Fill Your Da 2166 9 1 Template

Fill Your Da 2166 9 1 Template

The DA 2166-9-1 form is an official document used for the NCO Evaluation Report, specifically for Sergeants. It serves as a tool for assessing the performance and potential of non-commissioned officers within the Army, ensuring that evaluations are standardized and comprehensive. For those involved in the evaluation process, completing this form accurately is crucial; click the button below to get started.

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The DA 2166-9-1 form plays a crucial role in evaluating the performance of Non-Commissioned Officers (NCOs) in the U.S. Army. This evaluation report is designed specifically for Sergeants and serves as a comprehensive tool for assessing their professional capabilities and potential for future assignments. Key components of the form include administrative data, which captures essential information such as the NCO's name, rank, and unit, as well as the period covered by the evaluation. The form is divided into several parts, starting with the authentication section, where raters and senior raters provide their signatures and contact details, ensuring accountability. The duty description outlines the NCO's principal duties, daily responsibilities, and areas of special emphasis, giving context to their performance. The performance evaluation section is particularly significant, assessing various attributes such as character, presence, intellect, leadership, development, and achievement. Each of these attributes is rated, allowing for a nuanced understanding of the NCO's effectiveness. Lastly, the senior rater assesses the overall potential of the NCO compared to peers, providing insight into their future career trajectory. This form not only serves as a record of performance but also plays a vital role in the professional development of NCOs within the Army.

Documents used along the form

The DA Form 2166-9-1 is essential for evaluating the performance of Non-Commissioned Officers (NCOs) in the U.S. Army. However, several other documents often accompany this form to ensure a comprehensive assessment and compliance with Army regulations. Below is a list of these documents, each serving a specific purpose in the evaluation process.

  • DA Form 4856: This is the Developmental Counseling Form. It is used to document counseling sessions between leaders and soldiers. The form captures the soldier's strengths, weaknesses, and areas for improvement, providing a basis for future evaluations.
  • DA Form 67-9: This is the Officer Evaluation Report (OER). While it pertains to officers, it may be referenced during NCO evaluations to compare leadership and performance standards across ranks.
  • DA Form 705: This form records the results of the Army Physical Fitness Test (APFT). It is crucial for assessing an NCO's physical readiness and overall fitness, which are key components of their evaluation.
  • Release of Liability Form: This legal document releases one party from responsibility for risks or injuries that may occur, often used in activities with a chance of injury. For more information, visit fastpdftemplates.com/.
  • DA Form 5500/5501: These forms are used for recording body fat measurements. They help ensure compliance with Army weight standards, which is an important aspect of an NCO's performance evaluation.
  • DA Form 1059: This is the Academic Evaluation Report. It documents a soldier’s performance in military schools or training programs. Achievements in education can positively influence an NCO's evaluation.
  • DA Form 201: This is the Military Personnel Records Jacket. It contains a soldier's career information, including assignments, training, and evaluations, which can be referenced during the evaluation process.
  • DA Form 4187: This form is used for personnel actions, such as requests for awards, reassignments, or promotions. It may accompany the evaluation to provide context for the NCO's performance.
  • AR 623-3: This regulation outlines the Army's evaluation system. It provides guidance on the evaluation process, ensuring that all assessments, including those of NCOs, are conducted fairly and consistently.
  • DA PAM 623-3: This pamphlet serves as a guide to the evaluation process. It offers detailed instructions on completing evaluation forms and the roles of raters and senior raters, ensuring clarity in the evaluation process.

These documents collectively support the evaluation process, providing a well-rounded view of an NCO's performance, potential, and readiness. Understanding the purpose of each form can enhance the evaluation experience for both the evaluator and the evaluated, fostering growth and development within the ranks.

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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

Page 1 of 2

APD LC v1.00ES

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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APD PE v1.00ES

Guidelines on How to Fill Out Da 2166 9 1

Filling out the DA 2166-9-1 form is an essential task that requires attention to detail. Once you have completed the form, it will need to be submitted to the appropriate authorities for processing. This ensures that your evaluation is recorded accurately and can be referenced in future assessments.

  1. Part I - Administrative Data:
    • Enter your name (Last, First, Middle Initial).
    • Provide your SSN or DOD ID Number.
    • Fill in your rank.
    • Indicate your date of rank.
    • List your PMOSC.
    • Provide your unit, organization, station, ZIP code or APO, and major command.
    • Fill in your status code.
    • Enter your UIC.
    • Specify the reason for submission.
    • Indicate the period covered (from and through dates).
    • List the rated months.
    • Fill in the non-rated codes.
    • Indicate the number of enclosures.
    • Provide the rated NCO's email address (.gov or .mil).
  2. Part II - Authentication:
    • Enter the name of the rater (Last, First, Middle Initial).
    • Provide the rater's SSN or DOD ID Number.
    • Obtain the rater's signature.
    • Fill in the date (YYYYMMDD).
    • List the rater's rank, PMOSC/branch, and organization duty assignment.
    • Provide the rater's email address (.gov or .mil).
    • Enter the name of the senior rater (Last, First, Middle Initial).
    • Provide the senior rater's SSN or DOD ID Number.
    • Obtain the senior rater's signature.
    • Fill in the date (YYYYMMDD).
    • List the senior rater's rank, PMOSC/branch, and organization duty assignment.
    • Provide the senior rater's email address (.gov or .mil).
    • If applicable, enter the name of the supplementary reviewer (Last, First, Middle Initial).
    • List the supplementary reviewer's rank, PMOSC/organization duty assignment.
    • Indicate if a review is required (Yes/No).
    • Provide comments if necessary.
    • Obtain the supplementary reviewer's signature.
    • Fill in the date (YYYYMMDD).
    • Provide the supplementary reviewer's email address (.gov or .mil).
    • Indicate if enclosures are included (Yes/No).
  3. Part III - Duty Description (Rater):
    • Enter the principal duty title.
    • Provide the duty MOSC.
    • Describe daily duties and scope, including people, equipment, facilities, and dollars.
    • List areas of special emphasis.
    • Indicate any appointed duties.
  4. Part IV - Performance Evaluation:
    • Record the APFT pass/fail/profile status and date.
    • Fill in height and weight, and indicate if within standard.
    • Provide comments for any failed APFT or if not within Army weight standards.
    • Evaluate character and provide bullet comments.
    • Assess presence and provide comments.
    • Evaluate intellect and provide comments.
    • Assess leadership qualities and provide comments.
    • Evaluate development efforts and provide comments.
    • Assess achievements and provide comments.
    • Provide an overall performance rating.
  5. Part V - Senior Rater Overall Potential:
    • Select a box indicating the rated NCO’s potential.
    • Provide comments regarding the rated NCO's potential.
    • List two successive assignments and one broadening assignment.

Similar forms

The DA Form 2166-9-1 is similar to the Employee Performance Review (EPR) used in civilian workplaces. Both documents serve as formal assessments of an individual's performance over a specific period. The EPR typically includes sections for evaluating competencies, achievements, and areas for improvement, much like the DA Form. Both forms require signatures from supervisors and provide an opportunity for employees to acknowledge their understanding of the evaluation process.

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Another comparable document is the Performance Appraisal Form utilized by federal agencies. This form is designed to assess an employee's work performance and contributions to the agency's goals. Like the DA Form 2166-9-1, it includes sections for setting performance objectives and evaluating the employee's success in meeting them. Both forms emphasize the importance of feedback from both the employee and the supervisor, fostering a dialogue about performance and development.

The Officer Evaluation Report (OER) is also similar to the DA Form 2166-9-1, as it evaluates the performance of officers in the military. Both forms require detailed assessments of an individual's competencies, leadership abilities, and potential for future assignments. The OER includes ratings and comments from superiors, paralleling the structure of the NCO Evaluation Report. Both documents play a crucial role in career progression and promotion considerations.

The Civilian Evaluation Report (CER) used in various government agencies shares similarities with the DA Form 2166-9-1. This report assesses the performance of civilian employees and includes a structured format for supervisors to evaluate their subordinates. Both forms focus on performance metrics, accomplishments, and professional development, ensuring that employees receive constructive feedback to enhance their careers.

Lastly, the Performance Review Document (PRD) used in many private sector companies resembles the DA Form 2166-9-1. The PRD assesses employee performance based on set criteria, including goals and competencies. Like the DA Form, it often requires a review and acknowledgment by both the employee and their manager. Both documents aim to provide a comprehensive view of an employee's contributions, facilitating discussions about future opportunities and growth within the organization.

Consider Common Documents

Misconceptions

The DA 2166 9 1 form is essential for evaluating non-commissioned officers (NCOs) in the U.S. Army. However, several misconceptions exist regarding its purpose and use. Below are some common misunderstandings:

  • Misconception 1: The form is only for negative evaluations.
  • This is incorrect. The DA 2166 9 1 form is used for both positive and negative assessments. It aims to provide a comprehensive evaluation of an NCO's performance.

  • Misconception 2: Only the rater fills out the form.
  • In reality, both the rater and the senior rater contribute to the evaluation. Their combined insights help create a more accurate assessment of the NCO's performance.

  • Misconception 3: The rated NCO has no role in the evaluation process.
  • This is not true. The rated NCO is required to review the completed report and acknowledge that the administrative data is correct. Their signature does not imply agreement with the evaluation but confirms the accuracy of the information.

  • Misconception 4: The form is optional for NCOs.
  • The DA 2166 9 1 form is mandatory for evaluating NCOs. It is a crucial part of the performance management process in the Army.

  • Misconception 5: The evaluation only considers job performance.
  • While job performance is significant, the evaluation also considers attributes such as leadership, professionalism, and adherence to Army values.

  • Misconception 6: There is no appeals process for evaluations.
  • This is false. The rated NCO is informed about the appeals process as part of the evaluation. They have the right to appeal if they believe the evaluation is unjust.

  • Misconception 7: The DA 2166 9 1 form is the only evaluation tool used.
  • While it is a primary tool, other evaluation forms and processes may also be utilized depending on the specific circumstances and requirements.

  • Misconception 8: The form does not impact career progression.
  • Evaluations on the DA 2166 9 1 form can significantly influence an NCO's career progression, including promotions and assignments.

File Features

Fact Name Details
Form Purpose The DA 2166-9-1 form is used for evaluating the performance of Non-Commissioned Officers (NCOs) in the U.S. Army.
Governing Regulations This form is governed by Army Regulation (AR) 623-3 and DA Pamphlet (PAM) 623-3.
Privacy Act Compliance The form includes a Privacy Act statement, ensuring the protection of personal information.
Administrative Data Part I collects essential administrative data such as name, SSN, rank, and unit information.
Authentication Section Part II requires signatures from the rater, senior rater, and supplementary reviewer to authenticate the evaluation.
Performance Evaluation Part IV assesses various attributes like character, presence, intellect, leadership, development, and achievement.
Rated NCO's Acknowledgment The rated NCO must sign to acknowledge understanding of the evaluation process and the information provided.
Overall Performance Rating Raters provide an overall performance rating, indicating how the NCO compares to others in the same grade.
Submission Requirements Submission includes the reason for evaluation and the period covered, ensuring clarity in the evaluation timeframe.
Updates and Revisions The current version of the form is dated November 2015, indicating it may be subject to updates or revisions.