Form 9517-E (Rev. 7-2007)
Catalog Number 34920U
Department of the Treasury — Internal Revenue Service
Current position level
Current summary rating
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
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.)
Front -Line Manager
Mid-Level or Dept. Manager
Exceeded/Exceeds Fully Successful
Executive Core Qualifications (ECQ)
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
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.
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).
In one to two years
B) I do not recommend at this time
Name of First Level Executive and Title:
This assessment has been discussed with me.
Part III: Signature of Applicant
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