[104-10193-10075.pdf — page 46]
# FIELD FITNESS REPORTThe Fitness Report is an important factor in organization personnel management. It seeks to provide:1. The organization selection board with information of value when considering the application of an individual for membership in the career staff; and2. A periodic record of job performance as an aid to the effective utilization of personnel.INSTRUCTIONSTO THE FIELD ADMINISTRATIVE OR PERSONNEL OFFICER: Consult current field administrative instructions regarding the initiation and transmittal of this report to headquarters.TO THE FIELD SUPERVISOR: Read the entire form before attempting to complete any item. As the supervisor who assigns, directs and reviews the work of the individual, you have primary responsibility for evaluating his strengths, weaknesses, and on-the-job effectiveness as revealed by his day-to-day activities. If this individual has been under your supervision for less than 30 days, you will collaborate, if practicable, with his previous supervisors to assure that the report is accurate and complete. Primary responsibility rests with the current supervisor. It is assumed that, throughout the period this individual has been under your supervision you have discharged your supervisory responsibility by frequent discussions of his work, in such a general way he knows where he stands.Posted Pos. Control P-9529 NOV 1955IT IS OPTIONAL WHETHER OR NOT THIS FITNESS REPORT IS Reviewed by PROCESSINGCASASINSECTION I1. DATE OF BIRTH20 Jan 19242. SEX   M3. SERVICE DESIGNATION   (1) FI, (2) FP4. GRADE   GS-145. STATION DESIGNATION (Current)   USSR Base, TokyoSR 8796. DUE DATE OF THIS REPORT   30 September 19557. PERIOD COVERED BY THIS REPORT (Inclusive dates)   17 February - 30 September 1955SECTION II (To be completed by field supervisor)8. CURRENT POSITION   Chief, USSR Base, Tokyo0136.019. DATE ASSUMED RESPONSIBILITY FOR POSITION   19 February 195510. STATE THE SPECIFIC ASSIGNMENTS OR TASKS WHICH ARE TYPICAL OF THOSE GIVEN TO THE EMPLOYEE DURING THE PAST THREE TO SIX MONTHS (List in order of frequency)A. As Chief of Operating Bases:1. Manage and direct all operations against target area, and monitor products.2. Supervise system of development and exploitation of operational leads.3. Supervise proper administration and support of operations, including finances.4. Conduct or supervise effective liaison with other KUBARK elements, with other Government agencies abroad and, when appropriate, with representatives of other governments.B. As Senior SR Division Officer in Area:1. Consult with or advise other KUBARK and non-KUBARK units on target area, government, and IS characteristics.2. Make available to other KUBARK and non-KUBARK units area specialists, as required.SECTION III (To be completed at headquarters only)DO NOT COMPLETE - FOR HEADQUARTERS USE ONLYAUTHENTICATION OF REPORT AND SIGNATURES1. NAME RATER (True)   Carlton B. Swift2. NAME OF REVIEWING OFFICIAL IN FIELD (True)   W Lloyd Gengen3. THIS REPORT [x] WAS WAS NOT SHOWN TO THE INDIVIDUAL BEING RATED.4. DATE REPORT AUTHENTICATED AT HQS.7.19555. NAME AND SIGNATURE OF ADMINISTRATIVE OR PERSONNEL OFFICER AT HEADQUARTERS AUTHORIZED TO AUTHENTICATE FITNESS REPORT AND SIGNATURES   Phyllis M. LandrumDO NOT COMPLETE - FOR HEADQUARTERS USE ONLYSECRET