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The DA 2166-9-1 form is an essential tool used within the U.S. Army to evaluate the performance of Non-Commissioned Officers (NCOs) at the rank of Sergeant. This evaluation report serves as a structured way to assess an NCO's professional capabilities, attributes, and potential for future assignments. It includes several key sections, starting with administrative data such as the NCO's name, Social Security Number, rank, and the period covered by the evaluation. The form requires input from both a rater and a senior rater, who provide their assessments and signatures to authenticate the report. Additionally, it captures the NCO's duty description, detailing their principal duties, areas of special emphasis, and appointed responsibilities. Performance evaluation is a critical aspect of the form, where various competencies are rated, including character, presence, intellect, leadership, development, and achievement. Each section allows for comments that provide context to the ratings given. The form also includes a section for the senior rater to evaluate the NCO's overall potential compared to peers, making it a comprehensive document for career progression within the Army.

Dos and Don'ts

When filling out the DA 2166-9-1 form, it is essential to follow specific guidelines to ensure accuracy and compliance. Below is a list of dos and don'ts to consider:

  • Do ensure all personal information is accurate, including name, SSN, and rank.
  • Do use the correct format for dates, specifically YYYYMMDD.
  • Do double-check the email addresses provided for the rater and senior rater.
  • Do provide clear and concise descriptions of duties and responsibilities.
  • Don't leave any required fields blank; all sections must be completed.
  • Don't use informal language or abbreviations that may cause confusion.
  • Don't forget to include the number of enclosures when applicable.
  • Don't sign the form without verifying that all information is correct.

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

 

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APD PE v1.00ES

Listed Questions and Answers

  1. What is the purpose of the DA Form 2166-9-1?

    The DA Form 2166-9-1 is primarily used for evaluating the performance of Non-Commissioned Officers (NCOs) in the rank of Sergeant. It serves as a formal record of an NCO's performance, providing a structured way to assess their duties, responsibilities, and overall potential within the Army.

  2. Who is responsible for filling out the DA Form 2166-9-1?

    The form is completed by the rater, who is typically the NCO’s immediate supervisor. The senior rater also plays a crucial role in the evaluation process, providing an additional layer of assessment regarding the NCO's performance and potential.

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

    Part I contains administrative data, including the NCO's name, Social Security Number (or DOD ID), rank, date of rank, unit information, and the period covered by the evaluation. Accurate completion of this section is vital, as it ensures the evaluation is properly attributed to the correct individual.

  4. What does the rater evaluate in Part IV?

    In Part IV, the rater assesses various performance attributes, including character, presence, intellect, leadership abilities, development skills, and overall achievement. Each area is rated as either "MET" or "DID NOT MEET STANDARD," allowing for specific comments to be provided for clarity and context.

  5. What is the significance of the counseling dates in Part II?

    The counseling dates in Part II are essential as they document when the NCO received feedback about their performance. This ensures that the NCO is aware of their standing and has had the opportunity to address any concerns prior to the evaluation being finalized.

  6. How does the senior rater contribute to the evaluation?

    The senior rater provides an overall assessment of the NCO's potential compared to others in the same grade. This includes selecting a qualification level—ranging from "Most Qualified" to "Not Qualified"—and offering comments that highlight the NCO's future potential within the Army.

  7. What is the role of the supplementary reviewer?

    The supplementary reviewer, if applicable, adds an additional layer of oversight to the evaluation process. They may provide comments and sign off on the evaluation to ensure that it meets the necessary standards and reflects a fair assessment of the NCO's performance.

  8. What happens if an NCO disagrees with their evaluation?

    If an NCO disagrees with their evaluation, they have the right to appeal. The appeals process is outlined in AR 623-3, allowing the NCO to formally contest the ratings and comments made by the rater and senior rater. This process ensures that concerns are addressed appropriately.

  9. Where can I find more information about the DA Form 2166-9-1?

    Additional information about the DA Form 2166-9-1 can be found in AR 623-3 and DA PAM 623-3. These documents provide comprehensive guidelines on the evaluation process, including instructions for completing the form and understanding the associated policies.

Form Overview

Fact Name Details
Form Purpose The DA 2166-9-1 form is used to evaluate the performance of Non-Commissioned Officers (NCOs) in the U.S. Army.
Governing Regulations This form is governed by Army Regulation (AR) 623-3 and Department of the Army Pamphlet (DA PAM) 623-3.
Privacy Act Compliance The form includes a Privacy Act Statement, ensuring that personal information is protected according to AR 623-3.
Last Revision Date The most recent version of the DA 2166-9-1 form was issued in November 2015.