Understanding the DA Form 1059-1, Civilian Institution Academic Evaluation Report, is crucial for those involved in the academic evaluation processes within the military. This form serves as a comprehensive tool for documenting and evaluating the academic performance of military personnel who attend civilian educational programs. Structured to provide detailed feedback, the form is divided into key sections that capture administrative data, evaluation remarks by the civilian institution, and an administrative review by military superiors. The administrative data section requires basic information about the service member, including name, social security number, and details about their military occupation and grade. Meanwhile, the evaluation section is designed for the civilian institution to offer insights into the student's performance, including their aptitude for further schooling, and must be accompanied by an official transcript. In the final section, the administrative review, the focus shifts to whether the student successfully completed the course, with space for additional comments if necessary. This structured feedback mechanism is pivotal, not only for the service member's career trajectory but also for maintaining the high standards expected from military personnel engaging in civilian education programs.
| Question | Answer |
|---|---|
| Form Name | Da 1059 1 Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | da form 1059 fillable pdf, da 1059 fill, 1059 da, form 1059 fillable |
CIVILIAN INSTITUTION ACADEMIC EVALUATION REPORT
For use of this form, see AR
SECTION I - ADMINISTRATIVE DATA (To be completed by the student detachment or Installation Education Services Officer)
1. LAST NAME - FIRST NAME - MIDDLE INITIAL
2. SSN
3. GRADE 4. BR
5. SPECIALTY/MOSC
6. COMP
7. APPLICABLE REGULATION
8. THIS IS A REFERRED REPORT, DO YOU WISH TO MAKE COMMENTS?
YES |
NO |
9. DURATION OF COURSE (YYYYMMDD)
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SECTION II - EVALUATION (To be completed by the Civilian Institution) ATTACH AN OFFICIAL TRANSCRIPT IN DUPLICATE
10.NAME AND ADDRESS OF CIVILIAN INSTITUTION
11.EVALUATION (Evaluation of Student Performance should be based on the normal standard of performance at the institution. Identify the discipline of study, degree, and any special achievements or deficiencies noted, etc. Include aptitude for further schooling.)
DATE (YYYYMMDD)
TYPED NAME, TITLE AND TELEPHONE NUMBER
SIGNATURE
SECTION III - ADMINISTRATIVE REVIEW (To be completed by the Reviewer)
12.DID STUDENT SUCCESSFULLY COMPLETE THE COURSE? (A "NO" response must be supported by comments in ITEM 13. An Official Transcript must
be attached prior to submission of the report to the OMPF.) |
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YES |
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NO |
13. REVIEWER COMMENTS |
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DATE (YYYYMMDD) |
TYPED NAME AND TITLE |
SIGNATURE |
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DATE (YYYYMMDD) |
SIGNATURE RATED SOLDIER |
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DA FORM |
PREVIOUS EDITIONS ARE OBSOLETE. |
APD v1.00 |
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