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# SECRET## FITNESS REPORT (Part II) POTENT.ALINSTRUCTIONSFOR THE ADMINISTRATIVE OFFICER: Consult current instructions for completing this report.NOTE TO RATER: This report is a privileged communication to your supervisor, and is appropriate career management 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 question. This report is to be completed only after the employee has been under your supervision FOR AT LEAST 90 DAYS, if less than 90 days hold and complete after the 90 days has elapsed. If this is the INITIAL REPORT on the employee, however, it MUST be completed and forwarded to the S no later than 30 days after the due date indicated in item 8 of Section F below.SECTION F. GENERAL| 1. NAME (Last) | (First) | (Middle) || -------------- | ------- | :------: || FOX            | Jerome  |    H     || 2. DATE OF BIRTH | 3. SEX | 4. SER.CE DESIGNATION || ---------------- | :----: | :-------------------: || 9 Oct. 1928      |   M    |          IR           || 5. OFFICE/DIVISION/BR. & SECTION           | 6. OFFICIAL POSITION TITLE || ------------------------------------------ | :------------------------: || ORR/Technique & Methods/Analysis & Reports |     Ident. Specialist      || 7. GRADE | 8. DATE REPOT DUE | 9. PERIOD COVERED BY THIS REPORT (Inclusive dates) || -------- | ----------------- | :------------------------------------------------: || 08-9     | 29 March 1957     |           15 March 1956 - 15 March 1957            || 10. TYPE OF REPORT (Check one) | 11. RATING OCCASION (Specify) || ------------------------------ | :---------------------------: || X ANNUAL                       |       SPECIAL (Specify)       |SECTION G. CERTIFICATION1. FOR THE RATED I CERTIFY THAT THIS REPORT REPRESENTS BY BEST JUDGEMENT OF THE INDIVIDUAL BEING RATED| 28 March 57     | SIGNATURE OF SUPERVISOR | SUPERVISOR'S OFFICIAL TITLE || --------------- | ----------------------- | --------------------------- || John H. Du Bois | ACTING BRANCH Chief     |                             |A. WAS DISCUSSED REPORT AND NOTED ANY DIFFERENCES IN OPINION IN ATTACHED MEMO.| 4. THIS DATE | 5. TYPED OR PRINTED NAME AND SIGNATURE OF REVIEWING C. OFFICIAL TITLE OF REVIEWING OFFICIAL |              || ------------ | ------------------------------------------------------------------------------------------- | ------------ || 28 March 57  | NAME:                                                                                       | Chief. V.1.7 |SECTION H. ESTIMATE OF POTENTIAL1. POTENTIAL TO ASSUME GREATER RESPONSIBILITIES: DIRECTIONS: Considering others of his grade and type of assignment, rate 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.> [Figure] rating scale. In this case, the number is 6| RATING NUMBER | 1. COULD ADVANCE SEVERAL LEVEL AS AT: SATISFACTORY PERFORMANCE CAN DE EXPECTED                          || ------------- | ------------------------------------------------------------------------------------------------------- ||               | 2. HAS REACHED THE HIGHEST LEVEL AT WHICH SATISFACTORY PERFORMANCE CAN RE EXPECTED                      ||               | 3. WARRINTS PROGRESS, BUT OFTEN USES POOR JUDGEMENT                                                     ||               | 4. READY FOR TRAINING IN ASSUMING GREATER RESPONSIBILITIES                                              ||               | 5. WILL FREQUENTLY ADJUST QUICKLY TO MORE DIFFICULT FURTHER TRAINING                                    ||               | 6. ALREADY ASSUMING MORE RESPONSIBILITIES THAN EXPECTED AT HIS PRESENT LEVEL                            ||               | 7. AN EXCEPTIONAL PERSON AND SHOULD BE CONSIDERED FOR EARLY ASSUMPTION OF HIGHER LEVEL RESPONSIBILITIES |2. SUPERVISORY POTENTIALDIRECTIONS: Answer this question: Has this person the ability to be a supervisor? Yes No. If your rating is YES: Indicate your opinion of the level of supervisory ability this person will reach AFTER SUITABLE TRAINING. Indicate your opinion by placing a check mark in the descriptive rating below which comes closest to express your opinion in the appropriate column. If your rating is based on observing him supervise, note your rating in the potential column. If rated on observation of his potential, note the rating in the potential column.DISCRIPTIVE SITUATION| 1. Individual would be AVERAGE SUPERVISOR IN THIS KIND OF SITUATION     || ----------------------------------------------------------------------- || 2. Individual would be a STRONG SUPERVISOR IN THIS SITUATION            || :---------------------------------------------------------------------- || 3. WILL FAIL AS A SUPERVISOR IN THIS SITUATION                          || :------------------------------------------------------                 |3. DESCRIPTIVE SITUATION| 1. SETS AND ACHIEVES OBJECTIVES (First line supervisors.)                               |                                                                                                || --------------------------------------------------------------------------------------- | ---------------------------------------------------------------------------------------------- || 2.  IS ABLE TO INFLUENCE AND DIRECT THE ACTIONS OF OTHERS (Second line supervisors).    |                                                                                                || :-------------------------------------------------------------------------------------- |                                                                                                || 3. ACCEPTS RESPONSIBILITY FOR MAJOR PLANS, ORGANIZATION                                 |                                                                                                || :------------------------------------------------------                                 |                                                                                                || 2                                                                                       | 4. NEEDS DIRECT COORDINATION/SUPERVISION. NOT TRUSTWORTHY                                      || :--                                                                                     | :----------------------------------------------------------------------                        || 3                                                                                       | 5. NEEDS COORDINATION BETWEEN ACTIVITIES AND REQUIRES MUCH FREQUENT COORDINATION               || :--                                                                                     | :--------------------------------------------------------------------------------------        || 2                                                                                       | 6. FAILS TO COMPLETE OBJECTIVES INDICATED (Opposite of objective. See previous sections.)      || :--                                                                                     | :--------------------------------------------------------------------------------------------- || 3                                                                                       | 7. Others (Specify).                                                                           || :--                                                                                     | :----------------                                                                              |Form 85 (Part 11) Approved for use: as of 1 Nov. 1955. GSA Reg. 8-103. SECRET Potential