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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

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

PMOSC/BRANCH

ORGANIZATION

DUTY ASSIGNMENT

b6. SENIOR RATER'S EMAIL ADDRESS (.gov or .mil)

c1. SUPPLEMENTARY

c2. NAME OF SUPPLEMENTARY REVIEWER

c3. RANK

PMOSC/

ORGANIZATION

DUTY ASSIGNMENT

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)

 

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.) 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

STANDARD

COMMENTS:

DA FORM 2166-­9-­1, NOV 2015

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

SSN (or DOD ID No.)

THRU DATE

 

 

 

PART IV PERFORMANCE EVALUATION, PROFESSIONALISM, ATTRIBUTES, AND COMPETENCIES (Rater)

d. PRESENCE: (Military and professional

COMMENTS:

bearing, Fitness, Confidence, Resilience.)

 

MET

DID NOT MEET

 

STANDARD

STANDARD

 

e. INTELLECT: (Mental agility, Sound judgment, COMMENTS:

Innovation, Interpersonal tact, Expertise.)

MET

DID NOT MEET

STANDARD

STANDARD

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

influence beyond the chain of command, Leads by

example Communicates.)

 

MET

DID NOT MEET

STANDARD

STANDARD

g. DEVELOPS: (Creates a positive command/ COMMENTS:

workplace environment, Fosters esprit de corps,

Prepares self, Develops others, Stewards the

profession.)

 

MET

DID NOT MEET

STANDARD

STANDARD

 

 

h. ACHIEVES: (Gets results.)

COMMENTS:

MET

DID NOT MEET

STANDARD

STANDARD

 

 

 

 

 

 

RATER OVERALL PERFORMANCE

 

i. I currently rate

NCOs in this grade.

 

COMMENTS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

NCOs in this grade.

 

 

 

 

 

 

 

 

 

 

 

 

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:

 

 

 

DA FORM 2166-­9-­1, NOV 2015

 

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Documents used along the form

The DA Form 2166-9-1 is an essential document used for evaluating Non-Commissioned Officers (NCOs) in the Army. Along with this form, several other documents often accompany it to ensure a comprehensive evaluation process. Below is a list of these documents, along with a brief description of each.

  • DA Form 2166-9-2: This form is utilized for evaluating NCOs in the ranks of Staff Sergeant through Sergeant Major. It complements the 2166-9-1 by providing a standardized format for higher ranks.
  • DA Form 4856: This is a Developmental Counseling Form that records counseling sessions between a leader and a soldier. It helps in tracking performance and areas for improvement.
  • DA Form 705: The Army Physical Fitness Test Scorecard is used to document a soldier’s physical fitness test results. It plays a role in evaluating overall performance and readiness.
  • DA Form 5500: This form is the Body Fat Content Worksheet. It is used to assess a soldier’s body fat percentage, which is crucial for maintaining Army weight standards.
  • DA Form 638: This is the Recommendation for Award form. It is used to nominate soldiers for awards and recognizes their achievements and contributions.
  • Durable Power of Attorney: It's essential to have a legal framework in place for decision-making under specific circumstances, such as the Durable Power of Attorney, which allows a trusted individual to make critical decisions on your behalf when needed.
  • DA Form 12-99: This form is the NCOER Support Form. It helps leaders and soldiers set performance objectives and outlines expectations for the evaluation period.
  • DA Form 1059: This is the Service School Academic Evaluation Report. It documents a soldier’s performance in training and educational courses, contributing to their overall evaluation.
  • AR 623-3: This Army Regulation outlines the policies and procedures for the evaluation of NCOs. It serves as a reference for completing the DA Form 2166-9-1 and related documents.
  • DA PAM 623-3: This pamphlet provides additional guidance on the evaluation process for NCOs, including detailed instructions on filling out the necessary forms.

These documents work together to create a thorough evaluation framework, ensuring that each soldier receives fair and accurate assessments of their performance and potential. Understanding these forms can greatly aid in navigating the evaluation process effectively.

Similar forms

The DA 2166-9-1 form is an NCO Evaluation Report used in the Army. It serves to assess the performance and potential of Non-Commissioned Officers. Several other documents share similarities with this form. Here are four of them:

  • DA Form 67-9: This is the Officer Evaluation Report (OER) for officers. Like the DA 2166-9-1, it evaluates performance and potential. Both forms require detailed descriptions of duties, responsibilities, and evaluations from raters and senior raters.
  • DA Form 1059: This form is used for the Academic Evaluation Report (AER). It assesses performance during military schools. Similar to the DA 2166-9-1, it includes comments from evaluators and provides a summary of the individual's accomplishments and potential.
  • DA Form 4856: This is the Developmental Counseling Form. It documents counseling sessions between leaders and soldiers. Both forms aim to provide feedback and guidance, though the DA Form 4856 is more focused on developmental discussions rather than formal evaluations.
  • Motor Vehicle Bill of Sale: To ensure a smooth vehicle transaction, refer to the important Washington Motor Vehicle Bill of Sale form guidelines for accurate documentation and legal compliance.

  • DA Form 7000: This is the Army's Financial Liability Investigation of Property Loss. While it primarily addresses financial responsibility, it also includes assessments of individual performance and accountability, similar to how the DA 2166-9-1 evaluates NCO performance.

Misconceptions

The DA 2166-9-1 form, also known as the NCO Evaluation Report for Sergeants, is an essential document in the Army's evaluation process. However, several misconceptions about this form can lead to confusion. Below is a list of common misconceptions and clarifications for each.

  • Misconception 1: The form is only for performance evaluations.
  • While performance evaluation is a significant aspect, the form also includes administrative data, duty descriptions, and rater comments on various competencies.

  • Misconception 2: The rated NCO must agree with the evaluation.
  • The rated NCO's signature indicates they have seen the report, not that they agree with the assessments made by the rater and senior rater.

  • Misconception 3: Only the rater completes the form.
  • The form requires input from both the rater and the senior rater, ensuring a comprehensive evaluation process.

  • Misconception 4: The form is optional for NCOs.
  • The DA 2166-9-1 is a mandatory form for evaluating NCOs and is required for career progression and promotions.

  • Misconception 5: The form is the same for all NCO ranks.
  • Each rank has a specific evaluation form tailored to its responsibilities and expectations. The DA 2166-9-1 is specifically for Sergeants.

  • Misconception 6: The evaluation period can be arbitrary.
  • The evaluation period must be clearly defined, with specific start and end dates, as indicated on the form.

  • Misconception 7: Comments on the form are optional.
  • Comments are crucial for providing context and justification for ratings. They help clarify the rater's assessments.

  • Misconception 8: The APFT results are not important.
  • The form includes a section for the Army Physical Fitness Test (APFT) results, which are integral to evaluating an NCO's overall performance.

  • Misconception 9: The form does not require a supplementary reviewer.
  • A supplementary reviewer may be necessary, especially in complex evaluations, to ensure fairness and accuracy in the assessment process.

  • Misconception 10: The form cannot be appealed.
  • The rated NCO has the right to appeal the evaluation according to the procedures outlined in AR 623-3.

Understanding Da 2166 9 1

  1. What is the purpose of the DA 2166 9 1 form?

    The DA 2166 9 1 form is primarily used for evaluating Non-Commissioned Officers (NCOs) in the rank of Sergeant. It serves as an official record of an NCO's performance and potential during a specified period. This evaluation helps to ensure that NCOs receive fair assessments that can influence their career progression, promotions, and assignments. The form is crucial for maintaining high standards within the Army and ensuring that leaders are appropriately recognized for their contributions.

  2. What information is required on the DA 2166 9 1 form?

    Completing the DA 2166 9 1 form involves providing detailed administrative data about the rated NCO, including their name, Social Security Number (or DOD ID), rank, and unit information. Additionally, the form requires input from both the rater and senior rater, including their names, signatures, and contact information. The rated NCO must also acknowledge their understanding of the evaluation process by signing the form. This comprehensive data collection ensures that all evaluations are accurate and complete.

  3. How does the evaluation process work?

    The evaluation process begins with the rater assessing the NCO's performance in several key areas, such as character, presence, intellect, leadership, development, and achievement. Each area is rated as either "met" or "did not meet" the standard, accompanied by comments to provide context. After the rater completes their assessment, the senior rater reviews the evaluation and provides their own insights regarding the NCO's potential compared to peers. This collaborative approach helps ensure a well-rounded evaluation.

  4. What should I do if I disagree with my evaluation?

    If an NCO disagrees with their evaluation, they have the right to appeal the decision. The DA 2166 9 1 form includes a section where the rated NCO can acknowledge their understanding of the appeals process. It is essential to address any concerns with the rater or senior rater directly, as open communication can often resolve misunderstandings. If necessary, the NCO can formally initiate the appeal process as outlined in AR 623-3 to seek a review of their evaluation.