The DA 2166 9 1 form is an essential document used for the Non-Commissioned Officer Evaluation Report (NCOER) for sergeants in the U.S. Army. This form captures critical information about an NCO's performance, professional attributes, and potential for future assignments. Completing this form accurately is vital for maintaining transparency and accountability within military evaluations.
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When filling out and using the DA 2166-9-1 form, it is essential to understand the following key points:
The DA 2166-9-1 form is essential for evaluating the performance of Non-Commissioned Officers (NCOs). Along with this form, several other documents are commonly used to ensure a comprehensive evaluation process. Below is a list of these forms and documents, each serving a specific purpose in the evaluation and reporting process.
Each of these documents plays a vital role in the overall evaluation process, ensuring that NCOs receive fair and thorough assessments of their performance and potential. Properly completing and maintaining these forms is crucial for the professional growth of NCOs and the integrity of the evaluation system.
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Incorrect Personal Information: Failing to accurately fill in the name, SSN, or rank can lead to significant delays and complications.
Missing Dates: Not providing the correct dates for rank, submission, or counseling can result in processing issues.
Incomplete Duty Description: Omitting essential details in the duty description may lead to misunderstandings about the NCO's responsibilities.
Incorrect Email Addresses: Entering invalid email addresses for raters or the rated NCO can hinder communication.
Failure to Sign: Neglecting to provide signatures where required can invalidate the form.
Not Following Formatting Guidelines: Ignoring the required format for dates and other fields can cause confusion and errors.
Inaccurate APFT Information: Providing incorrect APFT results or failing to include comments for failures can lead to disputes.
Neglecting to Review: Failing to thoroughly review the completed form for accuracy before submission can result in overlooked mistakes.
Missing Enclosures: Not including the required number of enclosures can affect the completeness of the evaluation.
Ignoring Submission Guidelines: Not adhering to the specific instructions for submission can delay processing and evaluation.
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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
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
b6. SENIOR RATER'S EMAIL ADDRESS (.gov or .mil)
c1. SUPPLEMENTARY
c2. NAME OF SUPPLEMENTARY REVIEWER
c3. RANK
PMOSC/
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)
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
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
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
d. PRESENCE: (Military and professional
bearing, Fitness, Confidence, Resilience.)
e. INTELLECT: (Mental agility, Sound judgment, COMMENTS:
Innovation, Interpersonal tact, Expertise.)
f. LEADS: (Leads others, Builds trust, Extends COMMENTS:
influence beyond the chain of command, Leads by
example Communicates.)
g. DEVELOPS: (Creates a positive command/ COMMENTS:
workplace environment, Fosters esprit de corps,
Prepares self, Develops others, Stewards the
profession.)
h. ACHIEVES: (Gets results.)
RATER OVERALL PERFORMANCE
i. I currently rate
NCOs in this grade.
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
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:
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