[104-10291-10000.pdf — page 184]
# SECRET(When Filled In)# FITNESS REPORT (Part 1) PERFORMANCEINSTRUCTIONSFOR DIE AISTRATIVE OFFICEX: Consult current instructions for completing this report.FOR THE FLUERVISOR: This report is designed to help you express your evaluation of your subordinate and to trenemit thie evaluation to your supervisor and senior officials. Organisation policy requires that you inform the subordi nate where he stenda with you. Chanletion of the report can help you prepare for • discussion with him of his strengths and weaknesses. It is also organization policy that you shou Part of this report to the employee except under comilitions specified in Regulation 20-370. It is recommended that you read the entire form before completing any question. If this to the initial report on the employee, it must be completed and forwarded to the Office of Jersonnel no later than 30 days after the date indicated in item 8, of Section A below.SECTION A.1. NAME(Loot)FOX(First)JERONE5. OFFICE/DIVISION/BRANCH OF ASSIGAWENT   OPR/ST/RM/EA7. CRADE 6. DATE REPORT OUE IN OP.   11 20 March 5810. TYPE OF REPORT    (Check one)INITIALSECTION B.GENERAL(Middle)2. DATE OF BIRTH9 Oct 283. SCA 4. SERVICE DESIGNATIONM IR6. OFFICIAL POSITION TITLE   Identification Specialist.8. PERIOD COVERED BY THIS REPORT (Inclusive dates)   15 March 57 - 15 March 58ANNUALREASIGNMENT SUPERVISOREMPLOYEESPECIAL (Specily)CERTIFICATION1. FOR THE RATCRI THIS REPORT WASHAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED: IF NOT-SHORN, EXPLAIN WHYNOTIndividual on TDI OverseasCHECK (X) APPROPRIATE STATEMENTS:THIS LEPORT REPLICES MY OWN OPINIONS, OF THIS INDI- VIDUAL.THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF AND PREVIOUS SUPERVISORS.HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTS AND WEAKNESSES SO THAT HE KNON WHERE HE STANDS.B. THIS DATE2 April 1958C. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR D. SUPERVISOR'S OFFICIAL TITLEJOHN H. DORISBranch Chief/EA2. FOR THE REVIENING OFFICIAL: RECCED AND SUBSTANTIAL DIFFERENCE OF OPINION WITH THE SUPERVISOR. OR ANY OTHER IN- FORMATION, WHICH WILL LEAD TO A DETTER UNDERSTANDING OF THIS REPORT.BYDATE10 APR 1953Posted For. C--lReviewed by PLD 4/14/58CONTINUED ON ATTACHED SHEETI certify that any substential difference of opinion with, the supervisor is reflected in the above section.A. THIS DATA30 apr 58B. TYPED OR PRINTED NAME AND SIGNATURE OF REVIENING C. OFFICIAL TITLE OF SEVIENING OFFICIALJames Miller Chief, ST/RV/PRSECTION C. JOB PERFORMANCE EVALUATIONRATING 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 other's doing similar work at o similar level of respon sibility. Factors other than productivity will be taken into account later in Section D.DOES NOT PERFORM DUTIES ADEQUATELY: HE IS INCOMPETENT.BARELY ADEQUATE IN PERFORMANCE: ALTHOUGH HE HAS NÃO SPECIFIC QUIDANCE OR TRAINING, HE OFTEN FAILS To CARRY OUT RESPONSIBILITIES.PERFORMS MOST OF HIS DUTIES ACCEPTABLY. OCCASIONALLY REVEALS SOME AREA OF WEAKNESS.PERFORMS DUTIES IN A COMPETENT, EFFECTIVE MANNER.A FINE PERFORMANCE, CARRIES CUT MANY OF HIS RESPONSIBILITIES EXCEPTIONALLY WELL.PERFORMS HIS DUTIES IN SUCH IN DUTSTANDING MANNER THAT HE 19 ECUALLED BY FEN OTHER PERSONS KNOWN TO THE SUPERVISOR.INSERTRATINGNUMBERCOMMENTS:FORM NO.NOV 5545 (Part 1)REPLACES PREVIOUS EDITIONS OF FORMS 45 AND 4: WHICH ARE OBSOLETE.SECRETPerformance(4)