WPC  77WPC >?4 vA ?t @6Q(NPvQ(P ?O ?fOIp?,= <$^oZD7>s  (  (Untitled)'3,, , ,   UB ) 3    *    d +    d ,    d /0ghjklmnopqrstuvwxyz{|}~P* * f:\inf41\forms\ad435a.wpf c:\temp\ad435a.wpfUS&&&&&&&  >?4 f eh Terminal 1 ! ZS  d      Terminal eb Arial " ! <S  d    Arial ev Times New Roman  ! <S  d    Times New Roman eh Arrus BT  ! 2L5    d     Arrus BT ex Helvetica-Narrow " ! (5 S  d    Helvetica-Narrow eb Roman  ! 2L   d    Roman eh Helve-WP " ! <S  d     Helve-WP ej Wingdings  ! S  d     Wingdings eX  ! <S  d     eh MS Serif  ! <S  d     MS Serif ed Modern 2 ! x."  d    Modern ej Bodoni-WP  ! <S  d     Bodoni-WP er MS Sans Serif " ! FS  d    MS Sans Serif ed System " ! Z@   d    System e| WPPR Greek Century  ! <S  d    WPPR Greek Century en Courier New 1 ! PL5    d      Courier New er CG Times (WN)  ! <S  d    CG Times (WN) ef Courier 1 ! ZS  d     Courier en Univers ATT " ! FS  d     Univers ATT ep Times CG ATT  ! <S  d     Times CG ATT ep Arial Narrow " ! (5 S  d     Arial Narrow ?Ad A{?tz jW c:\inf41\database\ AD435A.DBFhistory   i%Name  ,   h NAME, i/Position_Title      h  POSITION_1  i/Pay_Plan_Grade     h  PAY_PLAN_2 i+Agency_Div      h  AGENCY_DIV  i,Period_From     h  PERIOD_FR4 i*Period_To     h PERIOD_TO i0Performance_No.     h  PERFORMAN6 i)Critical      h CRITICAL  i,Noncritical      h  NONCRITIC8  i4Performance_Element      h  PERFORMAN9  i1Standard_Decribe      h  STANDARD10  i(Exceeds      h EXCEEDS  i-Fully_Sucess      h  FULLY_SU12  i)Not_Meet      h NOT_MEET  i0Accomplishments      h  ACCOMPLI14  i.Employee_Sign  D   h  EMPLOYEE15D i.Employee_Date     h  EMPLOYEE16 i0Supervisor_Sign  D   h  SUPERVIS17D i0Supervisor_Date     h  SUPERVIS18 i.Reviewer_Sign  D   h  REVIEWER19D i.Reviewer_Date     h  REVIEWER20 i:Employee_Initial_Date[A2]     h  EMPLOYEE21 i:Employee_Initial_Date[B2]     h  EMPLOYEE22  i:Employee_Initial_Date[C2]     h  EMPLOYEE23  i:Employee_Initial_Date[D2]     h  EMPLOYEE24  i:Employee_Initial_Date[E2]     h  EMPLOYEE25  i:Employee_Initial_Date[F2]     h  EMPLOYEE26  i:Employee_Initial_Date[G2]     h  EMPLOYEE27 i:Employee_Initial_Date[H2]     h  EMPLOYEE28 i<Supervisor_Initial_Date[A2]     h  SUPERVIS29 i<Supervisor_Initial_Date[B2]     h  SUPERVIS30  i<Supervisor_Initial_Date[C2]     h  SUPERVIS31  i<Supervisor_Initial_Date[D2] !    h  SUPERVIS32  i<Supervisor_Initial_Date[E2] "    h  SUPERVIS33  i<Supervisor_Initial_Date[F2] #    h  SUPERVIS34  i<Supervisor_Initial_Date[G2] $    h  SUPERVIS35 i<Supervisor_Initial_Date[H2] %    h  SUPERVIS36 i%Page &    h PAGE i(Page_Of '    h PAGE_OF i&ROUTE ( A   h ROUTEA ?z@d @}Q(WPC2N2N92N 3O}??????QPQ PpQ(WPC2N2N92N 3O}??????QPN Po?OA,PQ2 N      A,ON2 N      "$,  UNITED STATES DEPARTMENT OF AGRICULTURE M !"#                             P  &&&&    "$ 2 PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL WORKSHEET M !"#                             P  &&&&    "$  (Instructions on reverse) M !"#                             P  &&&    j   1. Name (Last, First, M.I.) Name!"-./56789:;>?@ABCG                         P #      $      ' ,  Y@$.,! *  < &&& = &&&    f ^  Position TitleR ^Position_Title!"-./56789:;>?@ABCG                         P #      $      '  ,  Y@$.,!d *  < &&&& = &&&    q~  Pay Plan, Series,  j Grade~ Pay_Plan_Grade!"-./567 89: ;>?@ABCG                         P #    Z  $    Z  '   Y@$.,! *  < &&& = &&&    W$   Agency/Division Agency_Div!"-./5(6789:;>?@ABCG                         P #      $      '  !  Y@$.,!J *  < &&&& = &&&    |`  ( APPRAISAL PERIOD = !"#                             P  &&&&    O  From Period_From!"- ./5=67 89: ;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&&    9@HASVALUE (Period_From) and #UPDATONLY  "  Period_From  ~      >@datevalue (@datetext (Period_From, "%2-%1-%5")) "  Period_From   %2-%1-%5  "  #  ;@VALUE (@DATETEXT (Period_From,"%5"))<=29 "  Period_From   %5  "  x         @SETVALUE (Period_From, @DATEVALUE (@CONCAT (@DATETEXT (Period_From,"%2-%1"),"-20",@DATETEXT (Period_From,"%5"))),TRUE) $  Period_From "  Period_From   %2-%1  "   -20 "  Period_From   %5  "      #       Kf!  To Period_To!"- ./5G67 89: ;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&&    7@HASVALUE (Period_To) and #UPDATONLY     Period_To  ~      <@datevalue (@datetext (Period_To, "%2-%1-%5"))    Period_To   %2-%1-%5  "  #  9@VALUE (@DATETEXT (Period_To,"%5"))<=29    Period_To   %5  "  x         @SETVALUE (Period_To, @DATEVALUE (@CONCAT (@DATETEXT (Period_To,"%2-%1"),"-20",@DATETEXT (Period_To,"%5"))),TRUE) "  Period_To    Period_To   %2-%1  "   -20    Period_To   %5  "      #       &l&     2. PERFORMANCE ELEMENT   3 !"#                             P  &&&    Nf  (- No. Performance_No.!"- ./56 789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &<&& = &&&     r  (Describe below the duty or responsibility for which the employee is accountable   and responsible. Indicate if the element is critical or noncritical.)   % !"#      Z                       P  &&&&    ^  CRITICAL   Critical#$%9& ' ()+,-.                             P   !  *  1  2      3     Critical=TRUE   Critical          %@RESETOBJ (Noncritical) $  Noncritical    rx^  NONCRITICAL   Noncritical #$%C& ' ()+,-.                             P   !  *  1  2      3     "Noncritical=TRUE "  Noncritical          "@RESETOBJ (Critical) !  Critical    C "$ Performance_Element! "-./56 7M8 9:;>?@ABCG                         P #      $      '  }  Y@$.,! *  < &&&& = &&&    T\"$    3. STANDARD   (Describe the level expected for "Fully Successful" performance. Include appropriate indicators of quality, quantity, cost efficiency, or timeliness,    where applicable.) M !"#                             P  &&&&    @"$`  Standard_Decribe! "-./567M8 9:;>?@ABCG                         P #      $      '  }  Y@$.,!r *  < &&&& = &&&    d~    4. ELEMENT RATING     (At the end of the rating period, compare the employee's performance with standard    and assign an element rating. For instructions about documentation, see reverse.) %4 !"#                             P  &&&&    ~  EXCEEDS   Exceeds #$%9&%' ()+,-.                             P   !  *  1  2      3     Exceeds=TRUE   Exceeds          ;@RESETOBJ (Fully_Sucess);@RESETOBJ (Not_Meet) %  Fully_Sucess     !  Not_Meet    @~  FULLY SUCCESSFUL   Fully_Sucess #$%B&%'()+,-.                             P   !  *  1  2      3     #Fully_Sucess=TRUE #  Fully_Sucess          6@RESETOBJ (Exceeds);@RESETOBJ (Not_Meet)    Exceeds     !  Not_Meet     LF  DOES NOT MEET   Not_Meet#$%>&&'()+,-.                             P   !  *  1  2      3     Not_Meet=TRUE   Not_Meet          :@RESETOBJ (Exceeds);@RESETOBJ (Fully_Sucess)    Exceeds     %  Fully_Sucess    n@"$4    ACCOMPLISHMENTS "$ Accomplishments!"-./56(7M8 9:M;>?@ABCG                         P #      $      '  ~  Y@$.,! *  < &&&& = &&&    Vt'    5. CERTIFICATION OF DEVELOPMENT AND RECEIPT OF PLAN  (     Signatures certify discussion with the employee and receipt of plan which reflects current position   description. 22 !"#                             P  &&&&    _)  Employee's Signature Employee_Sign!"-./5647389:;>?@ABCG                         P #      $      ' D  Y@$.,! *  < && = &&&    Q)   Date& Employee_Date!"-./5764789:;>?@ABCG                         P #      $      ' )  Y@$.,! *  < &&& = &&&    ;@HASVALUE (Employee_Date) and #UPDATONLY  $  Employee_Date  ~      @@datevalue (@datetext (Employee_Date, "%2-%1-%5")) $  Employee_Date   %2-%1-%5  "  #  =@VALUE (@DATETEXT (Employee_Date,"%5"))<=29 $  Employee_Date   %5  "  x         @SETVALUE (Employee_Date, @DATEVALUE (@CONCAT (@DATETEXT (Employee_Date,"%2-%1"),"-20",@DATETEXT (Employee_Date,"%5"))),TRUE) &  Employee_Date $  Employee_Date   %2-%1  "   -20 $  Employee_Date   %5  "      #       c*  Supervisor's Signature Supervisor_Sign!"-./5667389:;>?@ABCG                         P #      $      ' D  Y@$.,! *  < && = &&&    ??fOS*   Date& Supervisor_Date!"-./5766789:;>?@ABCG                         P #      $      ' )  Y@$.,! *  < &&& = &&&    =@HASVALUE (Supervisor_Date) and #UPDATONLY  &  Supervisor_Date  ~      B@datevalue (@datetext (Supervisor_Date, "%2-%1-%5")) &  Supervisor_Date   %2-%1-%5  "  #  ?@VALUE (@DATETEXT (Supervisor_Date,"%5"))<=29 &  Supervisor_Date   %5  "  x         @SETVALUE (Supervisor_Date, @DATEVALUE (@CONCAT (@DATETEXT (Supervisor_Date,"%2-%1"),"-20",@DATETEXT (Supervisor_Date,"%5"))),TRUE) (  Supervisor_Date &  Supervisor_Date   %2-%1  "   -20 &  Supervisor_Date   %5  "      #       _V,  Reviewer's Signature Reviewer_Sign!"-!./5687389:;>?@ABCG                         P #      $      ' D  Y@$.,! *  < && = &&&    QV,   Date Reviewer_Date!"-"./5768789:;>?@ABCG                         P #      $      ' )  Y@$.,! *  < &&& = &&&    ;@HASVALUE (Reviewer_Date) and #UPDATONLY  $  Reviewer_Date  ~      @@datevalue (@datetext (Reviewer_Date, "%2-%1-%5")) $  Reviewer_Date   %2-%1-%5  "  #  =@VALUE (@DATETEXT (Reviewer_Date,"%5"))<=29 $  Reviewer_Date   %5  "  x         @SETVALUE (Reviewer_Date, @DATEVALUE (@CONCAT (@DATETEXT (Reviewer_Date,"%2-%1"),"-20",@DATETEXT (Reviewer_Date,"%5"))),TRUE) &  Reviewer_Date $  Reviewer_Date   %2-%1  "   -20 $  Reviewer_Date   %5  "      #       ."$#    6. PROGRESS REVIEWS   (at least one must be completed) ;M !"#                             P  &&&&    .* Employee_Initial_Date#$(-),-<.&/012456789        d      d                      P ! E"L$%&')*                      Y@$.,!  ( &&& 3 &&&&    A     A     ?    ?    ?    ?p    ?    ?|    ?    ?    [   Employee's Initials and Date"%$%&')*      d                 Y@$.,!  ( &&    0 "&$%&')*      d                 Y@$.,!  ( &&&    0"'$%&')*      d                 Y@$.,!  ( &&&    .p"($%&')*      d                 Y@$.,!  ( &&&    .")$%&')*      d                 Y@$.,!  ( &&&    .|"*$%&')*      d                 Y@$.,!  ( &&&    ."+$%&')*      d                 Y@$.,!  ( &&&    .",$%&')*      d                 Y@$.,!  ( &&&    *".$%&')*      d                Y@$.,!  (   &    , "/$%&')*      d                Y@$.,!  (   &    G@HASVALUE (Employee_Initial_Date[B2]) and #UPDATONLY  , Employee_Initial_Date   ~      L@datevalue (@datetext (Employee_Initial_Date[B2], "%2-%1-%5")) , Employee_Initial_Date    %2-%1-%5  "  #  I@VALUE (@DATETEXT (Employee_Initial_Date[B2],"%5"))<=29 , Employee_Initial_Date    %5  "  x         @SETVALUE (Employee_Initial_Date[B2], @DATEVALUE (@CONCAT (@DATETEXT (Employee_Initial_Date[B2],"%2-%1"),"-20",@DATETEXT (Employee_Initial_Date[B2],"%5"))),TRUE) . Employee_Initial_Date  , Employee_Initial_Date    %2-%1  "   -20 , Employee_Initial_Date    %5  "      #       * "0$%&')*      d                Y@$.,!  (   &    ,p "1$%&')*      d                Y@$.,!  (   &    G@HASVALUE (Employee_Initial_Date[D2]) and #UPDATONLY  , Employee_Initial_Date   ~      L@datevalue (@datetext (Employee_Initial_Date[D2], "%2-%1-%5")) , Employee_Initial_Date    %2-%1-%5  "  #  I@VALUE (@DATETEXT (Employee_Initial_Date[D2],"%5"))<=29 , Employee_Initial_Date    %5  "  x         @SETVALUE (Employee_Initial_Date[D2], @DATEVALUE (@CONCAT (@DATETEXT (Employee_Initial_Date[D2],"%2-%1"),"-20",@DATETEXT (Employee_Initial_Date[D2],"%5"))),TRUE) . Employee_Initial_Date  , Employee_Initial_Date    %2-%1  "   -20 , Employee_Initial_Date    %5  "      #       * "2$%&')*      d                Y@$.,!  (   &    ,| "3$%&')*      d                Y@$.,!  (   &    G@HASVALUE (Employee_Initial_Date[F2]) and #UPDATONLY  , Employee_Initial_Date   ~      L@datevalue (@datetext (Employee_Initial_Date[F2], "%2-%1-%5")) , Employee_Initial_Date    %2-%1-%5  "  #  I@VALUE (@DATETEXT (Employee_Initial_Date[F2],"%5"))<=29 , Employee_Initial_Date    %5  "  x         @SETVALUE (Employee_Initial_Date[F2], @DATEVALUE (@CONCAT (@DATETEXT (Employee_Initial_Date[F2],"%2-%1"),"-20",@DATETEXT (Employee_Initial_Date[F2],"%5"))),TRUE) . Employee_Initial_Date  , Employee_Initial_Date    %2-%1  "   -20 , Employee_Initial_Date    %5  "      #       *"4$%&')*      d                Y@$.,!  (   &    ,"5$%&')*      d                Y@$.,!  (   &    G@HASVALUE (Employee_Initial_Date[H2]) and #UPDATONLY  , Employee_Initial_Date  ~      L@datevalue (@datetext (Employee_Initial_Date[H2], "%2-%1-%5")) , Employee_Initial_Date   %2-%1-%5  "  #  I@VALUE (@DATETEXT (Employee_Initial_Date[H2],"%5"))<=29 , Employee_Initial_Date   %5  "  x         @SETVALUE (Employee_Initial_Date[H2], @DATEVALUE (@CONCAT (@DATETEXT (Employee_Initial_Date[H2],"%2-%1"),"-20",@DATETEXT (Employee_Initial_Date[H2],"%5"))),TRUE) . Employee_Initial_Date , Employee_Initial_Date   %2-%1  "   -20 , Employee_Initial_Date   %5  "      #       . Supervisor_Initial_Date#$(7),*-<.&/012456789        d      d                      P ! E"6$%&')*                      Y@$.,!  ( &&& 3 &&&&    A     A     ?    ?    ?    ?    ?    ?    ?    ?    ]  Supervisor's Initials and Date"8$%&')*      d                 Y@$.,!  ( &&    0"9$% &')*      d                 Y@$.,!  ( &&&    0|":$%&')*      d                 Y@$.,!  ( &&&    .";$%&')*      d                 Y@$.,!  ( &&&    .|"<$%&')*      d                 Y@$.,!  ( &&&    ."=$%&')*      d                 Y@$.,!  ( &&&    .">$%&')*      d                 Y@$.,!  ( &&&    ."?$%&')*      d                 Y@$.,!  ( &&&    ??,*"@$%&')*      d                Y@$.,!  (   &    , "A$%&')*      d                Y@$.,!  (   &    I@HASVALUE (Supervisor_Initial_Date[B2]) and #UPDATONLY  . Supervisor_Initial_Date   ~      N@datevalue (@datetext (Supervisor_Initial_Date[B2], "%2-%1-%5")) . Supervisor_Initial_Date    %2-%1-%5  "  #  K@VALUE (@DATETEXT (Supervisor_Initial_Date[B2],"%5"))<=29 . Supervisor_Initial_Date    %5  "  x         @SETVALUE (Supervisor_Initial_Date[B2], @DATEVALUE (@CONCAT (@DATETEXT (Supervisor_Initial_Date[B2],"%2-%1"),"-20",@DATETEXT (Supervisor_Initial_Date[B2],"%5"))),TRUE) 0 Supervisor_Initial_Date  . Supervisor_Initial_Date    %2-%1  "   -20 . Supervisor_Initial_Date    %5  "      #       * "B$%&')*      d                Y@$.,!  (   &    , "C$%&')*      d                Y@$.,!  (   &    I@HASVALUE (Supervisor_Initial_Date[D2]) and #UPDATONLY  . Supervisor_Initial_Date   ~      N@datevalue (@datetext (Supervisor_Initial_Date[D2], "%2-%1-%5")) . Supervisor_Initial_Date    %2-%1-%5  "  #  K@VALUE (@DATETEXT (Supervisor_Initial_Date[D2],"%5"))<=29 . Supervisor_Initial_Date    %5  "  x         @SETVALUE (Supervisor_Initial_Date[D2], @DATEVALUE (@CONCAT (@DATETEXT (Supervisor_Initial_Date[D2],"%2-%1"),"-20",@DATETEXT (Supervisor_Initial_Date[D2],"%5"))),TRUE) 0 Supervisor_Initial_Date  . Supervisor_Initial_Date    %2-%1  "   -20 . Supervisor_Initial_Date    %5  "      #       * "D$%&')*      d                Y@$.,!  (   &    , "E$%&')*      d                Y@$.,!  (   &    I@HASVALUE (Supervisor_Initial_Date[F2]) and #UPDATONLY  . Supervisor_Initial_Date   ~      N@datevalue (@datetext (Supervisor_Initial_Date[F2], "%2-%1-%5")) . Supervisor_Initial_Date    %2-%1-%5  "  #  K@VALUE (@DATETEXT (Supervisor_Initial_Date[F2],"%5"))<=29 . Supervisor_Initial_Date    %5  "  x         @SETVALUE (Supervisor_Initial_Date[F2], @DATEVALUE (@CONCAT (@DATETEXT (Supervisor_Initial_Date[F2],"%2-%1"),"-20",@DATETEXT (Supervisor_Initial_Date[F2],"%5"))),TRUE) 0 Supervisor_Initial_Date  . Supervisor_Initial_Date    %2-%1  "   -20 . Supervisor_Initial_Date    %5  "      #       *"F$%&')*      d                Y@$.,!  (   &    ,"G$%&')*      d                Y@$.,!  (   &    I@HASVALUE (Supervisor_Initial_Date[H2]) and #UPDATONLY  . Supervisor_Initial_Date  ~      N@datevalue (@datetext (Supervisor_Initial_Date[H2], "%2-%1-%5")) . Supervisor_Initial_Date   %2-%1-%5  "  #  K@VALUE (@DATETEXT (Supervisor_Initial_Date[H2],"%5"))<=29 . Supervisor_Initial_Date   %5  "  x         @SETVALUE (Supervisor_Initial_Date[H2], @DATEVALUE (@CONCAT (@DATETEXT (Supervisor_Initial_Date[H2],"%2-%1"),"-20",@DATETEXT (Supervisor_Initial_Date[H2],"%5"))),TRUE) 0 Supervisor_Initial_Date . Supervisor_Initial_Date   %2-%1  "   -20 . Supervisor_Initial_Date   %5  "      #       D!p0,  Page ,Page!"-H./5F6>789:;>?@ABCG                         P #      $      '   @$.,! *  < &&& = &&&    E#p0&,  of ,Page_Of!"-I./5L6>789:;>?@ABCG                         P #      $      '   @$.,! *  < &&& = &&&    sp0LJ  AD-435A 12/86 >  !"#                             P  &&&    10 M d This form was electronically produced by Elite Federal Forms,  d Inc. > !"#                            <  &<&    Dz 0  ROUTE ROUTE!"-q./56>7(89:;>?@ABCG                         P #      $    d  ' A  Y@$.,! *  < &&&& = &&&    t' (C Print Form w/ Routing PRINT   r72 !"#$%           &&&&     )@SETVALUE(ROUTE,"Original - Official Personnel Folder/Employee Performance File",true);@PRINT();@SETVALUE(ROUTE,"Copy 1 - Employee's Copy",TRUE);@PRINT();@SETVALUE(ROUTE,"Copy 2 - Supervisor's Copy",TRUE);@PRINT();@SETVALUE(ROUTE,"Copy 3 - Agency Use",true);@PRINT();@RESETOBJ(ROUTE)   ROUTE U  Original - Official Personnel Folder/Employee Performance File              ROUTE /  Copy 1 - Employee's Copy              ROUTE 1  Copy 2 - Supervisor's Copy              ROUTE *  Copy 3 - Agency Use              ROUTE    ?= d e f =o<$defg <^o elite10.DLL IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. elite10.COM IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. WPIN$ELITE10FunctionSet,4.1 ^=ZpH4>ZJ