Da 2166 9 1 Template

Da 2166 9 1 Template

The DA 2166-9-1 form is used for the Noncommissioned Officer Evaluation Report (NCOER) specifically for Sergeants. This important report captures essential information about an NCO's performance, potential, and duty assignments, ensuring a structured method for evaluation. Accurate completion of the form is vital for assessment and development, so make sure to fill it out by clicking the button below.

Content Overview

The DA Form 2166-9-1, known as the Non-Commissioned Officer Evaluation Report for the rank of Sergeant, serves as a critical document within the U.S. Army’s personnel evaluation process. This form thoroughly assesses a non-commissioned officer's performance and potential for growth during specific evaluation periods. The form requires comprehensive input across various sections, starting with administrative data that establishes the identity of the rated NCO, including name, Social Security Number or DOD ID, rank, and unit information. Following this, authentication is vital, incorporating signatures from the rater, senior rater, and, if applicable, a supplementary reviewer, which ensures various levels of oversight and accountability. The document progresses into detailed sections that describe the NCO's duty title, scope of responsibilities, and key performance indicators. Evaluative components focus on attributes like character, presence, intellect, leadership, development, and achievement—each measured against established standards. Additionally, the senior rater provides an overall assessment of the NCO's potential in relation to peers. This structured format not only aids in professional development but also impacts career progression within the Army, making it a pivotal tool for both evaluation and future planning.

Da 2166 9 1 Sample

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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

 

Page 2 of 2

 

 

 

 

 

 

 

APD PE v1.00ES

Document Attributes

Fact Name Description
Purpose The DA 2166-9-1 form is used for evaluating the performance of Non-Commissioned Officers (NCOs) in the U.S. Army, specifically for the rank of Sergeant. It gathers important administrative and performance data.
Governing Authority This form follows the guidelines outlined in Army Regulation (AR) 623-3 and DA Pamphlet (PAM) 623-3, which regulate personnel evaluations in the Army.
Privacy Protection The form includes a Privacy Act Statement as per AR 623-3, ensuring that personal information collected is handled in accordance with privacy laws.
Authentication Required Rater and senior rater signatures are mandatory for the completion of the form, along with the rated NCO’s acknowledgment of the report's content and accuracy.

Da 2166 9 1: Usage Instruction

Filling out the DA Form 2166-9-1 is an essential process for evaluating the performance of Non-Commissioned Officers (NCOs). This form ensures that all necessary information is documented, allowing for a comprehensive and fair assessment. After completing the form, the necessary documentation will be submitted for review. Follow the steps below to accurately fill out the form.

  1. Part I - Administrative Data: Start by entering the administrative data.
  2. Write the rated NCO's full name (last, first, middle initial).
  3. Provide the Social Security Number or Department of Defense ID Number.
  4. Include the rank of the rated NCO.
  5. Write the date the NCO attained that rank.
  6. Enter the Primary Military Occupational Specialty Code (PMOSC).
  7. Document the unit, organization, station, ZIP code or APO, and major command.
  8. Fill in the status code.
  9. Include the Unit Identification Code (UIC).
  10. Indicate the reason for submission.
  11. Enter the period covered by the evaluation (from and through dates).
  12. Specify the number of rated months.
  13. Document any non-rated codes.
  14. Indicate the number of enclosures.
  15. Provide the rated NCO's email address (must be .gov or .mil).
  1. Part II - Authentication: Fill out the authentication section.
  2. Enter the name of the rater (last, first, middle initial).
  3. Provide the rater's Social Security Number or Department of Defense ID Number.
  4. Obtain the rater's signature and date.
  5. Document the rater's rank, PMOSC/branch, and organization duty assignment.
  6. Add the rater's email address (must be .gov or .mil).
  7. Complete the same steps for the senior rater.
  8. Enter the name of the supplementary reviewer, if applicable.
  9. Document whether a supplementary review is required.
  10. Provide any comments from the supplementary reviewer.
  11. Collect the signature and date from the supplementary reviewer.
  1. Part III - Duty Description: Describe the rated NCO’s duties.
  2. State the principal duty title.
  3. Document the duty PMOSC.
  4. List daily duties and scope: Include responsibilities regarding people, equipment, and resources.
  5. Identify areas of special emphasis.
  6. Detail any appointed duties.
  1. Part IV - Performance Evaluation: Evaluate various competencies.
  2. Record the APFT results (pass/fail/profile) and date.
  3. Document height and weight; mark if within standards.
  4. In each competency section—character, presence, intellect, leads, develops, achieves—indicate whether the NCO met standards and provide comments.
  5. Add comments for overall performance evaluation.
  1. Part V - Senior Rater Overall Potential: Assess the potential of the rated NCO.
  2. Select a box that represents the NCO's potential compared to others you have rated.
  3. Provide comments about the rated NCO’s potential.
  4. List two successive assignments and one broadening assignment over the past 3-5 years.

Once all sections have been completed, ensure that all necessary signatures are obtained, and review all entries for accuracy before submission. This thoroughness helps maintain the integrity of the evaluation process.

Frequently Asked Questions

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

    The DA 2166 9 1 form serves as the Noncommissioned Officer Evaluation Report (NCOER) specifically for Sergeants (SGT). Its primary purpose is to document and evaluate the performance and potential of NCOs. Using this form facilitates honest feedback regarding various aspects of an NCO's duties, professionalism, and overall capabilities within their specified roles.

  2. Who fills out the DA 2166 9 1 form?

    The form is completed by the rated NCO’s direct rater and a senior rater. The rater, typically a superior officer, assesses the rated NCO’s performance, while the senior rater appraises the NCO's potential in comparison to others in the same grade. Additionally, the rated NCO must sign the form, indicating that they acknowledge the accuracy of the administrative data and the review of their evaluation.

  3. What information is required in Part I of the form?

    Part I demands basic administrative data including:

    • Name (Last, First, Middle Initial)
    • Social Security Number (or Department of Defense Identification Number)
    • Rank and Date of Rank
    • Unit, Organization, Station, and ZIP Code
    • Reason for Submission and Period Covered
    • Rated NCO's email address

    This information is essential as it outlines the demographics and evaluation period for the NCO being rated.

  4. What are some of the main evaluation criteria included in the DA 2166 9 1?

    The form evaluates multiple critical attributes of performance. Some of the main criteria include:

    • Character: Adherence to Army Values and overall discipline.
    • Presence: Military and professional bearing, fitness, and confidence.
    • Intellect: Sound judgment and innovation in problem-solving.
    • Leads: Ability to lead others and communicate effectively.
    • Develops: Creating positive environments and fostering growth.
    • Achieves: Overall results and accomplishments.

    These evaluation criteria help outline the rated NCO’s strengths and areas for improvement, providing a comprehensive review of their capabilities.

Common mistakes

Filling out the DA 2166-9-1 form can be a straightforward task, but many individuals make common mistakes that could delay processing or impact evaluations. One frequent error is **incorrectly entering names**. The form requires the name format of Last, First, Middle Initial. Missing or misplacing even a single letter can lead to complications. Double-checking spelling is vital for ensuring clarity.

Another mistake revolves around the **Social Security Number (SSN) or DOD ID No.** People often enter an incorrect number or fail to provide one entirely. This oversight can hamper verification processes and cause unnecessary delays. Maintaining accuracy in this section is crucial.

People also tend to overlook the **Rank and Date of Rank** fields. Misstating rank can lead to significant misunderstandings in evaluations. Always ensure that these details match what is reflected in official military records.

Additionally, there is often confusion about the **Period Covered** section. Some individuals fail to clearly indicate the start and end dates. Ambiguities in this area can make it challenging for evaluators to assess an individual’s performance adequately.

The **Email address** field is sometimes filled out incorrectly as well. It's important to ensure the email addresses provided are valid and end with **.gov or .mil**. An invalid address may prevent communication regarding evaluations and feedback.

Lastly, individuals commonly neglect to **sign and date** their submission correctly. While it may seem minor, missing signatures can lead to a return of the form for corrections. Both the rater's and rated NCO's signatures are necessary for the form to be processed smoothly.

Awareness of these common errors can make a significant difference in the accuracy and timeliness of submitting the DA 2166-9-1 form. Taking a few moments to review these areas can prevent headaches down the road.

Documents used along the form

The DA Form 2166-9-1 is a critical document for evaluating the performance of Non-Commissioned Officers (NCOs) in the U.S. Army. Several other forms and documents typically accompany this evaluation to ensure a thorough review process. Below is a list of these related documents.

  • DA Form 5700: This form records the Army Physical Fitness Test (APFT) results. It is used to assess the physical readiness of soldiers and is often referenced in performance evaluations.
  • DA Form 4856: This is a development counseling form. It documents counseling sessions between supervisors and soldiers, addressing performance, potential, and career development.
  • DA Form 1059: This form is used to report academic achievements during military education. It provides evidence of a soldier's educational progress and skills acquired through training courses.
  • DA Form 2823: This is a sworn statement form. It captures firsthand accounts of events that may affect a soldier’s evaluation or conduct. This document serves as crucial evidence in performance-related issues.
  • DA Form 67-10: This is used for the Officer Evaluation Report (OER). Although it focuses on officers, it helps establish a standard evaluation system within the military environment, referencing NCO interactions and leadership effects.

These documents collectively support the evaluation process and contribute to a comprehensive understanding of an NCO's performance and potential for growth within the Army.

Similar forms

The DA Form 2166-9-1 is a critical document used for evaluating non-commissioned officers (NCOs) in the U.S. Army. Several other forms and documents serve similar purposes, aiding in performance evaluations, documentation of service, and ensuring accountability within military ranks. Here are seven documents similar to the DA Form 2166-9-1:

  • DA Form 67-10-1: This form is the officer evaluation report used for company grade officers. Like the DA Form 2166-9-1, it assesses performance over a specified period and requires authentication by a rater and senior rater. It provides a structured way to evaluate leadership and potential within the officer ranks.
  • DA Form 1059: This document is used for training evaluations in the Army. Much like the NCO evaluation report, it summarizes the performance and achievements of soldiers during formal training courses, reflecting individual contributions and learning outcomes.
  • DA Form 7454: Known as the Non-Commissioned Officer Evaluation Report Support Form, this provides counselors and evaluators with a space to document input throughout the rating period. It parallels the DA 2166-9-1 by emphasizing continuous feedback and subject matter for future evaluations.
  • DA Form 2166-9: This is the broader evaluation form for NCOs that encompasses the evaluation of sergeants through sergeant majors. It shares a similar evaluation framework to the DA Form 2166-9-1, detailing performance and leadership effectiveness.
  • DA Form 2-1: This form is a personnel record used to maintain an overview of a soldier’s career history, including their assignments and evaluations. It parallels the DA Form 2166-9-1 by compiling essential data that impacts performance assessments and promotion considerations.
  • DA Form 160: This report is for the assessment of officer candidates during their evaluation of services. Similar to NCO performance evaluations, it plays a role in determining the readiness and suitability of potential officers for commissioned service.
  • DA Form 4187: Used for requests for personnel actions such as reassignments and promotions, this form affects evaluations indirectly. Like the DA Form 2166-9-1, it requires proper authentication and can impact an NCO’s career trajectory through its influence on their record.

Understanding these forms and their similarities can help in navigating the evaluation process within the Army. Each document contributes to a comprehensive picture of a soldier’s performance, ultimately guiding career development and opportunities within the military structure.

Dos and Don'ts

When filling out the DA 2166 9 1 form, certain practices can facilitate a more accurate and effective evaluation process. Here are five things to keep in mind:

  • Do ensure accuracy in personal information. Verify that names, ranks, and identification numbers are correct to prevent administrative errors.
  • Do provide clear descriptions of duties and responsibilities. Clearly articulate the principal duty title, daily duties, and any areas of special emphasis to give a complete picture of the rated NCO's role.
  • Do keep your comments professional and constructive. Use specific examples to illustrate performance, focusing on adherence to Army values and overall professional conduct.
  • Do make sure to include required signatures. Gather all necessary signatures from rater, senior rater, and supplementary reviewers to validate the evaluation.
  • Do review the completed form before submission. Take time to ensure all sections are filled out and that no information is missing.

Conversely, there are practices that should be avoided to enhance the integrity of this process:

  • Don’t rush through the form. Taking time to carefully fill out each section can prevent mistakes and omissions.
  • Don’t use vague language. Ambiguous phrasing can lead to misunderstandings about the rated NCO's performance.
  • Don’t omit any required information. Missing data can result in delays or complications in the evaluation process.
  • Don’t forget to follow privacy guidelines. Be aware of and respect confidentiality concerning the rated NCO’s personal information.
  • Don’t hesitate to seek clarification. If unsure about any aspect of the form, reach out for assistance rather than making assumptions.

Misconceptions

Misconceptions about the DA 2166 9 1 form can lead to confusion during the evaluation process. Here are four common misconceptions clarified:

  • Myth 1: The rated NCO must agree with the report.
  • In reality, the signature of the rated NCO indicates that they have reviewed the completed report and verified the administrative data for accuracy. It does not imply agreement or disagreement with the assessments made.

  • Myth 2: Only the rater conducts evaluations.
  • Both the rater and senior rater contribute to the evaluation process. The senior rater provides an additional layer of oversight and assessment, making their role just as crucial in grading the NCO's potential.

  • Myth 3: All NCOs are evaluated using the same criteria.
  • While there are basic evaluation standards, the DA 2166 9 1 form allows for customization based on specific duties and responsibilities. Each NCO’s performance is assessed against their unique set of duties and expectations.

  • Myth 4: Counseling dates are optional.
  • Counseling dates on the form are an important part of the evaluation process. They confirm that the rated NCO has received the necessary feedback regarding their performance at various points, which is essential for their professional development.

Key takeaways

  • Complete All Fields: Ensure that all sections of the DA 2166-9-1 form are filled out accurately. Missing information may delay evaluations or impact outcomes.
  • Provide Detailed Duty Descriptions: In Part III, clearly outline daily duties and areas of emphasis. This helps evaluators understand the scope of responsibilities.
  • Accuracy Is Crucial: Review the administrative data in Part I thoroughly. Errors can lead to significant misunderstandings in evaluations.
  • Signatures Matter: Ensure that all relevant parties sign the form, including the rated NCO's acknowledgment. This confirms that they are aware of the contents of the report.
  • Understand the Evaluation Criteria: Familiarize yourself with the sections assessing professionalism, attributes, and competencies. This knowledge can guide the rater in providing constructive assessments.
  • Seek Clarity on the Appeals Process: The rated NCO should be aware of how to initiate an appeal if necessary. Understanding this procedure is crucial in handling disagreements with evaluations.

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