NCOER COUNSELING AND SUPPORT FORM
NCOER COUNSELING AND SUPPORT FORM |FOR OFFICIAL USE ONLY (FOUO)
SEE PRIVACY ACT STATEMENT
IN AR 623-3 | |
|For use of this form, see AR 623-3; the proponent agency is DCS, G-1. | |
|PART I – ADMINISTRATIVE DATA |
|a. NAME (Last, First, Middle Initial) |b. SSN |c. Rank |d. Date of Rank |e. PMOSC |
| | | | | |
|f. UNIT, ORG., STATION, ZIP CODE OR APO |g. STATUS CODE |h. RATED NCO’S EMAIL ADDRESS |m. UIC |n. CMD CODE|o. PSB CODE|
| | |(.gov or .mil) | | | |
| | | | | | |
|PART II – AUTHENTICATION |
|a. NAME OF RATER (Last, First, Middle Initial) |SSN |INITIAL |LATER |LATER |LATER |
| | | | | | |
|RANK, PMOSC/BRANCH, ORGANIZATION, DUTY ASSIGNMENT |RATER’S EMAIL ADDRESS (.gov or .mil) |
| | |
|b. NAME OF SENIOR RATER (Last, First, Middle Initial) |SSN |INITIAL |LATER |LATER |LATER |
| | | | | | |
|RANK, PMOSC/BRANCH, ORGANIZATION, DUTY ASSIGNMENT |SENIOR RATER’S EMAIL ADDRESS (.gov or .mil) |
| | |
|c. NAME OF REVIEWER (Last, First, Middle Initial) |SSN |INITIAL |LATER |LATER |LATER |
| | | | | | |
|RANK, PMOSC/BRANCH, ORGANIZATION, DUTY ASSIGNMENT |REVIEWER’S EMAIL ADDRESS (.gov or .mil) |
| | |
|d. RATED NCO’s INITIALS |INITIAL |LATER |LATER |LATER |
| | | | | |
|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 |
| |
|f. PHYSICAL FITNESS & MILITARY BEARING |
| | APFT APFT DATE HEIGHT/WEIGHT |
| | | | |
|a. ARMY VALUES: | PART IV – ARMY VALUES/ATTRIBUTES/SKILLS/ACTIONS (Rater) |
|LOYALTY, DUTY, RESPECT/EO/EEO, SELFLESS-SERVICE, HONOR, INTEGRITY, PERSONAL |
|TASK/ACTION: |PERFORMANCE SUMMARY: |
| | |
|DA FORM 2166-8-1, MAR 2006 |PREVIOUS EDITIONS ARE OBSOLETE. |Page 1 of 2 |
|RATED NCO’s NAME (Last, First, Middle Initial) |SSN |
| | |
|b. COMPETENCE: |o Duty proficiency; MOS competency |o Technical & tactical; knowledge, skills, and abilities |
| |o Sound judgment |o Seeking self-improvement; always learning |
| |o Accomplishing tasks to the fullest capacity; committed to excellence |
|TASK/ACTION: |PERFORMANCE SUMMARY: |
| | |
|c. PHYSICAL FITNESS & MILITARY BEARING: |o Mental and physical toughness |o Endurance and stamina to go the distance |
| |o Displaying confidence and enthusiasm; looks like a Soldier |
|TASK/ACTION: |PERFORMANCE SUMMARY: |
| | |
|d. LEADERSHIP: |o Mission first |o Genuine concern for Soldiers |
| |o Instilling the spirit to achieve and win |o Setting the example; Be, Know, Do |
|TASK/ACTION: |PERFORMANCE SUMMARY: |
| | |
|e. TRAINING: |o Individual and learn |o Mission focused; performance oriented |
| |o Teaching Soldiers how; common tasks, duty related skills |o Sharing knowledge and experience to fight; survive and win |
|TASK/ACTION: |PERFORMANCE SUMMARY: |
| | |
|f. RESPONSIBILITY & ACCOUNTABILITY: |o Care and maintenance of equipment/facilities |o Soldier and equipment Safety |
| |o Conservation of supplies and funds |o Encouraging Soldiers to learn and grow |
| |o Responsible for good, bad, right & wrong |
|TASK/ACTION: |PERFORMANCE SUMMARY: |
| | |
|DA FORM 2166-8-1, MAR 2006 |Page 2 of 2 |
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