Va Form 4667b - Supervisory Appraisal Of Employee For Promotion
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4SUPERVISORY APPRAISAL OF EMPLOYEE FOR PROMOTION
SPECIALIZED CATEGORY APPRAISAL WITH NARRATIVE
NAME OF EMPLOYEE
PRESENT POSITION AND GRADE
CURRENT ORGANIZATION
ANNOUNCEMENT NO.
ORGANIZATION LOCATION OF POSITION
POSITION APPLIED FOR (Title and grade)
INSTRUCTIONS: The information furnished on this form will be important in determining the
Job Element, give specific examples which show how the employee's performance justifies the
degree to which the employee possesses the Knowledge, Skills, Abilities, and Other characteristics
Category Rating assigned. If more space is required, use additional sheets of paper and include the
(KSAO's) which are required for performance in the position being filled. In Column II below, the
name of the supervisor at the top of each sheet and identify the appropriate Rating Factor or Job
supervisor and/or reviewer will indicate beside the Rating Factor (KSAO) or Job Element listed in
Element. NOTE: This form may be used for comments by the supervisor followed by those of the
Column I, the number of the Category Rating (0 to 5) which best describes the employee's
reviewer or separate forms may be used for each. If separate forms are used for the supervisor and the
performance with respect to the Rating Factor (KSAO) or Job Element. If the employee's current job
reviewer, the supervisor's appraisal should be made available to the reviewer during the review
does not include any of the KSAO's in the Rating Factor or Job Element and, therefore, performance
process.
in them has not been observed, mark "0". In Column III, for each Rating Factor or
CATEGORY RATINGS
5
2
Employee's performance exceeds expectations to such an extent that it warrants special mention
Employee's performance relative to the Rating Factor (KSAO) or Job Element is acceptable but
for placement consideration.
you would have some reservations about recommending the employee for another position in
which the Rating Factor (KSAO) or Job Element is important.
4
Employee has demonstrated the Rating Factor (KSAO) or Job Element to a degree that is clearly
1
above that expected of a fully competent employee and you would expect the employee to display
Employee's performance relative to the Rating Factor (KSAO) or Job Element exhibits some
definite weaknesses.
the same degree of ability in the position applied for.
3
0
e.g., current job does not include
Employee has demonstrated the Rating Factor (KSAO) or Job Element to the full extent expected
Unable to appraise (When this category is used, cite reasons -
of a thoroughly competent employee and you would recommend the employee with confidence for
the KSAO's in this Rating Factor or Job element.)
another position in which the Rating Factor (KSAO) or Job Element is important.
COLUMN I
COLUMN II
COLUMN III
RATING FACTOR (KSAO) OR JOB ELEMENT
CATEGORY
NARRATIVE: Specific examples of what the employee has or has not done to cause me to ward this rating.
VA FORM
4667b
MAR 1992 (R)
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