Da Form 1059 - Service School Academic Evaluation Form

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DATE (YYYYMMDD)
SERVICE SCHOOL ACADEMIC EVALUATION REPORT
For use of this form, see AR 623-3; the proponent agency is DCS, G-1.
1. LAST NAME - FIRST NAME - MIDDLE INITIAL
2. SSN
3. GRADE
4. BR
5. SPECIALTY/MOSC
6. COURSE TITLE
7. NAME OF SCHOOL
8. COMP
9. THIS IS A REFERRED REPORT, DO YOU WISH TO MAKE
10. DURATION OF COURSE (YYYYMMDD)
COMMENTS?
Thru:
From:
YES
NO
11. PERFORMANCE SUMMARY
12. DEMONSTRATED ABILITIES
WRITTEN COMMUNICATION
EXCEEDED COURSE STANDARDS
NOT EVALUATED
UNSAT
SAT
SUPERIOR
(Limited to 20% of class enrollment)
ORAL COMMUNICATION
NOT EVALUATED
UNSAT
SAT
SUPERIOR
ACHIEVED COURSE STANDARDS
LEADERSHIP SKILLS
NOT EVALUATED
UNSAT
SAT
SUPERIOR
MARGINALLY ACHIEVED COURSE STANDARDS
CONTRIBUTION TO GROUP WORK
NOT EVALUATED
UNSAT
SAT
SUPERIOR
FAILED TO ACHIEVE COURSE STANDARDS
EVALUATION OF STUDENT'S RESEARCH ABILITY
NOT EVALUATED
UNSAT
SAT
SUPERIOR
*Rating must be supported by comments in ITEM 14.
(SUPERIOR/UNSAT rating must be supported by comments in ITEM 14)
13. HAS THE STUDENT DEMONSTRATED THE ACADEMIC POTENTIAL FOR SELECTION TO HIGHER LEVEL SCHOOLING/TRAINING?
YES
NO
N/A
(A "NO" response must be supported by comments in ITEM 14)
14. COMMENTS
15. AUTHENTICATION
a. TYPED NAME, GRADE, BRANCH, AND TITLE OF RATER
DATE (YYYYMMDD)
SIGNATURE
b. TYPED NAME, GRADE, BRANCH, AND TITLE OF REVIEWING OFFICER
SIGNATURE
DATE (YYYYMMDD)
c. DATE (YYYYMMDD)
SIGNATURE OF RATED SOLDIER
APD v1.00
DA FORM 1059, MAR 2006
PREVIOUS EDITIONS ARE OBSOLETE.

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