Evaluation Report & Counseling Record
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EVALUATION REPORT & COUNSELING RECORD (E1 - E6)
RCS BUPERS 1610-1
1. Name
(Last, First MI Suffix)
2. Rate
3. Desig
4. SSN
5.
ACT
FTS
INACT AT/ADSW/265
6. UIC
7. Ship/Station
8. Promotion Status
9. Date Reported
Occasion for Report
Period of Report
Detachment
Promotion /
13. Special
14. From:
15. To:
10. Periodic
11. of Individual
12. Frocking
20. Physical Readiness
21. Billet Subcategory (if any)
16. Not Observed
Type of Report
Report
17. Regular
18. Concurrent
22. Reporting Senior (Last, FI MI)
23. Grade
24. Desig
25. Title
26. UIC
27. SSN
28. Command employment and command achievements
29. Primary/Collateral/Watchstanding duties. (Enter Primary duty abbreviation in box.)
30. Date Counseled
31. Counselor
32. Signature of Individual Counseled
For Mid-term Counseling Use. (When completing EVAL
Enter 30 and 31 from counseling worksheet sign 32.)
PERFORMANCE TRAITS: 1.0 – Below standards / not progressing or UNSAT in any one standard; 2.0 – Does not yet meet all 3.0 standards; 3.0 – Meets all 3.0
standards; 4.0 – Exceeds most 3.0 standards; 5.0 – Meets overall criteria and most of the specific standards for 5.0. Standards are not all inclusive.
4.0
2.0
PERFORMANCE
1.0*
3.0
5.0
Above
Pro-
TRAITS
Below Standards
Meets Standards
Greatly Exceeds Standards
Standards
gressing
33.
- Marginal knowledge of rating, specialty
- Strong working knowledge of rating, specialty
- Recognized expert, sought out by all for
or job.
and job.
technical knowledge.
PROFESSIONAL
- Unable to apply knowledge to solve
- Reliably applies knowledge to
- Uses knowledge to solve complex
KNOWLEDGE:
routine problems.
accomplish tasks.
technical problems.
Technical knowledge
- Fails to meet advancement/PQS
- Meets advancement/PQS requirements on time.
- Meets advancement/PQS requirements
and practical application.
requirements.
early/with distinction.
NOB
34.
- Needs excessive supervision.
- Needs little supervision.
- Needs no supervision.
- Product frequently needs rework.
- Produces quality work.
- Always produces exceptional work.
QUALITY OF WORK:
- Wasteful of resources.
Few errors and resulting rework.
No rework required.
Standard of work;
- Uses resources efficiently.
- Maximizes resources.
value of end product.
NOB
35.
- Actions counter to Navy's retention/
- Positive leadership supports Navy's increased
- Measurably contributes to Navy's increased
COMMAND OR
reenlistment goals.
retention goals. Active in decreasing attrition.
retention and reduced attrition objectives.
- Uninvolved with mentoring or
- Actions adequately encourage/support
- Proactive leader/exemplary mentor.
ORGANIZATIONAL
CLIMATE/EQUAL
professional development of subordinates.
subordinates' personal/professional growth.
Involved in subordinates' personal
- Actions counter to good order and
- Demonstrates appreciation for contributions of
development leading to professional growth/
OPPORTUNITY:
discipline and negatively affect Command/
Navy personnel. Positive influence on
sustained commitment.
Contributing to growth
Organizational climate.
Command climate.
- Initiates support programs for military,
and development,
- Demonstrates exclusionary behavior.
- Values differences as strengths.
civilian, and families to achieve exceptional
human worth,
Fails to value differences from
Fosters atmosphere of acceptance/
Command and Organizational climate.
community.
cultural diversity.
inclusion per EO/EEO policy.
- The model of achievement.
Develops unit cohesion by valuing differences
as strengths.
NOB
36.
- Consistently unsatisfactory appearance.
- Excellent personal appearance.
- Exemplary personal appearance.
MILITARY BEARING/
- Poor self-control; conduct resulting in
- Excellent conduct, conscientiously complies
- Model of conduct, on and off duty.
CHARACTER:
disciplinary action.
with regulations.
- A leader in physical readiness.
- Unable to meet one or more
- Complies with physical readiness program.
- Exemplifies Navy Core Values:
Appearance, conduct,
physical readiness standards.
- Always lives up to Navy Core Values:
HONOR, COURAGE, COMMITMENT.
physical fitness,
- Fails to live up to one or more
HONOR, COURAGE, COMMITMENT.
adherence to
Navy Core Values:
Navy Core Values.
HONOR, COURAGE, COMMITMENT.
NOB
- Productive and motivated.
- Energetic self-starter. Completes tasks or
- Needs prodding to attain qualification or
37.
Completes tasks and qualifications fully and
qualifications early, far better than expected.
finish job.
PERSONAL JOB
on time.
- Plans/prioritizes wisely and with
- Prioritizes poorly.
ACCOMPLISHMENT/
- Plans/prioritizes effectively.
exceptional foresight.
- Avoids responsibility.
INITIATIVE:
- Reliable, dependable,
- Seeks extra responsibility and takes on the
Responsibility,
willingly accepts responsibility.
hardest jobs.
quantity of work.
NOB
FOR OFFICIAL USE ONLY-PRIVACY ACT SENSITIVE.
NAVPERS 1616/26 (08-10)
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