NF-6 PERFORMANCE MANAGEMENT SYSTEM
EXECUTIVE PERFORMANCE AGREEMENT
(When filled in, this document contains information subject to the Privacy Act of 1974, as amended.)
PART I - CONSULTATION. I have reviewed this plan and have been consulted on its development.
1. EXECUTIVE'S NAME (Last, First, Middle Initial)
2. RATING PERIOD
3. EXECUTIVE'S SIGNATURE
4. DATE (YYYYMMDD)
5. TITLE
6. ORGANIZATION
7. RATING OFFICIAL'S NAME (Last, First, Middle Initial)
8. RATING OFFICIAL'S SIGNATURE
9. DATE (YYYYMMDD)
PART II - PROGRESS REVIEW.
1. EXECUTIVE'S SIGNATURE
2. DATE (YYYYMMDD)
3. RATING OFFICIAL'S SIGNATURE
4. DATE (YYYYMMDD)
5. REVIEWING OFFICIAL'S SIGNATURE (Optional)
6. DATE (YYYYMMDD)
PART III - SUMMARY RATING.
1. INITIAL
Level 5 -
Level 4 - Exceeds
Level 3 - Fully
Level 2 - Minimally
Level 1 -
SUMMARY
Outstanding
Fully Successful
Successful
Satisfactory
Unsatisfactory
RATING:
a. RATING OFFICIAL'S NAME (Last, First, Middle Initial)
b. RATING OFFICIAL'S SIGNATURE
c. DATE (YYYYMMDD)
d. EXECUTIVE'S SIGNATURE
e. DATE (YYYYMMDD)
f. REVIEWING OFFICIAL'S SIGNATURE (Optional)
g. DATE (YYYYMMDD)
2. HIGHER LEVEL REVIEW (If applicable)
a. EXECUTIVE'S INITIALS
b. DATE (YYYYMMDD)
I request a higher level review.
d. DATE (YYYYMMDD)
c. HIGHER LEVEL REVIEW COMPLETED (X)
e. HIGHER LEVEL REVIEWER SIGNATURE
Level 5
Level 4
Level 3
Level 2
Level 1
3. PERFORMANCE REVIEW BOARD RECOMMENDATION:
a. PRB SIGNATURE
b. DATE (YYYYMMDD)
4. ANNUAL SUMMARY RATING:
Level 5
Level 4
Level 3
Level 2
Level 1
a. AUTHORIZING OFFICIAL'S SIGNATURE
b. DATE (YYYYMMDD)
PART IV - DERIVATION FORMULA AND CALCULATION OF ANNUAL SUMMARY RATING.
b. ELEMENT RATING
d. SCORE
a. CRITICAL
c.
SUMMARY LEVEL RANGES
ELEMENT
Final (If changed)
WEIGHT
Final (If changed)
Initial
Initial
1. LEADING CHANGE
2. LEADING PEOPLE
475 - 500 = Level 5
400 - 474 = Level 4
3. BUSINESS ACUMEN
300 - 399 = Level 3
4. BUILDING COALITIONS
200 - 299 = Level 2
5. RESULTS DRIVEN
Any CE rated Level 1 = Level 1
100%
6. TOTAL
DD FORM 2939, AUG 2012
PREVIOUS EDITION IS OBSOLETE.
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