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Appendix G: Sample Self Performance Evaluation Appendix H: Exit Interview Questions

Sample 1

This form is to be completed at the end of the Judicial Clerkship. Employee Title
Manager Department

Name: Date: Start Date End Date
We want to provide an opportunity for you to comment on your experience with the Court and to
recommend any changes you feel appropriate. Please complete this form as preparation for our
Please answer each question as completely as possible. Include details and examples to highlight accomplish-
ments or areas of concern. discussion.
1. Were your initial objectives for joining the Court met? Please elaborate on how they were met or

how they may have changed.
REVIEW QUESTIONS RESPONSES/COMMENTS
What has gone well so far
during this clerkship and is
continuing to go well? Identify 2. What aspects of your job were the most satisfying?
your key accomplishments and
impacts. (This of your primary
3. Were the duties and demands of this job described accurately during the interview process?
contributions, deliverables, or
ways that others have expressed
support for your efforts).
4. Recommend any changes you would like to suggest which you feel would benefit:
In what areas could you grow
and develop? (If you were your A. the Court
own mentor, what suggestions/
performance measures would you
B. your Supervisor
give yourself for the future and
how would you define success?)
Is there anything the judge and/
or court staff can do to help you C. future Judicial Clerks
improve your performance and/ or
job satisfaction? (e.g., additional
training, resources, sharing 5. What kind of feedback did you receive and how frequently? Was the feedback productive?
information/job knowledge,
clearer communication, etc.) 6. Is there a point of uncertainty or disagreement that you’ve been unable to settle that you would
like to discuss?

Are there any improvements the
clerkship program should institute 7. Was your compensation (including non-monetary compensation) sufficient in recognizing your
for future judicial law clerks?
performance? Why or why not?

This evaluation is based on my own goals, objectives, and performance. It represents my best judgment of the 8. Would you consider returning to the Court if a position were available in the future? Why or why
evaluation period. not?

9. Any additional comments are welcome.
Clerk Signature/Date Judge Signature/Date

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