Evaluation Report & Counseling Record Page 2
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1
2EVALUATION REPORT & COUNSELING RECORD (E1 - E6 ) (cont'd)
RCS BUPERS 1610-1
1. Name (Last, First MI Suffix)
2. Rate
3. Desig
4. SSN
4.0
2.0
PERFORMANCE
1.0*
3.0
5.0
Above
Pro-
TRAITS
Below Standards
Meets Standards
Greatly Exceeds Standards
Standards
gressing
- Creates conflict,
- Reinforces others' efforts,
- Team builder,
38.
unwilling to work with others,
meets commitments to team.
inspires cooperation and progress.
TEAMWORK:
puts self above team.
- Understands goals,
- Focuses goals and techniques for teams.
Contributions to
- Fails to understand team goals or
employs good teamwork techniques.
- The best at accepting and offering
team building and
teamwork techniques.
- Accepts and offers team direction.
team direction.
team results.
- Does not take direction well.
NOB
- Neglects growth/development or welfare
- Effectively stimulates growth/development in
- Inspiring motivator and trainer, subordinates
39.
of subordinates.
subordinates.
reach highest level of growth and development.
LEADERSHIP:
- Fails to organize, creates problems
- Organizes successfully, implementing
- Superb organizer, great foresight, develops
Organizing, motivating
for subordinates.
process improvements and efficiencies.
process improvements and efficiencies.
and developing others
- Does not set or achieve goals relevant to
- Sets/achieves useful, realistic goals
- Leadership achievements dramatically further
to accomplish goals.
command mission and vision.
that support command mission.
command mission and vision.
- Lacks ability to cope with or
- Performs well in stressful situations.
- Perseveres through the toughest challenges
tolerate stress.
- Clear, timely communicator.
and inspires others.
- Inadequate communicator.
- Ensures safety of personnel and equipment.
- Exceptional communicator.
- Tolerates hazards or unsafe practices.
- Makes subordinates safety-conscious,
maintains top safety record.
- Constantly improves the personal and
NOB
professional lives of others.
40. Individual Trait Average.
41. I recommend this individual for (maximum of two): Assignment in Rating,
42. Signature of Rater (Typed Name & Rate): I have evaluated this member against
Total of trait scores divided by
Sea Special Programs, Shore Special Programs, Commissioning Programs,
the above performance standards and have forwarded written explanation of marks
number of graded traits.
Special Warfare Programs, Rating Instructor Duty, Other. (Be specific.)
of 1.0 and 5.0.
Date:
Font
43. COMMENTS ON PERFORMANCE. *All 1.0 marks, three 2.0 marks, and 2.0 marks in Block 37 must be specifically substantiated in comments. Comments must be verifiable.
Font must be 10 or 12 pitch (10 to 12 point) only. Use upper and lower case.
10
44. QUALIFICATIONS/ACHIEVEMENTS - Education, awards, community involvement, etc., during this period.
47. Retention :
Promotion
Significant
Must
Early
NOB
Progressing
Promotable
Recommendation
Problems
Promote
Promote
Not Recommended
Recommended
48. Reporting Senior Address
45.
INDIVIDUAL
46.
SUMMARY
49. Signature of Senior Rater (Typed Name & Grade/Rate): I have reviewed the evaluation of this
50. Signature of Reporting Senior
Date:
member against these performance standards and have provided written explanation to support
marks of 1.0 and 5.0.
Date:
Summary Group Average:
51. Signature of individual evaluated. “I have seen this report, been apprised of my
52. Typed name, grade, command, UIC, and signature of Regular Reporting Senior on Concurrent Report
performance, and understand my right to make a statement.”
I intend to submit a statement
do not intend to submit a statement
Date:
Date:
FOR OFFICIAL USE ONLY-PRIVACY ACT SENSITIVE.
NAVPERS 1616/26 (08-10)
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