NIH Buildings
Medical and Scientific Personnel

    National Institutes of Health
    Office of the Director
    Employee Performance Plan


    Part I: Identifying Information (Typed):

     A. Employee's Name: D. Rater's Name:
    B. Position Title, Series & Grade:

    Administrative Assistant, GS-341-
    (Presidential Management Intern)    		 E. Rater's Title:
    F. Reviewer's Name:
    C. Organizational Location: DHHS/NIH/OD/OA/OHR/DERT G. Reviewer's Title: Chair, Administrative Training Committee

    Part 2: Signatures & Dates:

      Plan Establishment * Progress Review Rating *
    Rater's Signature:      
    Date:      
    Reviewer's Signature: (As required) Not Applicable (As required)
    Date:      
    Employee's Signature:      
    Date:      

    * Employee's Signature Indicates a Copy Has Been Received.

    Part 3: Evaluation:

     Appraisal Period:

    From: 

    This rating is: (Check one)

    [ ] Rating of Record
    This performance plan consists of _____ 4 ____ critical elements.

    Rating:

    [ ] Acceptable: Rated Acceptable on all Critical Elements:

    [ ] Unacceptable: Rated Unacceptable on One or More Critical Elements.