Annual Departmental Staff Evaluation Form
For the Year of: ___________

Name_______________________________ Position ______________ Date _______________

Primary Areas of Responsibility Rating (1-10)
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Strengths __________________________________________________ __________________
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Personal Job Satisfaction (low) 1 2 3 4 5 6 7 8 9 10 (high)
Overall Effectiveness Rating (low) 1 2 3 4 5 6 7 8 9 10 (high)

Growth Areas__________________________________________________________________
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Action Plan ____________________________________________________________________
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Goals for the Coming Year________________________________________________________
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Topics for Discussion at Upcoming Planning Retreat ___________________________________
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Comments_____________________________________________________________________
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Pastor Staff Member