SAMPLE COMPETENCY-BASED SELF-ASSESSMENT FORM - …

RESOURCE 14: COMPETENCY-BASED SELF-ASSESSMENT form SAMPLE COMPETENCY-BASED SELF-ASSESSMENT form . (adapted from World Vision's COMPETENCY-BASED SELF-ASSESSMENT form ). Name of Individual Home Base Location Current Position Date of assessment The following assessment tool includes the core humanitarian competencies that staff are expected to demonstrate. The intent is to have a simple yet comprehensive tool to assess core competencies of individuals in humanitarian positions. Upon completion of the assessment , the report provided will highlight the competencies that need to be developed. This will constitute the required information to complete an individual learning and development plan. INSTRUCTIONS. 1. Read the relevant competency description. 2. For each indicator provided, select one of the three ratings demonstrating your assessment of your effectiveness in that particular area. Select N/A if the indicator is not applicable or if unsure. 3. You can use the optional text box to provide evidence of how you have demonstrated the relevant competency .

RESOURCE 14: Competency-based Self-assessment Form SAMPLE COMPETENCY-BASED SELF-ASSESSMENT FORM (adapted from World Vision’s competency-based Self-assessment Form)

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