Fillable Eval Pdf Navy Details

The Form Navy Evaluation is a critical document in the Navy evaluation process. The form helps to assess an officer's potential for future advancement in the Navy. The form is used to evaluate an officer's job performance, management ability, and leadership skills. Officers must be rated as "fully qualified" or "qualified" on the Form Navy Evaluation in order to be eligible for promotion. In order to be rated as fully qualified, officers must have excellent job performance and demonstrate strong leadership skills. Officers who are rated as "qualified" may still be eligible for promotion if they have satisfactory job performance and meet all other eligibility requirements.

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QuestionAnswer
Form NameForm Navy Evaluation
Form Length2 pages
Fillable?Yes
Fillable fields1
Avg. time to fill out42 sec
Other names1616 form, form eval, navy eval, navy eval pdf

Form Preview Example

EVALUATION REPORT & COUNSELING RECORD (E1 - E6)

 

Save Form

RCS BUPERS 1610-1

Clear Form

1. Name

(Last, First MI Suffix)

 

 

 

 

 

 

2. 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

 

Promotion /

 

 

 

 

 

 

 

Period of Report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

Periodic

 

 

11.

of Individual

 

12. Frocking

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 EVAL 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.

 

 

 

 

- Marginal knowledge of rating, specialty

 

 

 

- Strong working knowledge of rating, specialty

 

 

 

- Recognized expert, sought out by all for

 

PROFESSIONAL

or job.

 

 

 

and job.

 

 

 

technical knowledge.

 

KNOWLEDGE:

- Unable to apply knowledge to solve

 

 

 

- Reliably applies knowledge to

 

 

 

- Uses knowledge to solve complex

 

Technical knowledge

routine problems.

 

 

 

accomplish tasks.

 

 

 

technical problems.

 

- Fails to meet advancement/PQS

 

 

 

- Meets advancement/PQS requirements on time.

 

 

 

- Meets advancement/PQS requirements

 

and practical application.

 

 

 

 

 

 

 

 

 

 

 

 

requirements.

 

 

 

 

 

 

 

 

 

early/with distinction.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

34.

 

 

 

 

- Needs excessive supervision.

 

 

 

- Needs little supervision.

 

 

 

- Needs no supervision.

 

QUALITY OF WORK:

- Product frequently needs rework.

 

 

 

- Produces quality work.

 

 

 

- Always produces exceptional work.

 

Standard of work;

- Wasteful of resources.

 

 

 

Few errors and resulting rework.

 

 

 

No rework required.

 

 

 

 

 

 

 

- Uses resources efficiently.

 

 

 

- Maximizes resources.

 

value of end product.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35.

 

 

 

 

- Actions counter to Navy's retention/

 

 

 

- Positive leadership supports Navy's increased

 

 

 

- Measurably contributes to Navy's increased

 

COMMAND OR

reenlistment goals.

 

 

 

retention goals. Active in decreasing attrition.

 

 

 

retention and reduced attrition objectives.

 

ORGANIZATIONAL

- Uninvolved with mentoring or

 

 

 

- Actions adequately encourage/support

 

 

 

- Proactive leader/exemplary mentor.

 

CLIMATE/EQUAL

professional development of subordinates.

 

 

 

subordinates' personal/professional growth.

 

 

 

Involved in subordinates' personal

 

OPPORTUNITY:

- Actions counter to good order and

 

 

 

- Demonstrates appreciation for contributions of

 

 

 

development leading to professional growth/

 

Contributing to growth

discipline and negatively affect Command/

 

 

 

Navy personnel. Positive influence on

 

 

 

sustained commitment.

 

and development,

Organizational climate.

 

 

 

Command climate.

 

 

 

- Initiates support programs for military,

 

human worth,

- Demonstrates exclusionary behavior.

 

 

 

- Values differences as strengths.

 

 

 

civilian, and families to achieve exceptional

 

community.

Fails to value differences from

 

 

 

Fosters atmosphere of acceptance/

 

 

 

Command and Organizational climate.

 

 

 

 

 

 

cultural diversity.

 

 

 

inclusion per EO/EEO policy.

 

 

 

- The model of achievement.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Develops unit cohesion by valuing differences

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

as strengths.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36.

 

 

 

 

- Consistently unsatisfactory appearance.

 

 

 

- Excellent personal appearance.

 

 

 

- Exemplary personal appearance.

 

MILITARY BEARING/ - Poor self-control; conduct resulting in

 

 

 

- Excellent conduct, conscientiously complies

 

 

 

- Model of conduct, on and off duty.

 

CHARACTER:

disciplinary action.

 

 

 

with regulations.

 

 

 

- A leader in physical readiness.

 

Appearance, conduct,

- Unable to meet one or more

 

 

 

- Complies with physical readiness program.

 

 

 

- Exemplifies Navy Core Values:

 

physical fitness,

physical readiness standards.

 

 

 

- Always lives up to Navy Core Values:

 

 

 

HONOR, COURAGE, COMMITMENT.

 

adherence to

- Fails to live up to one or more

 

 

 

HONOR, COURAGE, COMMITMENT.

 

 

 

 

 

 

 

Navy Core Values.

Navy Core Values:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HONOR, COURAGE, COMMITMENT.

 

 

 

 

 

 

 

 

 

 

 

 

 

NOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

37.

 

 

 

 

- Needs prodding to attain qualification or

 

 

 

- Productive and motivated.

 

 

 

- Energetic self-starter. Completes tasks or

 

PERSONAL JOB

finish job.

 

 

 

Completes tasks and qualifications fully and

 

 

 

qualifications early, far better than expected.

 

ACCOMPLISHMENT/

- Prioritizes poorly.

 

 

 

on time.

 

 

 

- Plans/prioritizes wisely and with

 

INITIATIVE:

- Avoids responsibility.

 

 

 

- Plans/prioritizes effectively.

 

 

 

exceptional foresight.

 

Responsibility,

 

 

 

 

 

 

- Reliable, dependable,

 

 

 

- Seeks extra responsibility and takes on the

 

 

 

 

 

 

 

willingly accepts responsibility.

 

 

 

hardest jobs.

 

quantity of work.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOB

NAVPERS 1616/26 (08-10)

FOR OFFICIAL USE ONLY-PRIVACY ACT SENSITIVE.

EVALUATION REPORT & COUNSELING RECORD (E1 - E6 ) (cont'd) RCS BUPERS 1610-1

1. Name (Last, First MI Suffix)

2. 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

 

 

 

38.

 

 

- Creates conflict,

 

 

 

- Reinforces others' efforts,

 

 

 

- Team builder,

 

 

 

TEAMWORK:

unwilling to work with others,

 

 

 

meets commitments to team.

 

 

 

inspires cooperation and progress.

 

 

 

Contributions to

puts self above team.

 

 

 

- Understands goals,

 

 

 

 

 

 

- Focuses goals and techniques for teams.

- Fails to understand team goals or

 

 

 

employs good teamwork techniques.

 

 

 

- The best at accepting and offering

 

 

 

team building and

 

 

 

 

 

 

 

 

 

teamwork techniques.

 

 

 

- Accepts and offers team direction.

 

 

 

team direction.

 

 

 

team results.

 

 

 

 

 

 

 

 

 

 

 

 

 

- Does not take direction well.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

39.

 

 

- Neglects growth/development or welfare

 

 

 

- Effectively stimulates growth/development in

 

 

 

- Inspiring motivator and trainer, subordinates

LEADERSHIP:

of subordinates.

 

 

 

subordinates.

 

 

 

 

 

 

reach highest level of growth and development.

Organizing, motivating

- Fails to organize, creates problems

 

 

 

- Organizes successfully, implementing

 

 

 

- Superb organizer, great foresight, develops

for subordinates.

 

 

 

process improvements and efficiencies.

 

 

 

process improvements and efficiencies.

and developing others

- Does not set or achieve goals relevant to

 

 

 

- Sets/achieves useful, realistic goals

 

 

 

- Leadership achievements dramatically further

to accomplish goals.

command mission and vision.

 

 

 

that support command mission.

 

 

 

command mission and vision.

 

 

 

 

 

 

- Lacks ability to cope with or

 

 

 

- Performs well in stressful situations.

 

 

 

- Perseveres through the toughest challenges

 

 

 

tolerate stress.

 

 

 

- Clear, timely communicator.

 

 

 

and inspires others.

 

 

 

 

 

 

- Inadequate communicator.

 

 

 

- Ensures safety of personnel and equipment.

 

 

 

- Exceptional communicator.

 

 

 

 

 

 

- Tolerates hazards or unsafe practices.

 

 

 

 

 

 

 

 

 

 

- Makes subordinates safety-conscious,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

maintains top safety record.

 

 

 

NOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

- Constantly improves the personal and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

professional lives of others.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

40. Individual Trait Average.

 

41. I recommend this individual for (maximum of two): Assignment in Rating,

42. Signature of Rater (Typed Name & Rate): I have evaluated this member against

Total of trait scores divided by

Sea Special Programs, Shore Special Programs, Commissioning Programs,

the above performance standards and have forwarded written explanation of marks

number of graded traits.

 

Special Warfare Programs, Rating Instructor Duty, Other. (Be specific.)

of 1.0 and 5.0.

 

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

43. 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

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

 

 

 

 

 

 

 

 

10

 

 

44. QUALIFICATIONS/ACHIEVEMENTS - Education, awards, community involvement, etc., during this period.

Promotion

 

NOB

Significant

Progressing

 

Promotable

 

Must

 

Early

47. Retention :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Recommendation

 

Problems

 

 

Promote

 

Promote

Not Recommended

 

 

Recommended

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

45.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

48. Reporting Senior Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INDIVIDUAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

46.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUMMARY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

49. Signature of Senior Rater (Typed Name & Grade/Rate): I have reviewed the evaluation of this

50.

Signature of Reporting Senior

 

Date:

member against these performance standards and have provided written explanation to support

 

 

 

 

 

 

 

 

 

 

 

marks of 1.0 and 5.0.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Summary Group Average:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

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

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I intend to submit a statement

 

 

 

do not intend to submit a statement

 

 

Date:

 

 

 

 

 

 

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAVPERS 1616/26 (08-10)

FOR OFFICIAL USE ONLY-PRIVACY ACT SENSITIVE.

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