The goal of this form is to provide feedback to your manager on your perception and understanding of your job responsibilities. You probably have much of the requested information already written somewhere. To avoid needless re-writing, simply attach that information to this form, or present it in whatever way helps you get a clear and precise picture of what you do. If you are unsure about how to fill out any part of the form, consult the person you report to.
RETURN THIS FORM TO:BY:
Alternate job titles:______
Company:______Department:______
If you are a supervisor, how many
Employees report to you?
List titles of jobs under your supervision:
Who is your immediate supervisor?
What other persons tell you what to do? / Do you know the goals for your department?
______
Do you receive feedback about your performance?
______
How often?______
______
In what form?______
______
______
What specific knowledge and skills are required for top performance in your job?
(Examples: typing, dictation, lathe operation, accounting principles):
What special education is required for top performance in this job? (Examples: none, job experience only, trade school, business school, BBA degree, mechanical engineering degree, etc.
What machines are used in you job?
What tools and equipment are used?
What materials do you work with?
A person in your job would normally be promoted from what jobs?
A person in your job would normally be promoted to what jobs?
Do you ever have a question about the extent to which you have authority to make decisions?
If your answer is “yes”, explain areas in which questions exist.
Do you sometimes perform tasks that you think should be performed by someone else for maximum efficiency? If your answer is “yes”, explain.
Do you know of tasks that someone else performs which could more efficiently be a part of your job? (Consider only logical groupings of tasks, not the abilities of persons concerned.) If your answer is “yes”, explain. Be specific.
Are you in such a position that you must assume responsibility for work over which you have no control, or does the quality of your work sometimes suffer because of factors which are beyond your control? Explain if your answer is “yes”
In the space below, list in outline form all of the duties you perform. Be sure to list duties that are performed only occasionally as well as those performed routinely. Number each duty, and in the column at the end of each specify whether it is done daily, weekly, monthly, semi-annually, etc. Take your time, and be thorough. Do not try to finish in one sitting. Keep a note pad handy and jot down over a period of time the tasks you perform to make sure you are including all of your duties. Fill in the space below from the rough notes you have made.
NUMBER / TASKS / HOW
FREQUENTLY
PERFORMED
NUMBER / TASKS / HOW
FREQUENTLY
PERFORMED
Copyright © 2003 Paul J. Meyer ALL RIGHTS RESERVED