WSUTC 360° Selection Form

Using this form please identify from ten to fifteen (10-15) individuals you recommend as your 360° evaluators.

Your Information
Enter the name and title of the subject (senior leader) being evaluated.
Your Name*
The name of the subject being evaluated.
First Last
Your Job Title*
The job title of the subject being evaluated.
Evaluators Information
Fill out the required information for each of your ten to fifteen (10-15) selected evaluators.
Raters should be individuals with whom the senior leader being reviewed generally interacts in conducting the unit's business. This group can be chosen from:
- University or external administrative peers/associates
- Direct reports
- Others within the administrative unit
Evaluator Information*
Please enter the full name, title, email address, reason for selection, and relationship to the subject being evaluated.
First Name Last Name Title Email Reason for Selection Relationship

First Name	Last Name	Title	Email	Reason for Selection	Relationship

Your Information