[104-10194-10026.pdf — page 175]
# SECRET(When Filled In)# FITNESS REPORT (Part 1) PERFORMANCEINSTRUCTIONSFOR THE ADMINISTRATIVE OFFICE: Consult current instructions for completing this report.FOR THE RATER: This report is designed to help you assess 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 20-170. 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.|                                                    | GENERAL                   || -------------------------------------------------- | ------------------------- || 1. NAME                                            | 2. DATE OF BIRTH          ||                                                    | 31 Oct. 1922              || 6. OFFICIAL POSITION TITLE                         | 4. SERVICE DESIGNATION    || Staff agent                                        | Op Staff (PP)             || 7. GRADE                                           | 8. DATE RATING MADE IN OF || GS-14                                              | August 9, 1956            || 9. PERIOD COVERED BY THIS REPORT (Inclusive dates) |                           || 9 February 1956 - 14 September 1956                |                           || 10. TYPE OF REPORT (Check one)                     | Special (Specify)         |SECTION B.1. FOR THE RATER: THIS REPORT [X] HAS [ ] HAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN EXPLAIN WHY.2. CHECK (X) APPROPRIATE STATEMENTS:[X] THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDIVIDUAL.[ ] IF INDIVIDUAL IS RATED "E" IN C1 OR D A WARNING LETTER HAS BEEN SENT TO HIM & COPY ATTACHED TO THIS REPORT.[ ] THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF AND PREVIOUS SUPERVISORS.[ ] I CANNOT CERTIFY THAT THE RATED INDIVIDUAL ENJOYS HIGH 108 PERFORMANCE BECAUSE (Specify).[X] I HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTHS AND WEAKNESSES SO THAT HE KNOWS WHERE HE STANDS.|                                                                                                                                                                                     |                                                                                     || ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------- || 3. THIS DATE: 19 Sept. 1956                                                                                                                                                         | C. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR D. SUPERVISOR'S OFFICIAL TITLE || CALDWELL, WILLIAM Chief of Station                                                                                                                                                  |                                                                                     || 2. 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. |                                                                                     |![signature of Posting Pos Control followed by the date 9/22/56]BY DATEPosted Pos Control.![signature of Reviewd by PUD followed by the date 10/8/56]Reviewed by PUD[ ] CONTINUED ON ATTACHED SHEETI certify that any substantial difference of opinion with the supervisor is reflected in the above section.A. THIS DATE: 25 Sept '56B. TYPED OR PRINTED NAME AND SIGNATURE OF REVIEWING OFFICIALC. OFFICIAL TITLE OF REVIEWING OFFICIALSECTION 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 D.| 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 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 EQUALLED BRACE OF THE SUPERVISOR.                                      |5VERYRATINGNUMBERCYCJENTS:FORM NO. 45 (Part 1)REPLACES PREVIOUS EDITIONS OF FORMS 45 AND 45A WHICH ARE OBSOLETE.SECRET Performance