Nco Evaluation Report Form PDF Details

Understanding the Noncommissioned Officer (NCO) Evaluation Report form is crucial for those in the military looking to grasp how their leadership skills and performance are gauged. This comprehensive evaluation tool, outlined by Army Regulation (AR) 623-3 and detailed in DA Pamphlet 623-3, serves as a structured method for reviewing NCOs' effectiveness in roles ranging from Staff Sergeant to First Sergeant/Master Sergeant. The form is carefully divided into sections that cover administrative data, which include personal details, unit information, and the period of review. It progresses to an authentication part where raters and senior raters provide their assessments. Moreover, this form deeply evaluates an NCO's performance through sections dedicated to professionalism, attributes, and competencies, examining everything from physical fitness to leadership and organizational contributions. Additionally, there are provisions for supplementary reviewers to offer their insights, ensuring a rounded evaluation. The form concludes with an overall performance rating and suggestions for future assignments, providing a clear path for career development. This process not only emphasizes the achievements and areas for improvement but also sets the stage for strategic professional advancement within the military structure.

QuestionAnswer
Form NameNco Evaluation Report Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesNCOER_SSG_SFC_a nd_1SG_MSG nco evaluation reportpdffillercom form

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NCO EVALUATION REPORT (SSG-1SG/MSG)

SEE PRIVACY ACT STATEMENT

For use of this form, see AR 623-3 and DA PAM 623-3; the proponent agency is DCS, G-1.

IN AR 623-3

PART I – ADMINISTRATIVE DATA

a. NAME (Last, First, MI)

 

b. SSN

c. RANK

d.

DATE OF RANK

 

 

 

 

 

 

f. UNIT, ORG., STATION, ZIP CODE OR APO, MAJOR COMMAND

 

g. STATUS CODE

h.

UIC CODE

 

 

 

 

 

 

e. PMOSC

i. REASON FOR SUBMISSION

j. PERIOD COVERED

FROM

THRU

(YYYYMMDD)

(YYYYMMDD)

 

 

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, MI)

 

a2. SSN

 

 

 

 

a5.

RANK PMOSC/BRANCH ORGANIZATION

DUTY ASSIGNMENT

 

 

 

 

a3. RATER’S SIGNATURE

a4. DATE (YYYYMMDD)

a6. RATER’S EMAIL ADDRESS (.gov or .mil)

b1.

NAME OF SENIOR RATER (Last, First, MI)

 

b2. SSN

 

b3.

SENIOR RATER’S SIGNATURE

 

b4. DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b5.

RANK PMOSC/BRANCH ORGANIZATION

DUTY ASSIGNMENT

 

b6.

SENIOR RATER’S EMAIL ADDRESS (.gov or .mil)

 

 

 

 

 

 

 

 

 

 

 

 

 

c1.

SUPPLEMENTARY

c2. NAME OF SUPPLEMENTARY REVIEWER (Last, First, MI)

c3. RANK

PMOSC/BRANCH ORGANIZATION

DUTY ASSIGNMENT

REVIEW REQUIRED?

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c4.

COMMENTS

 

c5. SUPPLEMENTARY REVIEWER’S SIGNATURE

c6. DATE (YYYYMMDD)

c7. SUPPLEMENTARY REVIEWER’S EMAIL ADDRESS (.gov or .mil)

ENCLOSED?

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

LATER

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.)

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

STANDARD

COMMENTS:

DRAFT DA Form 2166-X-XX

as of 20140819

Page 1 of 2

 

RATED NCO’S NAME (Last, First, Middle Initial)

 

SSN

THRU DATE

 

 

 

 

 

 

 

 

PART IV – PERFORMANCE EVALUATION, PROFESSIONALISM, ATTRIBUTES,

AND COMPETENCIES

(Rater)

 

d. PRESENCE:

(Military and professional bearing, Fitness,

COMMENTS:

 

 

Confidence, Resilience)

 

 

 

 

 

 

FAR EXCEEDED

EXCEEDED

MET

DID NOT MEET

 

 

 

 

STANDARD

STANDARD

STANDARD

STANDARD

 

 

 

 

 

 

 

 

e. INTELLECT: (Mental agility, Sound judgment ,

COMMENTS:

 

 

Innovation, Interpersonal tact, Expertise)

 

 

 

 

 

FAR EXCEEDED

EXCEEDED

MET

DID NOT MEET

 

 

 

 

STANDARD

STANDARD

STANDARD

STANDARD

 

 

 

 

 

 

 

 

f. LEADS: (Leads others, Builds trust, Extends influence

COMMENTS:

 

 

beyond the chain of command, Leads by example,

 

 

 

 

Communicates)

 

 

 

 

 

 

 

FAR EXCEEDED

EXCEEDED

MET

DID NOT MEET

 

 

 

 

STANDARD

STANDARD

STANDARD

STANDARD

 

 

 

 

 

 

 

 

 

g. DEVELOPS:

(Creates a positive command/

COMMENTS:

 

 

workplace environment, Fosters esprit de corps, Prepares

 

 

 

 

self, Develops others, Stewards the profession)

 

 

 

 

FAR EXCEEDED

EXCEEDED

MET

DID NOT MEET

 

 

 

 

STANDARD

STANDARD

STANDARD

STANDARD

 

 

 

 

 

 

 

 

 

 

 

h. ACHIEVES: (Gets results)

 

COMMENTS:

 

 

 

 

 

 

 

FAR EXCEEDED

EXCEEDED

MET

DID NOT MEET

 

 

 

 

STANDARD

STANDARD

STANDARD

STANDARD

 

 

 

 

 

 

 

 

 

 

 

RATER OVERALL PERFORMANCE

i. This NCO’s overall performance is rated as:

FAR EXCEEDED

EXCEEDED

MET

DID NOT MEET

STANDARD

STANDARD

STANDARD

STANDARD

 

 

 

 

 

 

 

 

 

 

 

 

j. COMMENTS:

PART V – SENIOR RATER OVERALL POTENTIAL

a.Select one box representing Rated NCO’s overall potential compared to others in the same grade whom you have rated in your career. I currently senior rate _____

NCOs in this grade.

b. COMMENTS:

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:

DRAFT DA Form 2166-X-XX

as of 20140819

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