![](media/image1.jpeg){width="1.6979166666666667in"
height="0.3020833333333333in"}Accomplishment Report

*Instructions: Enter your information and delete the instructional
text.*

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  **Personal                                       
  Data**                                           

  **Employee    **Employee Name**                  **Date**
  ID**                                             
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| **Accomplishments**                                                   |
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| Goals/Job Responsibilities (Elements)                                 |
|                                                                       |
| 1.  Describe your completion of your first goal/job responsibility    |
|     (element). Add additional numbers by pressing the Enter key until |
|     you have addressed all of your goals and job responsibilities     |
|     (elements).                                                       |
|                                                                       |
| Other Important Accomplishments                                       |
|                                                                       |
| 1.  If you have accomplished something important that is not part of  |
|     your goals/job responsibilities (elements), describe it here.     |
|     Each accomplishment should be a separate number (add numbers by   |
|     pressing the Enter key).                                          |
|                                                                       |
| Competencies                                                          |
|                                                                       |
| 1.  If you were rated as \"needs improvement\" on a competency last   |
|     year or if you think that you exceeded expectations on a          |
|     competency this year, describe what you did and what the outcome  |
|     was. Each response should be a separate number.                   |
|                                                                       |
| Performance Improvement Needs (Previous Year)                         |
|                                                                       |
| 1.  If your supervisor pointed out areas for improvement either in    |
|     last year\'s performance review or throughout the year, describe  |
|     what you did to improve.                                          |
|                                                                       |
| Career Development Activities                                         |
|                                                                       |
| 1.  Describe career development activities in which you have          |
|     participated over the last year and how they have helped you on   |
|     your current job or prepared you for a future need. This can      |
|     include cross-training, training, conferences, college/university |
|     coursework, professional organizations, personal reading and      |
|     self-study, etc.                                                  |
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