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NCO EVALUATION REPORT (SGT)

For use of this form, see AR 623-­3 and DA PAM 623-­3 the proponent agency is DCS, G-­1.

SEE PRIVACY ACT STATEMENT

IN AR 623-­3

PART I ADMINISTRATIVE DATA

a.NAME (Last, First, Middle Initial)

b. SSN (or DOD ID No.)

c. RANK

d. DATE OF RANK

e. PMOSC

f. UNIT, ORG, STATION, ZIP CODE OR APO, MAJOR COMMAND

g. STATUS CODE

h. UIC

i. REASON FOR SUBMISSION

j. PERIOD COVERED

FROMTHRU

YEAR MONTH DAY

YEAR MONTH DAY

k.RATED MONTHS

l.NONRATED CODES

m. NO OF ENCLOSURES

n. RATED NCO'S EMAIL ADDRESS (.gov or .mil)

PART II AUTHENTICATION

a1. NAME OF RATER (Last, First, Middle Initial)

a2. SSN (or DOD ID No.)

a3. RATER'S SIGNATURE

a4. DATE (YYYYMMDD)

a5. RANK

PMOSC/BRANCH

ORGANIZATION

DUTY ASSIGNMENT

a6. RATER'S EMAIL ADDRESS (.gov or .mil)

b1. NAME OF SENIOR RATER (Last, First, Middle Initial)

b2. SSN (or DOD ID No.)

b3. SENIOR RATER'S SIGNATURE

b4. DATE (YYYYMMDD)

b5. RANK

PMOSC/BRANCH

ORGANIZATION

DUTY ASSIGNMENT

b6. SENIOR RATER'S EMAIL ADDRESS (.gov or .mil)

c1. SUPPLEMENTARY

c2. NAME OF SUPPLEMENTARY REVIEWER

c3. RANK

PMOSC/

ORGANIZATION

DUTY ASSIGNMENT

REVIEW REQUIRED?

(Last, First, Middle Initial)

 

 

BRANCH

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c4. COMMENTS

 

c5. SUPPLEMENTARY REVIEWER'S SIGNATURE

c6. DATE(YYYYMMDD)

 

c7. SUPPLEMENTARY REVIEWER'S EMAIL ADDRESS

ENCLOSED?

 

 

 

 

 

 

(.gov or .mil)

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RATED NCO: I understand my signature does not constitute agreement or disagreement with the assessments of the rater and senior rater. I further understand my signature verifies that the administrative data in Part I, the rating officials and counseling dates in Part II, the duty description in Part III, and the APFT and height/weight entries in Part IVa and IVb are correct. I have seen the completed report. I am aware of the appeals process of AR 623-­3.

d1. COUNSELING DATES INITIAL

LATER

LATER

LATER

d2. RATED NCO'S SIGNATURE

d3. DATE (YYYYMMDD)

PART III DUTY DESCRIPTION (Rater)

a. PRINCIPAL DUTY TITLE

b. DUTY MOSC

c.DAILY DUTIES AND SCOPE (To include, as appropriate, people, equipment, facilities, and dollars)

d.AREAS OF SPECIAL EMPHASIS

e.APPOINTED DUTIES

PART IV PERFORMANCE EVALUATION, PROFESSIONALISM, ATTRIBUTES, AND COMPETENCIES (Rater)

a. APFT Pass/Fail/Profile:

Date:

b. Height:

Weight:

Within Standard?

(Comments required for "Failed" APFT, "No" APFT, or "Profile" when it precludes performance of duty, and "No" for Army Weight Standards.) Reset Item a. APFT/Pass/Fail/Profile

c.CHARACTER: (Include bullet comments addressing Rated NCO's performance as it relates to adherence to Army Values, Empathy, Warrior Ethos/Service Ethos, and Discipline. Fully supports SHARP, EO, and EEO.)

MET

DID NOT MEET

STANDARD

STANDARD

COMMENTS:

DA FORM 2166-­9-­1, NOV 2015

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APD LC v1.00ES

RATED NCO'S NAME (Last, First, Middle Initial)

SSN (or DOD ID No.)

THRU DATE

 

 

 

PART IV PERFORMANCE EVALUATION, PROFESSIONALISM, ATTRIBUTES, AND COMPETENCIES (Rater)

d. PRESENCE: (Military and professional

COMMENTS:

bearing, Fitness, Confidence, Resilience.)

 

MET

DID NOT MEET

 

STANDARD

STANDARD

 

e. INTELLECT: (Mental agility, Sound judgment, COMMENTS:

Innovation, Interpersonal tact, Expertise.)

MET

DID NOT MEET

STANDARD

STANDARD

f. LEADS: (Leads others, Builds trust, Extends COMMENTS:

influence beyond the chain of command, Leads by

example Communicates.)

 

MET

DID NOT MEET

STANDARD

STANDARD

g. DEVELOPS: (Creates a positive command/ COMMENTS:

workplace environment, Fosters esprit de corps,

Prepares self, Develops others, Stewards the

profession.)

 

MET

DID NOT MEET

STANDARD

STANDARD

 

 

h. ACHIEVES: (Gets results.)

COMMENTS:

MET

DID NOT MEET

STANDARD

STANDARD

 

 

 

 

 

 

RATER OVERALL PERFORMANCE

 

i. I currently rate

NCOs in this grade.

 

COMMENTS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART V SENIOR RATER OVERALL POTENTIAL

a. Select one box representing Rated

b. COMMENTS:

 

NCO’s potential compared to others in the

 

 

same grade whom you have rated in your

 

 

career. I currently senior rate

 

 

NCOs in this grade.

 

 

 

 

 

 

 

 

 

 

 

 

MOST QUALIFIED

 

 

 

 

 

 

HIGHLY QUALIFIED

 

 

QUALIFIED

 

 

 

 

 

 

NOT QUALIFIED

 

 

 

 

 

 

 

 

 

c. List two successive assignments and one broadening assignment (3-­5 years).

 

Successive Assignment:

1)

 

 

2)

Broadening Assignment:

 

 

 

DA FORM 2166-­9-­1, NOV 2015

 

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APD PE v1.00ES

Instructions on Utilizing Da 2166 9 1

Completing the DA Form 2166-9-1 requires careful attention to detail. This form is essential for documenting the evaluation of a Non-Commissioned Officer (NCO) and must be filled out accurately to ensure proper assessment. Follow the steps below to complete the form correctly.

  1. Begin with Part I - Administrative Data. Fill in the following information:
    • a. Name (Last, First, Middle Initial)
    • b. SSN (or DOD ID No.)
    • c. Rank
    • d. Date of Rank
    • e. PMOSC
    • f. Unit, Organization, Station, ZIP Code or APO, Major Command
    • g. Status Code
    • h. UIC
    • i. Reason for Submission
    • j. Period Covered (From/Thru - Year, Month, Day)
    • k. Rated Months
    • l. Nonrated Codes
    • m. Number of Enclosures
    • n. Rated NCO's Email Address (.gov or .mil)
  2. Proceed to Part II - Authentication and provide the following details:
    • a1. Name of Rater (Last, First, Middle Initial)
    • a2. SSN (or DOD ID No.)
    • a3. Rater's Signature
    • a4. Date (YYYYMMDD)
    • a5. Rank PMOSC/Branch Organization Duty Assignment
    • a6. Rater's Email Address (.gov or .mil)
    • b1. Name of Senior Rater (Last, First, Middle Initial)
    • b2. SSN (or DOD ID No.)
    • b3. Senior Rater's Signature
    • b4. Date (YYYYMMDD)
    • b5. Rank PMOSC/Branch Organization Duty Assignment
    • b6. Senior Rater's Email Address (.gov or .mil)
    • c1. Supplementary
    • c2. Name of Supplementary Reviewer (Last, First, Middle Initial)
    • c3. Rank PMOSC/Organization Duty Assignment
    • c4. Comments
    • c5. Supplementary Reviewer's Signature
    • c6. Date (YYYYMMDD)
    • c7. Supplementary Reviewer's Email Address (.gov or .mil)
  3. In Part III - Duty Description (Rater), complete the following:
    • a. Principal Duty Title
    • b. Duty MOSC
    • c. Daily Duties and Scope (Include people, equipment, facilities, and dollars as appropriate)
    • d. Areas of Special Emphasis
    • e. Appointed Duties
  4. Next, fill out Part IV - Performance Evaluation. Address the following areas:
    • a. APFT Pass/Fail/Profile: Date
    • b. Height: Weight: Within Standard? (Comments required for "Failed" APFT, "No" APFT, or "Profile")
    • c. Character: Include bullet comments on adherence to Army Values, Empathy, Warrior Ethos/Service Ethos, and Discipline.
    • d. Presence: Comments on military and professional bearing, fitness, confidence, resilience.
    • e. Intellect: Comments on mental agility, sound judgment, innovation, interpersonal tact, expertise.
    • f. Leads: Comments on leading others, building trust, extending influence, leading by example, and communication.
    • g. Develops: Comments on creating a positive environment, fostering esprit de corps, preparing self, developing others, and stewardship.
    • h. Achieves: Comments on getting results.
    • i. Rater Overall Performance: Confirm you currently rate NCOs in this grade.
  5. Lastly, complete Part V - Senior Rater Overall Potential:
    • a. Select one box representing the Rated NCO’s potential compared to others in the same grade.
    • b. Comments on the Rated NCO’s potential.
    • c. List two successive assignments and one broadening assignment (3-5 years).

Once all sections are filled out, review the form for accuracy. Ensure that all signatures are obtained and that the form is submitted as required. Proper completion of this form is essential for the evaluation process.

Misconceptions

There are several misconceptions surrounding the DA 2166 9 1 form, which is crucial for NCO evaluations. Understanding these can help ensure proper use and compliance.

  • Misconception 1: The form is only for senior NCOs.
  • This form is designed for all Non-Commissioned Officers (NCOs), not just senior ranks. It applies to all levels of NCO evaluations.

  • Misconception 2: Signing the form means agreeing with the evaluation.
  • The signature of the rated NCO does not indicate agreement or disagreement with the assessment. It simply confirms that the administrative data is accurate.

  • Misconception 3: The form is optional.
  • Completing the DA 2166 9 1 form is mandatory for NCO evaluations. It is a required part of the evaluation process.

  • Misconception 4: Only the rater's comments matter.
  • While the rater's comments are important, the senior rater also provides critical input. Both perspectives are essential for a comprehensive evaluation.

  • Misconception 5: The form does not require supporting documentation.
  • Attachments or enclosures may be necessary to provide context or evidence for the evaluation. This can enhance the overall assessment.

  • Misconception 6: The evaluation process is the same for all branches.
  • The DA 2166 9 1 form is specific to the Army. Other branches may have different evaluation forms and processes.

Documents used along the form

The DA Form 2166-9-1 is a crucial document used in the evaluation of Non-Commissioned Officers (NCOs) in the U.S. Army. However, it often works in conjunction with several other forms and documents that help facilitate a comprehensive review process. Understanding these associated documents can enhance clarity and ensure that evaluations are thorough and accurate.

  • DA Form 2166-9: This is the NCO Evaluation Report for higher ranks (SFC and above). It provides a broader framework for evaluating NCOs and includes similar sections as the DA Form 2166-9-1, focusing on leadership and performance.
  • Motorcycle Bill of Sale: This form is essential for documenting the sale and transfer of motorcycle ownership. It can help both buyers and sellers ensure a smooth transaction and protect their interests. For more information, visit https://nypdfforms.com/motorcycle-bill-of-sale-form/.
  • DA Form 4856: This form is used for counseling sessions. It documents discussions between leaders and soldiers about performance and expectations, serving as a foundation for future evaluations.
  • DA Form 705: The Army Physical Fitness Test Scorecard. It records the results of the physical fitness tests, which are essential for assessing an NCO's physical readiness and overall performance.
  • DA Form 5500: This form is used to record body fat measurements for soldiers who do not meet Army weight standards. It plays a critical role in maintaining fitness and compliance with health regulations.
  • DA Form 638: This document is used for recommending soldiers for awards. It provides a formal means to recognize exemplary performance and contributions, which can be considered during evaluations.
  • DA Form 1059: This form is the Academic Evaluation Report. It assesses a soldier's performance during military schooling, which can influence their career progression and evaluations.
  • DA Form 67-9: This is the Officer Evaluation Report (OER), used for evaluating officers. While it serves a different rank structure, it provides insights into leadership effectiveness that can be relevant for NCOs working closely with officers.
  • DA Form 250: The Material Inspection Report, which documents the condition of equipment and supplies. This form is essential for NCOs overseeing logistical operations and ensuring readiness.
  • DA Form 3150: This is the Non-Commissioned Officer's Professional Development Guide. It outlines career progression and training opportunities, helping NCOs plan their development effectively.

Each of these forms and documents plays a vital role in the evaluation and development of NCOs. They collectively contribute to a clearer understanding of an individual's performance, potential, and areas for growth. Familiarizing yourself with these documents can significantly enhance the evaluation process, ensuring that it is both fair and comprehensive.