[104-10225-10003.pdf — page 275]
# SECRET(When Filled In)# FITNESS REPORT (Part 1) 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 20-170. It is recommended that you read the entire form before completing any section. 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 as item A, of Section A below.SECTION A.1. NAMEPICCOLO, Joseph S.5. OFFICE/DIVISION/BRANCH OF ASSIGNMENTWHD/III/Mexico City7. GRADEGS-48. DATE REPORT DUE IN OPGENERAL2. DATE OF BIRTH8 December 19356. OFFICIAL POSITION TITLEFile Clerk9. PERIOD COVERED BY THIS REPORT (Inclusive dates)2 December 1957 - 2 March 19583. SEXMale4. SERVICE DESIGNATIONDS10. TYPE OF REPORTSECTION B.1. FOR THE RATER: THIS REPORT [X] HASCERTIFICATIONHAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN, EXPLAIN WHY NOT:A. CHECK (X) APPROPRIATE STATEMENTS:[X] THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDIVIDUAL.THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF AND PREVIOUS SUPERVISORS.[X] I HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTHS AND WEAKNESSES SO THAT HE KNOWS WHERE HE STANDS.B. THIS DATE19 March 1958C. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISORLorenzo B. SANCHEZINDIVIDUAL IS RATED "I" IN Cl. b OR 2, A WRITTING LETTER WAS SENT TO HIM & A COPY ATTACHED TO THIS REPORT.CANNOT CERTIFY THAT THE RATED INDIVIDUAL KNOWS HIS 100 PERFORMANCE BECAUSE (Specify).D. SUPERVISOR'S OFFICIAL TITLEChief of Registry2. 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. Control> > Reviewed by PUDBYDATE17 APR 1958I certify that any substantial difference of opinion with the supervisor is reflected in the above section.A. THIS DATE19 March 1958B. TYPED OR PRINTED NAME AND SIGNATURE OF REVIEWING OFFICIALWinston M. ScottC. OFFICIAL TITLE OF REVIEWING OFFICIALChief of StationSECTION C. JOB PERFORMANCE EVALUATIONRating on GENERAL PERFORMANCE OF DUTIES:INSTRUCTIONS: 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.51. DOES NOT PERFORM DUTIES ACCURATELY OR IN COMPETENTLY2. DOES NOT ADEQUATE IN PERFORMANCE. ALTHOUGH HE HAS NOT HAD SPECIFIC OPPORTUNITY TO PERFORM. AT OFTEN FAILS TO CARRY OUT RESPONSIBILITIES.3. PERFORMS MOST OR MORE DUTIES ACCEPTABLY. OCCASIONALLY DEVIATES ERRORS.4. PERFORMS DUTIES IN A COMPETENT, EFFECTIVE MANNER.5. A FINE PERFORMANCE. CARRIES OUT MOST OF HIS RESPONSIBILITIES EXCEPTIONALLY WELL.6. PERFORMS HIS DUTIES IN SUCH AN OUTSTANDING MANNER THAT HE IS INVALUABLE TO THE OTHER PERSONNEL WITHIN THE SUPERVISOR.(REMARKS)SECRETPerformance