Potential Assessment Form
Potential Assessment Form
Instruction: Rate the potential of the candidate using the equivalent Point Scores.
Excellent = 5
Very Good = 4
Good = 3
Fair = 2
Poor = 1
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.
D. Ability to deal with the clientele or personnel outside of his/ her Unit
II. LEADERSHIP
V. DEDICATION TO WORK
TOTAL _________
___________________ ___________________
Immediate Supervisor Next Higher Supervisor
Date: ______________