[104-10291-10001.pdf — page 174]
SECRET(when Filled In)# FITNESS REPORT (Part I) PERFORMANCEINSTRUCTIONSFOR THE ADMINISTRATIVE OFFICE: 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. Organisation 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 organisation policy that you show Part I of this report to the employee except under conditions specified in Regulation 20-379. 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 8. of Section A below.SECTION A.| 1. NAME                                 |                |                             | 2. DATE OF BIRTH | 3. SEX | 4. SERVICE DESIGNATION || --------------------------------------- | -------------- | --------------------------- | ---------------- | ------ | ---------------------- || (Last) SMITH                            | (First) Joseph | (Middle) B.                 | 16 June 1921     | M      | SD:DP                  || 5. OFFICE/DIVISION/BRANCH OF ASSIGNMENT |                | 6. OFFICIAL POSITION TITLE  |                  |        |                        || DDP                                     | FB             | Area Ops Officer, ADBr. Ch. |                  |        |                        || 7. GRADE | 8. DATE REPORT DUE IN OP | 9. PERIOD COVERED BY THIS REPORT (Inclusive dates) || -------- | ------------------------ | -------------------------------------------------- || 08-13    |                          | 2 December 1956 - 2 August 1957                    || 10. TYPE OF REPORT (Check one) | INITIAL | REAPPOINTMENT-SUPERVISOR | ANNUAL | TERMINATION-EMPLOYEE | SPECIAL (Specify) || ------------------------------ | ------- | ------------------------ | ------ | -------------------- | ----------------- |SECTION B.1. IS THE RATER THIS REPORT [X] HAS [ ] HAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN, EXPLAIN WHY NOT:A. CHECK (X) APPROPRIATE STATEMENT(S):[X] THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDIVIDUAL.[ ] IF INDIVIDUAL IS RATED "C1" OR D. A WARNING LETTER WAS SENT TO HIM & A COPY ATTACHED TO THIS REPORT.[ ] THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF AND PREVIOUS SUPERVISORS.[ ] I CANNOT CERTIFY THAT THE RATED INDIVIDUAL KNOWS NOR COULD I EVALUATE HIS JOB PERFORMANCE BECAUSE (Specify)![ ] I HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTHS AND WEAKNESSES SO THAT HE KNOWS WHERE HE STANDS.| B. THIS DATE  | C. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR | D. SUPERVISOR'S OFFICIAL TITLE || ------------- | ---------------------------------------------------- | ------------------------------ || 2 August 1957 | R. H. Linn                                           | Chief, FE/5                    |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.Posted fos. ControlReviewed by FUDBYDATE23 AUG1957Continued ON ATTACHED SHEETI certify that any substantial difference of opinion with the supervisor is reflected in the above section.| A. THIS DATE | B. SIGNATURE OF REVIEWING OFFICIAL | C. OFFICIAL TITLE OF REVIEWING OFFICIAL || ------------ | ---------------------------------- | --------------------------------------- || 9 AUG 1957   | Alfred C. Ulmer, Jr.               | CBE                                     |SECTION C. JOB PERFORMANCE EVALUATIONRATING ON GENERAL PERFORMANCE OF DUTIESDIRECTIONS: Consider fully 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.| 5                    || -------------------- || INSERT RATING NUMBER |*   DOES NOT PERFORM DUTIES ADEQUATELY; HE IS INCOMPETENT.*   BARELY ADEQUATE IN PERFORMANCE, ALTHOUGH HE HAS HAD SPECIFIC GUIDANCE OR TRAINING, HE OFTEN FAILS TO CARRY OUT HIS RESPONSIBILITIES.*   PERFORMS MOST OF HIS DUTIES ACCEPTABLY; OCCASIONALLY REVEALS SOME AREA OF WEAKNESS.*   PERFORMS IN A COMPETENT, EFFECTIVE MANNER.*   A FINE PERFORMANCE. CARRIES OUT MANY OF HIS RESPONSIBILITIES EXCEPTIONALLY WELL.*   PERFORMS HIS DUTIES IN SUCH AN OUTSTANDING MANNER THAT HE IS EQUALLED BY FEW OTHER PERSONS KNOWN TO THE SUPERVISOR.COMMENTS:Form No. 45 (Part 1) PREVIOUS EDITIONS OF FORMS 45 AND 45a WHICH ARE OBSOLETESECRETPerformance141