Transcription of 1. Name (Last, First MI Suffix) 2. Grade 3. Desig
1 FITNESS REPORT & COUNSELING RECORD (07/08)4. SSN3. Desig2. Grade1. name (Last, First MI Suffix) 7. Command6. UIC9. Date Reported8. Promotion Status21. Reporting Senior (Last, FI MI)24. Title23. Desig25. UIC22. Grade26. Command Employment And Achievements29. Counselor28. Date CounseledFlag Officer Development Counseling31. Mission Accomplishment32. Operational Professional Competence33. Vision/Strategic Thinking34. Communication Skills35. Fiscal Planning/Organizational Skills36. Geopolitical Fluency37. Military Bearing38.
2 Leadership Judgment39. Leading Periodic11. Detachment Of Individual12. Detachment Of Reporting Senior13. SpecialOccasion for Report14. From:15. To: Period of Report16. Not Observed Report17. Regular18. Concurrent19. Ops CDRType of Report20. Physical Readiness27. Primary/Additional Duties AssignedPROFESSIONAL PERFORMANCENOBVery Low (1)Low (2)Avg (3)High (4)Very High (5)Top Three Traits Select top three traits that create results (place a 1, 2 or 3)RCS BUPERS 1610-1 NAVPERS 1610/5 (08-10)For Official Use Only - Privacy SensitivePage 1 of 230.
3 Signature of Individual Counseled4. SSN3. Desig2. Grade1. name (Last, First MI Suffix) 41. Personal Growth42. Professional Growth40. Fiscal Planning/Organizational Skills43. Potential Leading Change44. Strategic ThinkingFITNESS REPORT & COUNSELING RECORD (07/08) (cont'd)Very High (5)High (4)Avg (3)Low (2)Very Low (1)POTENTIAL TRAITSNOB46. Future Assignments: I recommend the following assignments for this individual (three) 47. Comments49. Signature of Individual Evaluated. "I have seen this report, been apprised of my performance, and understand my right to make a intend to submit a statementI do not intend to submit a statment50.
4 Typed name , Grade , command, UIC and signature of Regular Reporting Senior on Concurrent ReportNAVPERS 1610/5 (08-10)For Official Use Only - Privacy SensitivePage 2 of 245. Performance Trait AverageIndividualReporting SeniorRCS BUPERS 1610-148. Signature Of Reporting Senior
