Fill Out Your Da 2166 9 1 Template
The DA 2166-9-1 form plays a crucial role in the evaluation of Non-Commissioned Officers (NCOs) within the U.S. Army. This form is specifically designed for the NCO Evaluation Report for the rank of Sergeant. It serves as a comprehensive tool for assessing an NCO’s performance, professionalism, and potential for future assignments. The form requires detailed administrative data, including the NCO’s name, Social Security Number, rank, and unit information. It also outlines the responsibilities of both the rater and senior rater, ensuring that evaluations are conducted fairly and transparently. The evaluation process includes a thorough review of the NCO's daily duties, performance in various competencies, and adherence to Army values. Additionally, the form addresses physical fitness through the Army Physical Fitness Test (APFT) and other relevant metrics. The DA 2166-9-1 is not just a formality; it is a vital document that influences career progression and reflects the NCO’s contributions to their unit and the Army as a whole.
Similar forms
The DA Form 2166-9-1 is similar to the DA Form 2166-9, which is the NCO Evaluation Report for higher ranks. Both forms serve the purpose of evaluating the performance and potential of Non-Commissioned Officers (NCOs). The DA Form 2166-9 includes a broader scope for evaluations, accommodating senior NCOs and providing a comprehensive assessment of their leadership abilities, professional development, and contributions to the Army's mission. Each form emphasizes the importance of feedback from both raters and senior raters, ensuring a well-rounded perspective on the NCO's performance.
Another comparable document is the DA Form 67-9, which is the Officer Evaluation Report (OER). This form is used for commissioned officers and shares a similar structure with the DA Form 2166-9-1. Both documents require detailed assessments of duty performance, leadership qualities, and potential for future assignments. They both also include sections for the rater and senior rater to provide their evaluations, fostering accountability and transparency in the evaluation process.
The DA Form 1059, the Academic Evaluation Report, is also similar in nature. It evaluates the performance of soldiers during training courses and educational programs. Like the DA Form 2166-9-1, it captures the soldier's achievements, areas for improvement, and overall potential. Both forms aim to provide constructive feedback that can guide future career decisions and professional development.
Additionally, the DA Form 4856, the Developmental Counseling Form, shares similarities in its focus on performance and growth. This form is used for one-on-one counseling sessions between leaders and soldiers, allowing for discussion of performance issues and setting goals for improvement. While the DA Form 2166-9-1 is more formal and structured for evaluations, both documents prioritize the soldier's development and well-being.
The DA Form 703, the Army Physical Fitness Test Scorecard, is another relevant document. It assesses soldiers' physical fitness levels, which is a critical aspect of overall performance evaluations. The DA Form 2166-9-1 incorporates physical fitness results as part of the assessment process. Both forms highlight the importance of maintaining physical standards and provide insights into a soldier's readiness and capability.
The DA Form 638, the Recommendation for Award, also shares similarities in its evaluative nature. This form is used to recommend soldiers for awards based on their performance and contributions. Like the DA Form 2166-9-1, it requires detailed descriptions of accomplishments and impacts, ensuring that deserving soldiers receive recognition for their hard work and dedication.
In the context of military documentation, understanding various evaluation forms is essential, and similar principles apply to legal documents such as the Georgia PDF Forms, which provide necessary frameworks for granting authority and managing responsibilities effectively.
The DA Form 4856-1, the NCOER Support Form, is another document that aligns with the DA Form 2166-9-1. This support form is used to establish performance objectives and expectations between the NCO and their rater. It facilitates ongoing communication about performance standards, making it a valuable tool for setting the foundation for future evaluations. Both forms emphasize the collaborative nature of performance management.
Lastly, the DA Form 7500, the Army Career Tracker, is similar in that it tracks soldiers' professional development and career progression. This form allows soldiers to document their training, education, and experiences over time. While the DA Form 2166-9-1 focuses on a specific evaluation period, both documents contribute to a comprehensive understanding of a soldier's career trajectory and readiness for future roles within the Army.
Form Specifications
| Fact Name | Details |
|---|---|
| Form Purpose | The DA 2166-9-1 form is used for evaluating the performance of Non-Commissioned Officers (NCOs) at the rank of Sergeant. |
| Governing Regulations | This form is governed by Army Regulation (AR) 623-3 and DA Pamphlet (PAM) 623-3. |
| Privacy Considerations | Users must adhere to the Privacy Act as outlined in AR 623-3 when completing this form. |
| Submission Requirements | The form requires various administrative data, including the rated NCO's email address and counseling dates. |
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Sample - Da 2166 9 1 Form
HQDA#: |
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NCO EVALUATION REPORT (SGT)
For use of this form, see AR
SEE PRIVACY ACT STATEMENT
IN AR
PART I
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
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 |
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REVIEW REQUIRED? |
(Last, First, Middle Initial) |
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BRANCH |
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YES |
NO |
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c4. COMMENTS |
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c5. SUPPLEMENTARY REVIEWER'S SIGNATURE |
c6. DATE(YYYYMMDD) |
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c7. SUPPLEMENTARY REVIEWER'S EMAIL ADDRESS |
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ENCLOSED? |
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(.gov or .mil) |
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YES |
NO |
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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
d1. COUNSELING DATES INITIAL
LATER
LATER
LATER
d2. RATED NCO'S SIGNATURE
d3. DATE (YYYYMMDD)
PART III
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
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 |
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APD LC v1.00ES
RATED NCO'S NAME (Last, First, Middle Initial) |
SSN (or DOD ID No.) |
THRU DATE |
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PART IV
d. PRESENCE: (Military and professional |
COMMENTS: |
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bearing, Fitness, Confidence, Resilience.) |
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MET |
DID NOT MEET |
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STANDARD |
STANDARD |
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e. INTELLECT: (Mental agility, Sound judgment, COMMENTS: |
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Innovation, Interpersonal tact, Expertise.) |
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MET |
DID NOT MEET |
STANDARD |
STANDARD |
f. LEADS: (Leads others, Builds trust, Extends COMMENTS: |
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influence beyond the chain of command, Leads by |
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example Communicates.) |
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MET |
DID NOT MEET |
STANDARD |
STANDARD |
g. DEVELOPS: (Creates a positive command/ COMMENTS: |
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workplace environment, Fosters esprit de corps, |
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Prepares self, Develops others, Stewards the |
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profession.) |
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MET |
DID NOT MEET |
STANDARD |
STANDARD |
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h. ACHIEVES: (Gets results.) |
COMMENTS: |
MET |
DID NOT MEET |
STANDARD |
STANDARD |
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RATER OVERALL PERFORMANCE |
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i. I currently rate |
NCOs in this grade. |
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COMMENTS: |
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PART V |
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a. Select one box representing Rated |
b. COMMENTS: |
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NCO’s potential compared to others in the |
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same grade whom you have rated in your |
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career. I currently senior rate |
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NCOs in this grade. |
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MOST QUALIFIED |
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HIGHLY QUALIFIED |
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QUALIFIED |
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NOT QUALIFIED |
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c. List two successive assignments and one broadening assignment |
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Successive Assignment: |
1) |
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2) |
Broadening Assignment: |
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DA FORM |
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Page 2 of 2 |
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APD PE v1.00ES |