This form to be returned to Mrs Sarah Botcherby, HR Division, The Old Schools, NO LATER THAN 
31 AUGUST 2017
FACULTY/DEPARTMENT OF:  _________________________________________________
APPRAISALS CARRIED OUT 1 JANUARY 2016 TO 31 DECEMBER 2016

STAFF BEING REVIEWED
(in alphabetical order)	
REVIEWER 
(OR REVIEWING COMMITTEE)	
JOB TITLE OF REVIEWER	
ATTENDED UNI APPRAISAL TRAINING 
(Y/N)	
FREQUENCY OF APPRAISAL
A=ANNUAL
B=BIENNIAL	
DATE APPRAISAL CARRIED OUT	

						

						

						

						

						

						

Location of review documents:

	
Name of member of staff responsible for document safekeeping:

SIGNED:

	
DATE:		
Please photocopy additional sheets if they are required.