Da Form 7222-1, Aug 1998 - Page 1 Of 2 - Army

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SENIOR SYSTEM CIVILIAN EVALUATION REPORT SUPPORT FORM
For use of this form, see AR 690-400; the proponent agency is ASA(M&RA)
PART I - RATEE IDENTIFICATION
a. NAME OF RATEE (Last, First, Middle Initial)
b. PAY PLAN, SERIES/GRADE
c. ORGANIZATION/INSTALLATION
PART II - RATING CHAIN - YOUR RATING CHAIN FOR THE EVALUATION PERIOD IS:
POSITION
NAME
RATER
INTERMEDIATE
NAME
POSITION
RATER
(Optional)
NAME
POSITION
SENIOR
RATER
PART III - VERIFICATION OF FACE-TO-FACE DISCUSSION
The following face-to-face discussions of duties, responsibilities, performance objectives, standards, and accomplishments for the rating
period
to
took place:
DATES
RATEE
RATER
INTERMEDIATE
SENIOR RATER
DATE
INITIALS
INITIALS
RATER INITIALS
INITIALS (If used)
INITIAL
MIDPOINT
PART IV - RATEE (Complete a, b, c below for this rating period)
a. STATE YOUR SIGNIFICANT DUTIES AND RESPONSIBILITIES. DUTY TITLE IS:
b. INDICATE YOUR MAJOR PERFORMANCE OBJECTIVES/INDIVIDUAL PERFORMANCE STANDARDS
PREVIOUS EDITION IS OBSOLETE.
DA FORM 7222-1, AUG 1998
APD PE v2.03ES

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