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# SECRET(Bhen Filled ins)# FITNESS REPORT (Part II) POTENTIALINSTRUCTIONSFOR TIR. ALNINISTRATIVE OFFICES: Consult current instructions for completing this report.FOR THE SUPERVISOR: This report is a privileged communication 10 your supervisor, and to appropriate career amage ment and personnel officials.concerning the potential of the employee being rated. It is NOT to be shown to the rated employee. It is recommended that you read the entire report before completing any questi tion. This report in to be creple croplated only after the employee has been under your supervRS AT AT LEAST 90 DAYS. 11.10ss than 90 days, hold and complete after the 90 days deys has elapsed. If this is the the INITIAL INITIAL SIJUST on the emp employee, however, it MUST be completed and forwarded to the no later than 30 days after the due date indicated in Item & of Bection: "E" belon.SECTIONE1. NAME(Lost) (Pirat)FOX JERO:22. OFFICE/Divsion/BRANCH OF ASSIGNMENTCRR/St/171/EA3. DATE OF BIRTH9 Oct 204. SEX   M5. SERVICE DESIGNATIONIR6. OFFICIAL POSITION TITLEIdentification Specialist7. GRADE118. DATE REPORT DUE IN OP29 March 589. PERIOD COVERED BY THIS REPORT (Inclusive dateo)15. March 57 - 15 arch 5010. TYPE OF REPORTGENERALSPECIAL (Specily)(Chock an)SECTION FCERTIFICATION1. FOR THE BATER: I CERTIFY THAT THIS REPORT REPRESENTS MY BEST JUDGEMENT OF THE INDIVIDUAL BEING RATIO.A. THIS DATEB. TYPEDOR PRINTED AVE AND SIGNATUREC. SUPERVISOR C. SUPERVISOR'S OFFICIAL TITLE8 April 1978 JOIEI H. DUBOIS Branch Chief/EA2: FOR THE REVELING ODRIGUAR: I HAVE REVIEWED: THIS REPORT, AND NOTED ANY DIFFERENCE OF OPINION IN ATTACHED MEMO.A. THIS DATEB. TYPED OR PRINTED NAME AND NO SIGNATURE C. OFFICIAL TITLE OF RIVIERING OFFICIALSQar 58 JALES Chief, St//anSECTIO G.ESTIMATE OF POTENTIALPOTENTIAL TO ASSUME CREATER RESPONSIBILITIESDIRECTIONS: Considering others of his grade and type assignment, tote the employee's potential to assume greater responsibilities. Think in terms of the kind of responsibility encountered at the various levels.in his kind of work.1. ALREADY AROVE THE LEVEL AT INICH. SATISFACTORY すずさんです DE TAPETYD2. HAS BEACHED THE HIGHEST LEVEL AT UNION SATISFACIRY PERFORMANCE CAN DE Cirecto3. MALING PROGRESS, BUT, NEEDS HOUR TIME BEFORE HE CAN BE TRAINED TO ASSUME CREATIA RESPONSIBIL: FIRS4. READY 509 TRAINING IN ASSUMING GREATER RESPONSIS LIPIES.5. WILL PROBABLY ADJUST GUTEELY TO MORE RESPONSIBLE Cure! SURTICA TRAINING6. ALREADY ASSUMING HOPE PESPONSIBILITIES THAN EXPECTED AT HIS PRESENT LIVEL7. AN LECEP CEPTIONAL PERSON PERSO BMO 13 08 OF ERPHOSHOULD BE CONSIDERIO FOM EARLY ASSUMPTION OF NIGNERRATING NUMBERDATELEVEL BESPONSIBILITIESReviewed b by PUDSUPERVISORY POTENTIALLINECTIONS: Answer this question: ilas this person the ability to be a supervisor?Yes, indicate below your opinion or gu guris of the level of supervisory ability ility thes person will roach AFTER SALIARE IFAINING. Indirate your opinion by placing the meter of the descriptive caling belos chich comes closest to repressing your opinion in the appropriate column. 11 your rating is based on observing him supervise, note your rating in the actual coluan. If bosed an opinion of his potential note the rating in the "potentiel" comenDESCRIPTIVE SITUATION| ACTUAL | POTENTIAL                               || ------ | --------------------------------------- || 2      |                                         ||        | 2 OILEVENOVO S49:309 14 INIS AND OF STO ||        |                                         |45 (Part 11) ar sav SECRET Potential 100 כוון