Form Navpers 1616 27 PDF Details

Form Navpers 1616 27 is a request for separation from the Navy. It's used by sailors who wish to leave the military for personal reasons. The form must be completed and submitted to your command, and it will be processed accordingly. Make sure you understand all the implications of leaving the Navy before submitting your request. NOTE: Sailors on active duty are not authorized to use this form to separate from the Navy. For more information, speak with your chain of command.

Below is the information about the PDF you were seeking to fill in. It can show you how much time it should take to complete form navpers 1616 27, what fields you need to fill in and several other specific facts.

QuestionAnswer
Form NameForm Navpers 1616 27
Form Length2 pages
Fillable?Yes
Fillable fields1
Avg. time to fill out42 sec
Other namesnavy fitrep pdf, command knowledge nob trial, navpers 1616 27 pdf, chief eval form

Form Preview Example

EVALUATION & COUNSELING RECORD (E7 – E9)

Save Form

RCS BUPERS 1610-1

Clear Form

1. Name

(Last, First MI Suffix)

 

 

 

 

 

 

 

 

2. Grade/Rate

 

3.

Desig

4.

SSN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

ACT

 

FTS

INACT

AT/ADSW/265

6. UIC

 

7. Ship/Station

 

 

 

 

 

 

 

 

 

8. Promotion Status

 

9. Date Reported

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Occasion for Report

 

 

 

 

Detachment

 

Detachment of

 

 

 

 

 

 

 

 

 

Period of Report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

Periodic

 

 

11.

of Individual

 

12. Reporting Senior

 

 

 

13.

Special

 

 

 

14.

From:

15.

To:

 

 

 

 

 

 

 

16.

Not Observed

 

 

 

Type of Report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

Physical Readiness

21.

Billet Subcategory (if any)

 

Report

 

 

 

 

 

 

 

17. Regular

 

 

18.

Concurrent

 

 

19.

Ops Cdr

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22.

Reporting Senior

(Last, FI

MI)

23. Grade

 

24. Desig

25. Title

 

 

26. UIC

27.

SSN

28.Command employment and command achievements

29.Primary/Collateral/Watchstanding duties. (Enter Primary duty abbreviation in box.)

For Mid-term Counseling Use. (When completing FITREP Enter 30 and 31 from counseling worksheet sign 32.)

30. Date Counseled

31. Counselor

32.Signature of Individual Counseled

PERFORMANCE TRAITS: 1.0 – Below standards / not progressing or UNSAT in any one standard; 2.0 – Does not yet meet all 3.0 standards;

3.0 – Meets all 3.0

standards; 4.0 – Exceeds most 3.0 standards;

5.0 – Meets overall criteria and most of the specific standards for 5.0. Standards are not all inclusive.

PERFORMANCE

1.0*

 

 

 

2.0

 

3.0

 

 

 

4.0

 

 

5.0

 

 

 

 

 

 

Pro-

 

 

 

Above

 

 

 

 

TRAITS

Below Standards

Meets Standards

 

Greatly Exceeds Standards

gressing

Standards

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

33.

 

 

 

 

- Neglects growth/development or welfare

 

 

 

- Effectively stimulates growth/development in

 

 

 

 

- Inspiring motivator and trainer. Junior

DECKPLATE

 

 

 

 

 

 

 

of Junior Officer and Enlisted Sailors.

 

 

 

Junior Officers and Enlisted Sailors.

 

 

 

 

Officers and Enlisted Sailors reach highest

LEADERSHIP:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

level of growth and development.

- Organizing,

- Presence not felt on the deckplates.

 

 

 

- Visible and engaged on the deckplate; sets

 

 

 

 

- Always visible and engaged on the deckplate;

motivating and

 

 

 

 

 

 

 

 

positive tone.

 

 

 

 

energetically sets positive tone across CMD.

developing others to

- Does not set or achieve goals relevant to

 

 

 

- Sets/achieves useful, realistic goals that

 

 

 

 

- Leadership achievements dramatically

accomplish goals.

command mission and vision.

 

 

 

support command mission.

 

 

 

 

further command mission and vision.

- Engaging and

- Does not tailor leadership style to

 

 

 

- Tailors leadership to situation to accomplish

 

 

 

 

- Seamlessly tailors leadership to each Sailor’s

visible presence

situation or individual.

 

 

 

mission.

 

 

 

 

strengths, weaknesses and goals to maximize

establishes positive

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mission effectiveness.

tone for command.

- Fails to organize, creates problems for

 

 

 

- Organizes successfully, implementing process

 

 

 

 

- Superb organizer, great foresight, develops

 

 

 

 

 

subordinates.

 

 

 

 

 

 

 

improvements and efficiencies.

 

 

 

 

process improvements and efficiencies.

NOB

 

 

- Lacks ability to manage under

 

 

 

 

 

- Performs well in stressful situations.

 

 

 

 

 

 

- Perseveres through the toughest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

stress.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

challenges and inspires others.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

34.

 

 

 

 

- Lacks basic Navy knowledge.

 

 

 

- Has thorough knowledge of Navy

 

 

 

 

- Navy Expert, complete understanding of

INSTITUTIONAL

 

 

 

 

 

 

 

 

organization and structure.

 

 

 

 

purpose, organization, and structure.

AND TECHNICAL

 

 

 

 

 

 

 

 

 

 

 

 

- Unaware and unwilling to learn details of

 

 

 

- Has thorough knowledge of Navy programs

 

 

 

 

- Detailed, current knowledge and strong

EXPERTISE:

 

 

 

 

 

 

 

Navy programs and policies.

 

 

 

and policies.

 

 

 

 

advocate for all Navy programs and policies.

- Institutional, policy

 

 

 

 

 

 

 

- Lacks basic professional knowledge to

 

 

 

- Has detailed rating knowledge; resolves

 

 

 

 

- Recognized expert, sought after to solve

and technical

 

 

 

 

 

 

 

perform effectively.

 

 

 

 

 

 

 

technical issues within rating.

 

 

 

 

difficult problems, executes innovative ideas.

knowledge.

 

 

 

 

 

 

 

 

 

 

 

- Cannot apply basic skills.

 

 

 

- Competently performs both routine and new

 

 

 

 

- Exceptionally skilled; complete accuracy and

- Practical application,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tasks.

 

 

 

 

precision in all technical actions, duties and

procedural

 

 

 

 

 

 

 

 

 

 

 

 

- Tactical knowledge and skill in specialty

 

 

 

- Tactical knowledge and skill in specialty

 

 

 

 

procedures.

compliance.

 

 

 

 

 

 

 

 

 

 

 

 

 

are below standards compared to

 

 

 

 

 

 

equal to others of same rank and

 

 

 

 

 

 

 

- Tactical knowledge and skill in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

others of same rank and experience.

 

 

 

 

 

 

experience.

 

 

 

 

 

 

 

command mission and function.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35.

 

 

 

 

- Fails to uphold and enforce standards.

 

 

 

- Actively teaches, upholds and enforces

 

 

 

 

- Proactively teaches, upholds, and enforces

PROFESSIONALISM:

 

 

 

 

 

 

 

 

standards with peers and subordinates.

 

 

 

 

standards throughout the command.

- Standard enforcement;

- Does not effectively utilize the Chief’s

 

 

 

- Participates in command planning and

 

 

 

 

- Actively leads command activities, solves

taking initiative,

Mess to plan and solve challenges.

 

 

 

problem solving through the Chief’s Mess.

 

 

 

 

command challenges, and drives mission

planning/prioritizing/

- Improvement of peers, subordinates, and

 

 

 

- Committed to professional education/training

 

 

 

 

accomplishment through the Chief’s Mess.

solving challenges in

 

 

 

 

 

 

 

- Fosters an environment of improvement,

Chief’s Mess.

self not a priority.

 

 

 

 

 

 

 

for self and subordinates.

 

 

 

 

education and professional development.

- Continuous learning;

- Unable to meet one or more physical

 

 

 

 

 

 

 

 

 

 

 

- A leader in physical readiness.

Standards of appearance,

readiness standards.

 

 

 

 

 

 

 

- Complies with physical readiness program.

 

 

 

 

- Exemplary personal appearance and

conduct, physical fitness,

- Consistently unsatisfactory appearance or

 

 

 

- Excellent personal appearance and

 

 

 

 

representative of the Navy.

qualifications.

unsatisfactory demeanor or conduct.

 

 

 

representative of the Navy.

 

 

 

 

- Team builder, inspires cooperation and focus

 

 

 

 

 

- Creates conflict, unwilling to work with

 

 

 

- Reinforces others’ efforts, meets personal

 

 

 

 

on mission accomplishment; leverages

NOB

 

 

 

others, puts self above team.

 

 

 

 

 

 

commitments to team.

 

 

 

 

 

 

talents of all Sailors.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36.

 

 

 

 

- Does not consistently demonstrate loyalty

 

 

 

- Loyal to mission, seniors, peers and

 

 

 

 

- Loyal to mission, seniors, peers and

LOYALTY:

to mission, seniors, peers or subordinates.

 

 

 

subordinates; moral courage to raise issues

 

 

 

 

subordinates; moral courage to raise issues

- Loyalty to mission,

 

 

 

 

 

 

 

 

and support the outcome.

 

 

 

 

and strength to fully support the outcome.

seniors, peers and

- Not concerned about Sailor success.

 

 

 

- Effective mentor, actions adequately

 

 

 

 

- Exemplary mentor, creates environment with

subordinates.

 

 

 

 

 

 

 

 

encourage/support subordinates’

 

 

 

 

outstanding professional growth

- Dedication to Sailor

 

 

 

 

 

 

 

 

personal/professional growth.

 

 

 

 

opportunities for each Sailor.

success, Sailor

- Allows command challenges to impact

 

 

 

- Routinely solves command challenges before

 

 

 

 

- Proactively identifies and solves command

advocacy.

 

 

 

Sailor readiness.

 

 

 

 

 

 

 

they significantly impact Sailor

 

 

 

 

 

 

challenges before they impact Sailor

 

 

 

NOB

 

 

 

 

 

 

 

 

 

 

 

readiness.

 

 

 

 

 

 

readiness.

 

 

 

 

 

 

 

 

 

 

NAVPERS 1616/27 (8-10)

FOR OFFICIAL USE ONLY-PRIVACY ACT SENSITIVE.

EVALUATION & COUNSELING RECORD (E7 – E9) (cont ‘d)

RCS BUPERS 1610-1

1. Name (Last, First MI Suffix)

2. Grade/Rate

3. Desig

4. SSN

PERFORMANCE

1.0*

 

 

2.0

 

3.0

 

 

4.0

 

5.0

 

 

 

 

 

Pro-

 

 

Above

 

 

 

TRAITS

Below Standards

Meets Standards

 

Greatly Exceeds Standards

 

 

 

gressing

Standards

 

 

 

 

37.

 

 

 

- Demonstrates exclusionary behavior, fails

 

 

 

- Diversity: values differences as strengths,

 

 

 

- Seamlessly integrates diversity into all

 

 

 

CHARACTER:

 

 

 

 

 

 

 

 

 

to value differences from cultural

 

 

 

fosters atmosphere of acceptance/inclusion per

 

 

 

aspects of the command.

 

 

 

- Integrity, adherence to

 

 

 

 

 

 

 

 

 

diversity.

 

 

 

EO/EEO policy.

 

 

 

- Model of achievement. Develops unit

 

 

 

Navy Core Values.

- Lacks personal integrity and does not take

 

 

 

- Trustworthy, ethical and honest.

 

 

 

cohesion by valuing differences as strengths.

-Recognition of Diversity.

responsibility for actions or decisions.

 

 

 

- Always lives up to Navy Core Values: Honor,

 

 

 

- Leads with an uncompromising code of

- Contributes to growth,

- Fails to live up to Navy Core Values:

 

 

 

Courage and Commitment.

 

 

 

integrity.

 

 

 

human worth and

 

 

 

 

 

 

 

 

 

Honor, Courage and Commitment.

 

 

 

 

 

 

 

 

 

 

 

- Exemplifies Navy Core Values: Honor,

 

 

community.

NOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Courage and Commitment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

38.

 

 

 

- Stifles information exchange, idea

 

 

 

- Facilitates information exchange, idea sharing

 

 

 

- Actively facilitates information exchange,

ACTIVE

 

 

 

 

 

 

 

 

 

 

 

 

sharing and diversity of opinion.

 

 

 

and diversity of opinion.

 

 

 

idea sharing and diversity of opinion.

 

 

 

COMMUNICATION:

 

 

 

 

 

 

 

 

 

- Does not take advantage of the Chief’s

 

 

 

- Uses Chief’s Mess as an open forum to

 

 

 

- Actively uses Chief’s Mess as an open

 

 

 

- Communication,

 

 

 

 

 

 

 

 

 

Mess to discuss, plan, or act on command

 

 

 

discuss, plan, and act on command issues.

 

 

 

forum to discuss, plan, and act on command

questioning attitude,

 

 

 

 

 

 

issues.

 

 

 

 

 

 

 

 

 

issues.

 

 

 

energized information

 

 

 

 

 

 

 

 

 

 

 

 

- Poor communicator; actions negatively

 

 

 

- Effectively communicates and listens to

 

 

 

- Energizes communication flow up and down

flow.

 

 

 

 

 

 

 

 

 

 

 

 

impact mission goals and readiness.

 

 

 

subordinates, peers, and seniors.

 

 

 

the chain of command.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

39.

 

 

 

- Lacks knowledge and understanding of

 

 

 

- Good understanding of naval customs and

 

 

 

- Thorough understanding of naval customs

SENSE OF

 

 

 

 

 

 

 

 

 

 

 

 

naval customs and traditions.

 

 

 

traditions.

 

 

 

and traditions.

 

 

 

HERITAGE:

 

 

 

 

 

 

 

 

 

- Ignores naval traditions, customs, and

 

 

 

- Integrates naval traditions, customs, and

 

 

 

- Proactively integrates naval traditions,

 

 

 

- Know and teach

 

 

 

 

 

 

 

 

 

practices when considering decisions, in

 

 

 

practices into decision making processes,

 

 

 

customs, and practices into decision making

customs and traditions,

 

 

 

 

 

 

training, or in daily leadership.

 

 

 

training and daily leadership.

 

 

 

processes, training and daily leadership.

understand naval history.

 

 

 

 

 

 

- No grasp of naval history.

 

 

 

- Occasionally uses naval history to

 

 

 

- Consistently uses naval history to

 

 

 

 

 

 

 

 

 

 

 

 

 

demonstrate who we are as a service.

 

 

 

demonstrate who we are as a service.

 

 

 

 

NOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

40. I recommend screening this individual for next career milestone(s) as follows: (Maximum of two)

 

 

 

 

 

 

 

 

Recommendations may be for competitive schools or duty assignments such as LCPO, DEPT CPO, SEA, CMC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

41. COMMENTS ON PERFORMANCE. *All 1.0 marks, three 2.0 marks, and 2.0 marks in Block 37 must be specifically substantiated in comments. Comments must be verifiable.

Font

10

 

Font must be 10 or 12 pitch (10 to 12 point) only. Use upper and lower case.

 

 

 

 

 

 

 

 

 

Promotion

NOB

Significant

Progressing

Promotable

Must

 

Early

44. Reporting Senior Address

Recommendation

Problems

Promote

 

Promote

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INDIVIDUAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

43.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUMMARY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

45. Signature of Reporting Senior

 

 

 

 

 

46.

Signature of individual evaluated. “I have seen this report, been apprised of my

 

 

 

 

 

 

 

performance, and understand my right to make a statement.”

 

 

 

 

Date:

 

 

I intend to submit a statement

 

do not intend to submit a statement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date:

Member Trait Average:

 

 

Summary Group Average:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

47. Typed name, grade, command, UIC, and signature of Regular Reporting Senior on Concurrent Report

Date:

NAVPERS 1616/27 (8-10)

FOR OFFICIAL USE ONLY-PRIVACY ACT SENSITIVE.

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