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POTENTIAL ASSESSMENT FORM Name Age Present Position Division/Service Nominated for Course Title Instruction Rate the potential of the candidate using the equivalent Point Scores. Excellent Very Good Good Fair Poor Afterwhich add all the scores and divide the sum by the total number of items scored* Multiply the quotient by 5 weight for Supervisor Potential Assessment to get the equivalent point score for potential* I. HUMAN RELATIONS POINT SCORE A. Ability to adapt/ adjust to the organization Is he/she able to adjust to the working Environment in the organization B. Ability to relate with superiors How well does he/she respond to your Requests work demands and expectations Is he/she accepted and respected by his peers Does he/she help his/her peer in resolving Problems D. Ability to deal with the clientele or personnel outside of his/ her Unit Does he/she show enthusiasm in providing Assistance to other personnel II. LEADERSHIP subordinates to participate in problem solving and decision making III. WORK ORGANIZATION 1. Is he/she well-organized or systematic in his/her work IV. REACTION TO PRESSURE 1. Can he/she work effectively even under pressure conflict of priorities and with existing work environment 3. Does he/she accept criticisms objectively V. DEDICATION TO WORK 1. Does he/she cooperate for rush projects or special assignments VI. RESOURCEFULNESS AND INITIATIVE 1. Can he/she accomplish assignments without close Supervision 2. Does he/she seek for additional assignments or offer His/her help to others after completing his/her work VII. INTEREST IN THE ORGANIZATION 1. Does he/she support new systems or procedures that Promote work efficiency TOTAL Equivalent Point Total/items x. Excellent Very Good Good Fair Poor Afterwhich add all the scores and divide the sum by the total number of items scored* Multiply the quotient by 5 weight for Supervisor Potential Assessment to get the equivalent point score for potential* I. HUMAN RELATIONS POINT SCORE A. Ability to adapt/ adjust to the organization Is he/she able to adjust to the working Environment in the organization B. HUMAN RELATIONS POINT SCORE A. Ability to adapt/ adjust to the organization Is he/she able to adjust to the working Environment in the organization B. Ability to relate with superiors How well does he/she respond to your Requests work demands and expectations Is he/she accepted and respected by his peers Does he/she help his/her peer in resolving Problems D. Ability to relate with superiors How well does he/she respond to your Requests work demands and expectations Is he/she accepted and respected by his peers Does he/she help his/her peer in resolving Problems D. Ability to deal with the clientele or personnel outside of his/ her Unit Does he/she show enthusiasm in providing Assistance to other personnel II. Ability to deal with the clientele or personnel outside of his/ her Unit Does he/she show enthusiasm in providing Assistance to other personnel II. LEADERSHIP subordinates to participate in problem solving and decision making III. WORK ORGANIZATION 1.

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