Supervisory Evaluation Form for Department of Commerce (DOC) Executive Leadership Development Program (ELDP), Announcement Number OS/OHRM-2012-0015

In order to receive consideration, this form must be completed and signed by your supervisor, and submitted with your application by the closing date of this announcement.

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Applicant’s Name: ______________________________________________________________

Supervisor: The five Executive Core Qualifications (ECQ) listed below are necessary for successful performance in a leadership position. Please rate the applicant’s demonstrated potential for each ECQ using the scale below. Using the same scale, provide an overall assessment rating of the applicant’s potential for participation in the Department of Commerce’s Executive Leadership Development Program. For additional information on the ECQs, you may access the Guide to Senior Executive Service Qualifications information at http://www.opm.gov/ses/recruitment/ecq.asp.

5 - Outstanding 2 - Minimally Successful

4 - Highly Successful 1 - Unsatisfactory

3- Fully Successful N/A – Not applicable to current position

1. Leading Change – involves the ability to bring about strategic change, both within and outside the organization, to meet organizational goals.

Rating: _________

2. Leading People – the ability to lead people toward meeting the organization’s vision, mission and goals.

Rating: _________

3. Results Driven – the ability to meet organizational goals and customer expectations.

Rating: _________

4. Business Acumen – the ability to manage human, financial and information resources strategically.

Rating: _________

5. Building Coalitions/Communications – the ability to build coalitions internally and with other Federal agencies, state and local governments, non-profit and private sector organizations, foreign governments, or international organizations to achieve common goals.

Rating: _________

Overall rating: _____

I am the applicant’s supervisor _______1^st level ________2^nd level

I have supervised the applicant from _________to __________.

Supervisor’s Signature/Title: _______________________________

Phone/email: ______________________________________