Annual Leadership Assessment Form
Employee Information
Employee Name
Position
Department
Date
Assessor Name
Competency Assessment
Competency
Rating (1-5)
Comments
Vision & Strategy
1
2
3
4
5
Communication
1
2
3
4
5
Decision Making
1
2
3
4
5
Team Development
1
2
3
4
5
Accountability
1
2
3
4
5
Strengths
Areas for Development
Goals for Next Year
Additional Comments
Employee Acknowledgement
Employee Signature
Date