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EVALUATION REPORT & COUNSELING RECORD (E1 - E6)

Occasion for REPORT - Recognized expert, sought out by all for technical Uses knowledge to solve complex technical Meets advancement/PQS requirements early/with Strong working knowledge of rating, specialty and job. - Reliably applies knowledge to accomplish Meets advancement/PQS requirements on Marginal knowledge of rating, specialty or job. - Unable to apply knowledge to solve routine Fails to meet advancement/PQS :Technical knowledge andpractical application. NOB Promotion/12. Command employment and command achievements. RCS 1616/26 (Rev. 3-02) PERFORMANCE TRAITS: - Below standards/not progressing or UNSAT in any one standard; - Does not yet meet all standards; - Meets all ; - Exceeds most standards; - Meets overall criteria

1. Name (Last, First MI Suffix) 2. Rate 3. Desig 4. SSN 6. UIC 22. Reporting Senior (Last, FI MI) 23. Grade 24. Desig 25. Title 26. UIC 27. SSN For Mid-term Counseling Use. (When completing EVAL, enter 30 and 31 from counseling worksheet, and sign 32.) 30. Date Counseled 31. Counselor 32. Signature of Individual Counseled 1.0* 2.0 4.0 Below ...

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Transcription of EVALUATION REPORT & COUNSELING RECORD (E1 - E6)

1 Occasion for REPORT - Recognized expert, sought out by all for technical Uses knowledge to solve complex technical Meets advancement/PQS requirements early/with Strong working knowledge of rating, specialty and job. - Reliably applies knowledge to accomplish Meets advancement/PQS requirements on Marginal knowledge of rating, specialty or job. - Unable to apply knowledge to solve routine Fails to meet advancement/PQS :Technical knowledge andpractical application. NOB Promotion/12. Command employment and command achievements. RCS 1616/26 (Rev. 3-02) PERFORMANCE TRAITS: - Below standards/not progressing or UNSAT in any one standard; - Does not yet meet all standards; - Meets all ; - Exceeds most standards; - Meets overall criteria and most of the specific standards for Standards are not all inclusive.

2 Detachment 11. of Individual10. Periodic13. Special- Actions counter to Navy's retention/reenlistment Uninvolved with mentoring or professional development of Actions counter to good order and discipline and negatively affect Command/Organizational Demonstrates exclusionary behavior. Fails to value differences from cultural ORORGANIZATIONALCLIMATE/EQUALOPPORTUNITY :Contributing to growth anddevelopment, humanworth, community. NOB----- Positive leadership supports Navy's increased retention goals. Active in decreasing Actions adequately encourage/support subordinates' personal/professional Demonstrates appreciation for contributions of Navy personnel.

3 Positive influence on Command Values differences as strengths. Fosters atmosphere of acceptance/inclusion per EO/EEO Measurably contributes to Navy's increased retention and reduced attrition Proactive leader/exemplary mentor. Involved in subordinates' personal development leading to professional growth/sustained Initiates support programs for military, civilian, and families to achieve exceptional Command and Organizational The model of achievement. Develops unit cohesion by valuing differences as Needs little Produces quality work. Few errors and resulting Uses resources Needs excessive Product frequently needs Wasteful of QUALITY OF WORK:Standard of work;value of end product.

4 NOB- Needs no Always produces exceptional work. No rework Maximizes BEARING/CHARACTER:Appearance, conduct,physical fitness, adherenceto Navy Core Values. NOB- Consistently unsatisfactory Poor self-control; conduct resulting in disciplinary Unable to meet one or more physical readiness Fails to live up to one or more Navy Core Values: HONOR, COURAGE, Excellent personal Excellent conduct, conscientiously complies with Complies with physical readiness Always lives up to Navy Core Values: HONOR, COURAGE, Exemplary personal Model of conduct, on and off A leader in physical readiness. - Exemplifies Navy Core Values: HONOR, COURAGE, Type of Report18.

5 Concurrent17. Regular16. Not Observed Report21. Billet Subcategory (if any)20. Physical Readiness7. Ship/Station9. Date Reported8. Promotion StatusACTAT/ADSW/265 TARINACT29. Primary/Collateral/Watchstanding duties. (Enter primary duty abbreviation in box.) 1. name (Last, first MI suffix )2. Rate3. Desig4. SSN6. UIC22. Reporting Senior (Last, FI MI)23. Grade24. Desig27. SSN25. Title26. UICFor Mid-term COUNSELING Use. (When completing EVAL,enter 30 and 31 from COUNSELING worksheet, and sign 32.)30. Date Counseled31. Counselor32. Signature of Individual * Below Greatly Exceeds StandardsPERFORMANCETRAITS Meets StandardsAboveStandardsPro-gressing Period of REPORT 14.

6 From:15. To: EVALUATION REPORT & COUNSELING RECORD (E1 - E6)37. PERSONALJOB ACCOMPLISH-MENT/ INITIATIVE:Responsibility, quantity ofwork. NOB- Needs prodding to attain qualification or finish Prioritizes Avoids Productive and motivated. Completes tasks and qualifications fully and on Plans/prioritizes Reliable, dependable, willingly accepts Energetic self-starter. Completes tasks or qualifications early, far better than Plans/prioritizes wisely and with exceptional Seeks extra responsibility and takes on the hardest Inspiring motivator and trainer, subordinates reach highest level of growth and Superb organizer, great foresight, develops process improvements and Leadership achievements dramatically further command mission and Perseveres through the toughest challenges and inspires Exceptional Makes subordinates safety-conscious, maintains top safety Constantly improves the personal and professional lives of Team builder.

7 Inspires cooperation and Focuses goals and techniques for The best at accepting and offering team Reinforces others' efforts, meets commitments to Understands goals, employs good teamwork Accepts and offers team I recommend this individual for (maximum of two): Assignment inRating, Sea Special Programs, Shore Special Programs, CommissioningPrograms, Special Warfare Programs, Rating Instructor Duty, Other. (Bespecific.)50. Signature of Reporting Senior-------- Effectively stimulates growth/development in Organizes successfully,implementing process improvements and Sets/achieves useful, realistic goals that support command Performs well in stressful Clear, timely Ensures safety of personnel and 1616/26 (Rev.)

8 3-02) 249. Signature of Senior Rater (Typed name & grade /Rate): I have reviewed the EVALUATION of this memberagainst these performance standards and have provided written explanation to support marks of and QUALIFICATIONS/ACHIEVEMENTS - Education, awards, community involvement, etc., during this period. Date: 52. Typed name , grade , command, UIC, and signature of Regular Reporting Senior on Concurrent ReportDate: Date: 48. Reporting Senior AddressEVALUATION REPORT & COUNSELING RECORD (E1 - E6 ) (cont'd) RCS BUPERS TEAMWORK:Contributions to teambuilding and team results. NOB- Creates conflict, unwilling to work with others, puts self above Fails to understand team goals or teamwork Does not take direction name (Last, first MI suffix ) 45.

9 INDIVIDUALP romotionRecommendationNOBS ignificantProblemsProgressingPromotableM ustPromoteEarlyPromote46. SUMMARY47. Retention:RecommendedNot Recommended39. LEADERSHIP:Organizing, motivating anddeveloping others toaccomplish goals. NOB- Neglects growth/development or welfare of Fails to organize, creates problems for Does not set or achieve goals relevant to command mission and Lacks ability to cope with or tolerate Inadequate Tolerates hazards or unsafe practices. 42. Signature of Rater (Typed name & Rate): I have evaluated this member against the above performance standards and have forwarded written explanation of marks of and Individual Trait of trait scores divided bynumber of graded :51.

10 Signature of Individual Evaluated. "I have seen this REPORT , been apprised of myperformance, and understand my right to submit a statement."I intend to submit a do not intend to submit a : 2. Rate3. Desig4. * Below Meets Greatly Exceeds COMMENTS ON PERFORMANCE. *All marks, three marks, and marks in Block 35 must be specifically substantiated in comments. Comments must be verifiable. Fontmust be 10 or 12 pitch (l0 to 12 point) only. Use upper and lower case. Summary Group Average.


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