[104-10193-10069.pdf — page 48]
SECRET(When Filled In)# FITNESS REPORT (Part I) PERFORMANCEINSTRUCTIONS:FOR THE ADMINISTRATIVE OFFICER. Consult current instructions for completing this report.FOR THE SUPERVISOR This report is designed to help you express your evaluation of your subordinate and to transmit this evaluation to your supervisor and senior officials. Organization policy requires that you inform the subordinate where he stands with you.. Completion of the report can help you prepare for a discussion with him of his strengths and weaknesses. It is also organization policy that that you show Part I of this report to the employee except under conditions specified in Regulation 20-370. It is recommended that you read the entire form before completing any question. If this is the initial report on the employee, it must be completed and forwarded to the Office of Personnel no later than 30 days after the after the date indicated in item A of Section A below.## SECTION A.1.  NAMEBURKE,(Last)William(First)P., Jr.(Middle)2. DATE OF BIRTH22 Oct 19003. SEX   N4. SERVICE DESIGNATION   OC5.  OFFICE DIVISION BRANCH OF ASSIGNMENT    Operations/Contact/New Orleans Office6.  OFFICIAL POSITION TITLE    IO (Contact) (Ch)7.  GRADE    GS-158.  DATE REPORT DUE IN CP    9 September 19579.  PERIOD COVERED BY THIS REPORT (Inclusive dates).    9/9/56 - 9/8/5710. TYPE OF REPORT    (Check one)INITIALREASSIGNMENT SUPERVISORREASSIGNMENT EMPLOYEESPECIAL (Specify)## SECTION B.1.  FOR THE RATER: THIS REPORT HAS [X] HAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN, EXPLAIN WHYSubject is stationed in Louisiana.A. CHECK (X) APPROPRIATE STATEMENTS:THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDIVIDUAL.IF INDIVIDUAL IS RATED IN C OR D. A WARNING LETTER WAS SENT TO HIM & COPS ATTACHED TO THIS REPORT.THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF AND PREVIOUS SUPERVISORS.I CANNOT CERTIFY THAT THE RATED INDIVIDUAL KNOWS HOW I EVALUATE HIS JOB PERFORMANCE BECAUSE (Specify).I HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTHS AND WEAKNESSES SO THAT WE KNOWS WHERE HE STANDS.B. THIS DATE31 Oct 57C. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISORMichael E. M. AshcraftD. SUPERVISOR'S OFFICIAL TITLEChief, Contact Division2.  FOR THE REVIEWING OFFICIAL: RECORD ANY SUBSTANTIAL DIFFERENCE OF OPINION WITH THE SUPERVISOR, OR ANY OTHER INFORMATION, WHICH WILL LEAD TO A BETTER UNDERSTANDING OF THIS REPORT.Posted Pos. ControlDATE11-1-57Reviewed by PLORect 11/4/57CONTINUED ON ATTACHED SHEETI certify that any substantial difference of opinion with the supervisor is reflected in the above section.A. THIS DATE31 Oct 1957B. TYPED OR PRINTED NAME AND SIGNATURE OF REVIEWING OFFICIALGeorge G. CareyC. OFFICIAL TITLE OF REVIEWING OFFICIALAssistant Director for Operations## SECTION C. JOB PERFORMANCE EVALUATION1.  RATING ON GENERAL PERFORMANCE OF DUTIESDIRECTIONS: Consider ONLY the productivity and effectiveness with which the individual being rated has performed his duties during the rating period. Compare him ONLY with others doing similar work at a similar level of responsibility. Factors other than productivity will be taken into account later in Section A.1 - DOES NOT PERFORM DUTIES ADEQUATELY. HE IS INCOMPETENT.2 - BARELY ADEQUATE IN PERFORMANCE. ALTHOUGH HE HAS HAD SPECIFIC GUIDANCE OR TRAINING, HE OFTEN FAILS TO CARRY OUT RESPONSIBILITIES.3 - PERFORMS MOST OF HIS DUTIES ACCEPTABLY, OCCASIONALLY REVEALS SOME AREA OF WEAKNESS.4 - PERFORMS DUTIES IN A COMPETENT, EFFECTIVE MANNER.5 - A FINE PERFORMANCE. CARRIES OUT MANY OF HIS RESPONSIBILITIES EXCEPTIONALLY WELL.6 - PERFORMS HIS DUTIES IN SUCH AN OUTSTANDING MANNER THAT HE IS EQUALLED BY FEW OTHER PERSONS KNOWN TO THE SUPERVISOR.5INSERT RATING NUMBERCOMMENTS:FORM NO. 45 (Part 1)1 NOV 55REPLACES PREVIOUS EDITIONS OF FORMS 45 AND 45A WHICH ARE OBSOLETESECRETPerformance(4)