Da 2166 9 1 PDF Template

Da 2166 9 1 PDF Template

The DA 2166 9 1 form serves as an NCO Evaluation Report specifically for Sergeants. This document is used to assess the performance and potential of non-commissioned officers within the U.S. Army. Proper completion of this form is essential for maintaining accurate records and ensuring fair evaluations.

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Overview

The DA Form 2166-9-1 serves as a crucial tool in the Non-Commissioned Officer (NCO) evaluation process, particularly for the rank of Sergeant (SGT). This form encapsulates essential administrative data, including the NCO's name, Social Security Number (or DOD ID), unit information, and evaluation period, ensuring clarity and accuracy in the reporting process. Additionally, the form requires authentication signatures from the rater and senior rater, alongside a supplementary review if applicable. The document meticulously details the rated duties and responsibilities, provides a framework for performance evaluation across various metrics such as character and potential, and emphasizes adherence to Army standards and values. An important component is the performance evaluation section, where raters assess attributes like presence, intellect, leadership, and development, culminating in an overall rating of the NCO's performance. The form not only aids in professional development but also aligns with guidelines set forth by AR 623-3 and DA PAM 623-3, reminding all parties involved of their duty to uphold the integrity of the evaluation process. The urgency of accurately completing this form cannot be understated, as it plays a pivotal role in shaping the career trajectories of NCOs in the Army.

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HQDA#:

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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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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

File Properties

Fact Name Details
Form Title NCO Evaluation Report (SGT)
HQDA Number HQDA#: Required for submission
Governing Regulations AR 623-3 and DA PAM 623-3 govern the use of this form
Privacy Act Compliance Contains a Privacy Act Statement as per AR 623-3
Administrative Data Includes critical information such as name, SSN, rank, and period covered
Rater and Senior Rater Requires signatures and identification details of both raters
Comment Sections Allows space for comments on performance in various areas
Counseling Dates Raters must include initial and subsequent counseling dates
Performance Evaluation Categories Covers attributes such as character, presence, intellect, leadership, development, and achievement
Rated NCO's Awareness Rated NCO acknowledges understanding of report contents and appeals processes

Instructions on Utilizing Da 2166 9 1

Once the DA 2166 9 1 form is fully completed, it will be reviewed for submission. This document is crucial for the evaluation process, and it must be filled out accurately to ensure that all information about the respondent's service, performance, and potential is adequately represented.

  1. Part I - Administrative Data:
    • Enter your full name (Last, First, Middle Initial).
    • Provide your Social Security Number (SSN) or Department of Defense (DOD) ID Number.
    • Indicate your rank.
    • Fill in your date of rank.
    • List your Primary Military Occupational Specialty Code (PMOSC).
    • Detail your unit, organization, station, and ZIP code or APO, along with the major command.
    • State your status code.
    • Provide your Unit Identification Code (UIC).
    • Select the reason for submission.
    • Specify the coverage period from start to finish.
    • Indicate the number of rated months.
    • Enter any non-rated codes.
    • List the number of enclosures.
    • Include your email address (must be a government (.gov) or military (.mil) address).
  2. Part II - Authentication:
    • Input the name of the rater (Last, First, Middle Initial).
    • Provide the SSN or DOD ID Number of the rater.
    • Obtain the rater's signature and date.
    • Fill in the rater's rank, PMOSC/branch, and organization duty assignment.
    • Include the rater's email address.
    • Enter the name of the senior rater.
    • Provide the senior rater's SSN or DOD ID Number.
    • Have the senior rater sign and date.
    • Fill in the senior rater's rank, PMOSC/branch, and organization duty assignment.
    • Provide the senior rater's email address.
    • For supplementary review, fill in the name of the reviewer and indicate if a review is required.
    • Get the supplementary reviewer’s signature and date along with their email address.
  3. Part III - Duty Description (Rater):
    • State the principal duty title.
    • Provide the duty MOSC.
    • Describe daily duties and scope, including relevant people, equipment, facilities, and budget.
    • List areas of special emphasis.
    • Indicate appointed duties.
  4. Part IV - Performance Evaluation, Professionalism, Attributes, and Competencies (Rater):
    • Document the APFT pass/fail/profile status and date.
    • Input Height and Weight and indicate if they are within standard.
    • Rate the NCO's character, presence, intellect, leadership, development, and achievement, including specific comments for each area.
    • Ensure the rater overall performance notes are filled out accordingly.
  5. Part V - Senior Rater Overall Potential:
    • Select the box representing the rated NCO’s potential compared to others in the same grade.
    • Provide comments regarding the rated NCO's potential.
    • List two successive assignments and one broadening assignment.

Important Facts about Da 2166 9 1

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

The DA 2166 9 1 form, also known as the NCO Evaluation Report for Sergeants, serves as a vital tool in assessing the performance of non-commissioned officers (NCOs) in the U.S. Army. It captures detailed information about an NCO’s duties, capabilities, and potential for future assignments. This form helps establish a clear record of evaluation for personnel decisions, career progression, and promotions. It enables the Army to maintain high performance standards and ensures that leaders are evaluated fairly and accurately.

Who must complete the DA 2166 9 1 form?

The rater, senior rater, and evaluated NCO are all required to complete the DA 2166 9 1 form. The rater is typically the immediate supervisor of the NCO being evaluated, and they provide an assessment of the NCO’s job performance. The senior rater is usually a higher-ranking officer who reviews and adds their comments regarding the NCO’s overall potential. The rated NCO must also verify personal information and acknowledge their understanding of the evaluation contents, although their signature doesn’t imply agreement or disagreement with the assessments given.

How is the performance of an NCO evaluated on this form?

The evaluation process is comprehensive and includes multiple categories of assessment. Each aspect of the NCO’s performance is rated in areas such as character, presence, intellect, leadership, development, and achievement. Raters provide comments that illustrate how well the NCO meets the standards for each category. There is also a section for overall performance which gives a clearer picture of the NCO's capabilities relative to their peers.

What is the significance of the counseling dates on the DA 2166 9 1 form?

The counseling dates are crucial elements of the evaluation process. They indicate when the NCO has received feedback about their performance throughout the evaluation period. There's typically an initial counseling date and additional follow-up dates that ensure ongoing performance discussions between the rated NCO and the rater. This aspect promotes transparency and helps the NCO understand areas for improvement and growth throughout their evaluation period.

What should an NCO know regarding the appeals process of the DA 2166 9 1 evaluation?

It is important for NCOs to be aware of their right to appeal the evaluation if they believe there are inaccuracies in the report or if they disagree with the assessments provided by their raters. The appeal process is guided by Army Regulation 623-3, which outlines the specific steps and timelines for submitting an appeal. Understanding this process can empower NCOs to ensure that their performance evaluations accurately reflect their contributions and competencies.

Common mistakes

Completing the DA 2166 9 1 form can often be confusing. Many individuals make mistakes that can lead to delays or issues with the evaluation report. Below are some common errors to be aware of.

One frequent mistake is failing to provide accurate personal information. This includes the name, social security number, and rank. Inaccuracies here can lead to significant complications. Make sure to double-check all entries for correctness.

Another mistake involves omitting required dates. Each section of the form requires specific dates, such as the date of rank and the period covered by the evaluation. Missing or incorrect dates may result in a return of the submission for correction.

People sometimes overlook the importance of the rater’s and senior rater's signatures. Both signatures are crucial for the authenticity of the document. If either signature is missing, the form will not be processed.

Failure to include the rated NCO's email address is another common error. This piece of information provides a means for communication regarding the evaluation. Ideally, the email address should end in .gov or .mil to ensure security and proper handling.

Some may forget to indicate the reason for submission. This field clarifies the purpose of the evaluation and can impact how it is processed. It’s essential to choose the appropriate option clearly and accurately.

Incorrect information regarding rated months is often provided. Ensure the months being reported align with the evaluation period. Discrepancies can lead to confusion about the NCO's evaluations and qualifications.

Completing the performance evaluation section inadequately can result in an incomplete assessment. Clear and concise comments are necessary here. Vague statements or failure to provide adequate details can diminish the impact of the evaluation.

Not all codes are understood or used correctly. Familiarize yourself with the nonrated codes and how they apply. Incorrectly using these codes can affect the evaluation outcome and how the NCO is perceived.

Finally, some individuals neglect to inform the rater about the comments made in each evaluation area. Offering constructive feedback is vital for the NCO's professional growth. Therefore, it is important to provide complete and truthful assessments.

By avoiding these common mistakes, individuals can ensure a smooth and effective evaluation process. Attention to detail is crucial when filling out the DA 2166 9 1 form, as it affects both the NCO's evaluation and future opportunities.

Documents used along the form

The DA Form 2166-9-1 is widely used for evaluating Non-Commissioned Officers (NCOs) in the U.S. Army. When completing this evaluation process, several other forms and documents may be necessary to support the assessment and provide additional context. Below are some of these related documents.

  • DA Form 2166-9-2: This form is used for evaluating NCOs in the ranks of Sergeant First Class and above. It complements the DA Form 2166-9-1 by providing additional performance evaluation data, enabling a more comprehensive review of an NCO's capabilities and potential.
  • DA Form 1059: This document is the Academic Evaluation Report. It is issued upon completion of formal military training and is essential for assessing an NCO's educational qualifications and skills acquired during their military career.
  • DA Form 4856: Known as the Developmental Counseling Form, this document is used to record counseling sessions. It helps track an NCO's performance and professional development over time, serving as a reference for future evaluations.
  • DA Form 703: This form is utilized for documenting the Army Physical Fitness Test (APFT) results. It is crucial for evaluating an NCO’s physical readiness and is often referenced in performance evaluations.

These documents work together to ensure that evaluations are thorough, fair, and well-supported, ultimately contributing to an NCO's professional growth and success within the Army structure.

Similar forms

The DA Form 2166-9-1 is an important document used for evaluating non-commissioned officers (NCOs) in the U.S. Army. Several other documents serve similar functions in performance evaluation. Here are five documents that share characteristics with the DA Form 2166-9-1:

  • DA Form 67-9: This form, known as the Officer Evaluation Report, assesses officer performance in a detailed manner similar to the NCO evaluation. It includes many of the same evaluation categories, such as leadership and professionalism, and requires signatures from raters and senior raters.
  • DA Form 1059: Used for the evaluation of students during Army courses, this form captures performance and potential in a structured format. Like the 2166-9-1, it includes feedback sections and requires endorsements from instructors.
  • DA Form 705: The Army Physical Fitness Test Scorecard, though focused primarily on physical fitness, also assesses an individual’s adherence to Army standards and overall health. It similarly requires signatures from those administering the fitness evaluations.
  • DA Form 4856: This is a Developmental Counseling Form. It is utilized for documenting informal performance reviews and counseling sessions between leaders and their subordinates. Like the 2166-9-1, the DA Form 4856 emphasizes communication and feedback.
  • DA Form 5000-3: The Army Acquisition Evaluation Report is designed for assessing performance in acquisition roles. Similar to the NCO evaluation report, it evaluates competencies, attributes, and overall performance against Army standards.

Dos and Don'ts

When completing the DA 2166-9-1 form, ensuring accuracy and clarity is essential. Below are five tips to guide you through the process.

  • Double-check your personal information. Ensure that your name, SSN, and rank are correctly entered. Errors can lead to confusion later.
  • Submit on time. Be aware of submission deadlines to avoid delays. Timeliness reflects professionalism.
  • Review all sections thoroughly. Each part of the form has specific requirements. Familiarize yourself with them to provide complete information.
  • Ask for help if necessary. If you're unsure about any section, seek guidance from a supervisor or a colleague. It's better to ask than to guess.
  • Keep a copy of your completed form. Documentation is important. Having a record helps in future evaluations or any necessary appeals.

Conversely, there are certain approaches to avoid when filling out the form. The following list highlights things you should refrain from doing:

  • Do not rush through the form. Taking your time assures that all information is accurate and reflects well on your professionalism.
  • Avoid using unauthorized email addresses. Make sure that your email address is either .gov or .mil, as unauthorized addresses could lead to processing issues.
  • Do not leave sections blank. Every part of the form is crucial. Incomplete information can delay the evaluation process.
  • Steer clear of vague language. Use clear, specific descriptions of duties and achievements to provide a comprehensive view of your performance.
  • Do not submit without a final review. Always review your form to check for errors or omissions before submitting.

Misconceptions

Understanding the DA Form 2166-9-1 can be vital for NCOs and their superiors. Below are common misconceptions surrounding this evaluation report.

  • Many believe that signing the form means they agree with everything in it. In reality, the signature only confirms that the administrative data is accurate and the individual has seen the report.
  • Some think that this form is solely for negative evaluations. However, it serves to document both strengths and areas for improvement, offering a balanced view of performance.
  • A common misconception is that the rater has unlimited discretion in filling out the form. While raters have responsibility, they must adhere to established guidelines and standards.
  • People often believe that the DA Form 2166-9-1 applies only during certain times of the year. In fact, it can be submitted at any time, based on the specifics of the NCO's evaluations.
  • Some assume that not being rated is a bad thing. Non-rated periods are often just a part of the evaluation cycle and do not reflect negatively on an NCO.
  • Another misconception is that the evaluation only impacts current assignments. In truth, evaluations can influence future promotions, assignments, and overall career progression.
  • Many believe they cannot challenge their evaluations. However, there is an appeals process established that allows NCOs to address issues with their ratings.
  • Lastly, some think the form is used only for performance appraisals. It also includes professional development aspects, encouraging NCOs to grow in their roles.

Being informed about these misconceptions can lead to better understanding and management of the evaluation process. Clarity and accuracy in using the DA Form 2166-9-1 are essential for successful career navigation in the military.

Key takeaways

Understanding the DA Form 2166-9-1 is essential for NCOs, raters, and senior raters to accurately assess and document performance evaluations. This form is vital for personnel evaluations in the Army, particularly for Sergeants (SGT). Here are some key takeaways regarding the filling out and use of this form:

  • The form's administrative data section requires accurate personal details, including name, Social Security Number, and unit information. Ensure that all entries are correct to avoid complications later.
  • Rater and senior rater signatures are critical for authenticity. Both officials must provide their signatures and include their respective emails, which helps in maintaining clear communication and accountability.
  • In the performance evaluation section, specific competencies are assessed, such as character, presence, intellect, leadership, and ability to achieve results. Each area must be thoughtfully evaluated and supported by meaningful comments.
  • The form includes a section for counseling dates, which emphasizes the importance of ongoing discussions about performance expectations. This helps to ensure that NCOs understand how they can improve and progress in their roles.

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