Skills Self Assessment Form

A structured form for employees to assess their proficiency by skill, document development plans, and provide supporting evidence.

Employee Information

• Employee Name
• Job Title
• Department
• Manager Name

Assessment Scope

• Assessment Period
• Assessment Date
• Skills to Assess
  Select the skills you want to assess in this submission.
• Other Skills

Skill Self-Assessment

• Technical Skills Proficiency
• Technical Skills Examples
  Briefly describe work samples, projects, or outcomes that support your rating.
• Communication Proficiency
• Communication Examples
  Provide examples such as presentations, written communication, stakeholder updates, or customer interactions.
• Problem Solving Proficiency
• Problem Solving Examples
  Describe a challenge you resolved, the approach you used, and the outcome.
• Leadership Proficiency
• Leadership Examples
  Include examples of mentoring, coaching, decision-making, or leading initiatives.

Development Plan

• Top Strengths
  Summarize the skills or behaviors you consider your strongest.
• Development Areas
  Describe the skills you want to improve and why they matter to your role or goals.
• Development Actions
  Add one action per row, such as training, shadowing, stretch assignments, or coaching.

Supporting Evidence

• Supporting Documents
  Upload work samples, certificates, training records, or feedback summaries.
• Evidence Summary
  Briefly explain how the attached evidence supports your ratings.

Reflection and Consent

• Self-Reflection
  Add any final thoughts on your growth, confidence, or support needed from your manager.
• I consent to this assessment being reviewed by my manager and HR for development and talent planning purposes.