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MSP-NT-Form No. 3
QUALIFICATION EVALUATION FORM

NAME EDUCATION RELEVANT RELEVANT OUTSTANDING
(25 pts.) EXPERIENCE TRAINING/SEMINAR ACCOMPLISHMENT TOTAL RANK
(25 pts.) (5 pts.) (5 pts.) (50 pts.)

PERSONNEL SELECTION COMMITTEE:

_____________________ _____________________
Member Member

_____________________ _____________________
Member Member

_____________________
Chairperson