[104-10224-10012.pdf — page 153]
# 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 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. 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. GENERAL1. NAME(Last) (First) (Middle)WIGNEN, Lee2. DATE OF BIRTH   1 Dec 19233. SEX   M4. SERVICE DESIGNATION   DI5. OFFICE-DIVISION/BRANCH OF ASSIGNMENT   FI Div D Int:1 Support Br6. OFFICIAL POSITION TITLE   Biographic Officer7. GRADE 8. DATE REPORT DUE IN OP 9. PERIOD COVERED BY THIS REPORT (Inclusive dates)   GS-11 19 Mar 58 23 September 57 - 19 March 195810. TYPE OF REPORT (Check one)    Initial Annual Special (Specify)SECTION B. CERTIFICATION1. 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:A. THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDI- B. IF INDIVIDUAL IS RATED "I" IN C1 OR D, A WARNING LTR.VIDUAL. WAS SENT TO HIM A COPY ATTACHED TO THIS REPORT.C. THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF D. I CANNOT CERTIFY THAT THE RATED INDIVIDUAL AWAREAND PREVIOUS SUPERVISORS. OF HIS POOR PERFORMANCE BECAUSE (Specify):X E. I HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTHSAND WEAKNESSES SO THAT HE KNOWS WHERE WE STANDS.A. THIS DATE C. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR D. SUPERVISOR'S OFFICIAL TITLE14 February 1958 Albert P. Kergel Chief, Spec. Act. Br., FI/D2. FOR THE REVIEWING OFFICIAL: RECORD ANY SUBSTANTIAL DIFFERENCE of OPINION WITH THE SUPERVISOR, OR ANY OTHER IN- FORMATION, WHICH WILL LEAD TO A BETTER UNDERSTANDING OF THIS REPORT.> [Figure: Signature]Posted Rec. Card. DATEReviewd By MARMARCONTINUED ON-411464LD SHEET1. I certify that any substantial difference of opinion with the supervisor is reflected in the above section.A. THIS DATE B. TYPED OR PRINTED NAME C. OFFICIAL TITLE OF REVIEWING OFFICIAL14 February 1958 Fame B. Rowlett Chief, FI/DSECTION 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.5INSERTRATINGNUMBER1 - 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 ENGAGED TO THE SUPERVISOR.COMMENTS:FORM NO. 45 (Part 1) REPLACES PREVIOUS EDITIONS1 NOV 55 OF FORMS 45 AND 45A WHICHARE OBSOLETE.SECRETPerformance(4)