priorities
Potential contribution of your
learning to your
performance/your team
performance
Costs
6. General comments
Achievement against the overall performance expected in
your role
Tick one box only
Excelled
Achieved
well
Achieved
Employee’s comments
Signed
Line manager’s comments
Date
Not achieved
Signed
Date