HRDG 4413 - Career Enhancement Program - Exhibit C

Last Modified: January 12, 2026

Section D-Documentation
Exhibit C--Sample Supervisory Assessment Qualification Statement

CAREER ENHANCEMENT PROGRAM

Announcement Number: _______________

CAREER ENHANCEMENT PROGRAM
SUPERVISORY ASSESSMENT QUALIFICATION STATEMENT

APPLICANT'S NAME: ________________________________

POSITION FOR WHICH APPLYING: ____________________

INSTRUCTIONS: Based on personal knowledge of the applicant, please evaluate the applicant's potential to perform each job element shown below by checking the appropriate column:

KNOWLEDGE, SKILLS, OR ABILITIES NEEDED	COMPLETELY TRUE	MORE TRUE THAN FALSE	MORE FALSE THAN TRUE	NOT TRUE	DON'T KNOW
Knowledge of Program, Agency, and Departmental regulations, policies and procedures and other administrative laws and regulations applicable to assigned areas of responsibility.
Ability to follow policies and procedures.
Ability to accept responsibility and initiate action.
Ability to evaluate facts and make decisions.
Ability to communicate in writing in order to prepare reports and respond to requests for information.
Ability to communicate orally in order to obtain and provide information.
Ability to compile, analyze, and evaluate data for reports and to respond to special requests.

COMMENTS: _____________________________
_________________________________________
_________________________________________
_________________________________________

__________________________________
SUPERVISOR'S SIGNATURE & TITLE

__________________
DATE

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