Part 86, page 58
Document date 24 March 1972
FBI 164-81, Vault Part 86 p. 58, Form, dated 24 Mar 1972 — cooper.theunsolved.net/parts/Cooper-Part-86/pages/58
Transcript
The scan is the source; the transcript is machine-generated from it.
NORTHERN VIRGINIA DOCTORS HOSPITAL EMPLOYEE EVALUATION AND JOB PERFORMANCE REPORT
Date: 3/24/72
Name: COOPER JACK — Last First Initial
3 Mos. Probationery Period___ Annual___ Termination✓
Department: OR Station: OR Position: ORDERLY All Time: ✓ Part Time:___ Shift: 9-5-30 Temporary:___ Permanent: ✓
Grading from left to right indicates lowest to highest: [Unsatisfactory / Marginal / Satisfactory / Excellent / Outstanding]
NOTE: If employee is graded unsatisfactory in any category, this report must be shown, discussed, and signed by employee as an acknowledgement of contents. Remarks
Attendance [Satisfactory ✓] Job Performance [Satisfactory ✓] very thorough Ability [Satisfactory ✓] Industry [Satisfactory ✓] Dependability [Satisfactory ✓] Cooperation [Satisfactory ✓] Appearance [Satisfactory ✓] Personality [Satisfactory ✓] Health [Satisfactory ✓]
GENERAL REMARKS: A very loyal employee hard working conscientious short term employment due to [guess: SUDDEN] Death in Family - legal Affairs were [guess: prolonging] settlement. - He felt it not fair to continue with the employee shortage.
Employee's Department b6 Signature___ Signature___ b7C
Approved X Remarks___ Disapproved___
Date___ Administrator