[104-10193-10079.pdf — page 204]
# SECRET(When Filled In)# FITNESS REPORT (Part I) PERFORMANCEINSTRUCTIONSFOR 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 you show Part I of this report to the employee except under conditions specified in Regulation 20170. 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 date indicated in item. A. of Section A below.SECTION A.1. NAME(Last) (First) (Middle)Goodpasture Ann L.2. DATE OF BIRTH28 Nov 19183. SEXF4. SERVICE DESIGNATIONFI5. OFFICE DIVISION BRANCH OF ASSIGNMENTDDP/WE/FI Staff6. OFFICIAL POSITION TITLEOps Officer (CE)7. GRADE 8. DATE REPORT DUE IN OPGS-11 18 May 19569. PERIOD COVERED BY THIS REPORT (Inclusive, dates):1 Dec 1955 to 18 May 195610. TYPE OF REPORT(Check one)INITIAL ANNUAL X REASSIGNMENT-EMPLOYEE SPECIAL (Specify)SECTION B.1. FOR THE RATER: THIS REPORT HAS HAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN, EXPLAIN WHYNOTIA. CHECK (X) APPROPRIATE STATEMENTS:THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDI-X VIDUALSIF INDIVIDUAL IS RATED "I" IN C' OR D. A WARNING LETTER WAS SENT TO HIM SA COPY ATTACHED TO THIS REPORT.THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELFAND PREVIOUS SUPERVISORS.I CANNOT CERTIFY THAT THE RATED INDIVIDUAL KNOWS HOW EVALUATE NIS JOB PERFORMANCE BECAUSE (Specify)HAVE DISCUSSES 01TH THIS EMPLOIES NIS STRENGTHSAND BEAKNESSES sa PHAT HE KNOWS HA NE STANDS.B. THIS DATE7 June 1956C. TYPED OR PRINTED VAME AND SEENATURE SUPERVISOR ID. SUPERVISOR'S OFFICIAL TITLEThomas F, Thiele DC/WE/FI2. FOR THE REVIERING OFFICIAL: HLCORD ANY SUBSTATIAL DIFFERENCE OF OPINION WITH THE SUPERVISOR, OR ANY OTHER INFORMATION. WHICH BILL LEAD TO A OFTTER UNDERSTANDING OF THIS REPORT.BYPosted Pos Control 15 June 56ReviewedCONTINUED ON ATTACHED SHEETI certify that any substantial difference of opinion with the supervisor is reflected in the above section.A. THIS DATE7 Juni 1956B. TYPED OR PRINTED NAVE AND SIGNATURE OF REVIERING C. OFFICIAL TITLE OF REVIEWING OFFICIALFrancis G. Coleman C/WE/FISECTION 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 (NLY with others doing similar work at a similar level of responsibility. Factors other than productivity wall be taken into account later in Section D.1 - DOES NOT PERFORM DUTIES, ADEQUATELY, HE IS INCOHPETENT.2 - BARELY ADEQUATE IN PERFORMANCE: ALTHOUGH HE HAS HAD SPECIFIC QUIDANCE OR TRAINING. HE OFTEN FAILS TO CARRY OUT RESPONSIOILITIES.5 - PERFORMS MOST OF HIS DUTIES ACCEPTABLY OCCASIONALLY REVEALS SOME AREA OF WEAKNESS.4 - PERFORMS DUTIES IN A COMPETENT, EFFECTIVE MANNER.INSERT55 - A FINE PERFORMANCE CARRIES OUT MANY OF HIS RESPONSIBILITIES EXCEPTIONALLY BELL.RATINGNUMBER6 - PERFORMS HIS DUTIES IN SUCH AN OUTSTANDING MANNER THAT HE IS EQUALLED BY FEW OTHER PERSONS KNOWN TO THE SUPERVISOR.COMMENTS:FORM NO.I NOV 3545 (Part 1)REPLACES PREVIOUS EDITIONS OF FORMS 45 AND 45% NICH ARE OBSOLETE.SECRETPerformance(4)