(To be completed by External Applicants Only) - Optional
Instructions
Evaluation of Executive Potential and Endorsement
SES Candidate Development Program
Applicant
Executive Level Reviewer
Applicant
IT IS THE RESPONSIBILITY OF THE APPLICANT TO PROVIDE US WITH THE ENDORSEMENT FORM.
You can submit an electronic version of this form by clicking on this URL: https://www.hr-services.org/
usasonlineapp/usasonlineapp.aspx. If you do not have an electronic version, you may send it by
facsimile to 1-478-757-3144. You must use a special application cover page found at the following
URL: http://staffing.opm.gov/pdf/usascover.pdf. Make sure that you include the 8-character vacancy
identification number, and your name in the blocks provided or we will not be able to associate your form with
the rest of your application.
Fill in your name, phone, and current title, series and grade, and forward the entire application to your first
level supervisory executive.
Complete Part I and Part II. Be sure to check the appropriate recommendation boxes, sign and date the
form, and return the entire package directly to the applicant.
If you have questions concerning this process, please contact Carolyn Rhynes at 202-622-6320.
Form 9517-E (Rev. 7-2007)
Catalog Number 34920U
Department of the Treasury — Internal Revenue Service
When the package has been returned to you, and the final endorsement decision has been discussed,
complete Part III. You must sign the appropriate block, acknowledging the endorsement has been discussed
with you.
Form 9517-E (Rev. 7-2007)
Catalog Number 34920U
Department of the Treasury — Internal Revenue Service
Current position level
Current summary rating
Not Met/Unacceptable
Evaluation of Executive Potential and Endorsement
SES Candidate Development Program
(To be completed by External Applicants only) - Optional
Part I: Current Position Level and Appraisal Information
Office phone numberName
Current position title
Employee Senior Manager
Outstanding
Part II: Executive Level Review and Evaluation
(Ratings should reflect potential for the Candidate Development Program rather than actual performance; past as well as current
experience should be considered.)
Management Official
Front -Line Manager
Mid-Level or Dept. Manager
Exceeded/Exceeds Fully Successful
Met/Fully Successful
Minimally Successful
Executive Core Qualifications (ECQ)
Ready
Now
Ready
in 1-2
years
Leading Change - This core qualification involves the ability to bring about strategic change, both within and outside
the organization, to meet organizational goals. Essential to this ECQ is the ability to establish an organizational vision
and to implement it in a continuously changing environment.
Leading People - This core qualification involves the ability to lead people toward meeting the organization's vision,
mission, and goals. Essential to this ECQ is the ability to provide an inclusive workplace that fosters the development
of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts.
Results Driven - This core qualification involves the ability to meet organizational goals and customer expectations.
Essential to this ECQ is the ability to make decisions that produce high-quality results by applying technical knowledge,
analyzing problems, and calculating risks.
Business Acumen - This core qualification involves the ability to manage human, financial, and information resources
strategically.
Building Coalitions -This core qualification involves the ability to build coalitions internally and with other Federal
agencies, State and local governments, nonprofit and private sector organizations, foreign governments, or
international organizations to achieve common goals.
Series Grade
Based on my personal experience and discussions with this candidate, knowledge of his/her past performance, and
review of the candidate's performance appraisals and application package:
A) I endorse that the candidate is ready for the Candidate Development Program (CDP).
Now
In one to two years
B) I do not recommend at this time
Name of First Level Executive and Title:
Date:Signature:
This assessment has been discussed with me.
Date:
Name:
Signature:
Part III: Signature of Applicant
click to sign
signature
click to edit
dd mmm yyyy
dd mmm yyyy
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