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MSP-NT Form No. 5
(Guide Questions)

POTENTIAL EVALUATION FORM
(Factors for Evaluation on Promotion)

PERSONAL
NAME HUMAN LEADERSHIP QUALIFICATION TOTAL RANK

RELATIONS (2 (4 pts.) (4 pts.) (10 pts.)
pts.)

PERSONNEL SELECTION/PROMOTION COMMITTEE:

_____________________ _____________________

Member Member

_____________________ _____________________
Member Member

_____________________
Chairperson