Fillable Printable VA Form 4667c

VA Form 4667c

SUPERVISORY APPRAISAL OF EMPLOYEE FOR PROMOTION

NARRATIVE APPRAISAL

NAME OF EMPLOYEE PRESENT POSITION AND GRADE CURRENT ORGANIZATION

ANNOUNCEMENT NO.

POSITION APPLIED FOR (Title and grade)

ORGANIZATIONAL LOCATION OF POSITION

INSTRUCTIONS: The information furnished on this form will be important in determining the

degree to which the employee possesses the Knowledge, Skills, Abilities, and Other characteristics

(KSAO's) which are required for performance in the position being filled. The supervisor and/or

reviewer should describe the level of the employee's performance related to each rating factor or job

element and give specific examples to illustrate. If the employee's performance in the current job does

not include any of the KSAO's in the rating factor or job element, write, not observed.

If more space is required, use additional sheets of paper and include the name of the supervisor or

reviewer at the top of each sheet and identify the appropriate rating factor or job element. NOTE:

This form may be used for comments by the supervisor followed by comments by the reviewer or

separate forms may be used for each. If separate forms are used for the supervisor and reviewer, the

supervisor's appraisal should be made available to the reviewer during the review process.

NARRATIVE APPRAISAL

VA FORM

DEC 1993(R)

4667c

CONTINUATION OF NARRATIVE APPRAISAL

SIGNATURE OF SUPERVISOR DATE TOTAL TIME YOU SUPERVISED EMPLOYEE

FROM TO

SIGNATURE OF REVIEWER DATE TOTAL TIME EMPLOYEE UNDER YOUR DIRECT OR INDIRECT SUPERVISION

FROM TO

SIGNATURE OF EMPLOYEE (If appropriate) DATE

VA FORM 4667c DEC 1993(R)

CONTINUATION SHEET

VA FORM 4667c DEC 1993(R)