OFFICER EVALUATION REPORT
FOR OFFICIAL USE ONLY (FOUO)
SEE PRIVACY ACT STATEMENT IN AR 623-3.
For use of this form, see
; the proponent agency is DCS, G-1.
PART I - ADMINISTRATIVE DATA
a. NAME (Last, First, Middle Initial)
d. DATE OF RANK
LYONS, MICHAEL S.
g.1. UNIT, ORG., STATION, ZIP CODE OR APO, MAJOR COMMAND
g.2. STATUS CODE
h. REASON FOR SUBMISSION
1039TH EN CO, MNB TARIN KOWT, APO AE 09380 CENTCOM
l. NO. OF
i. PERIOD COVERED
m. RATED OFFICER'S AKO EMAIL ADDRESS
(.gov or mil)
PART II - AUTHENTICATION (Rated officer's signature verifies officer has seen completed OER Parts I-VII and the admin data is correct)
a. NAME OF RATER (Last, First, MI)
JACOBS, SETH E.
b. NAME OF INTERMEDIATE RATER (Last, First, MI)
c. NAME OF SENIOR RATER (Last, First, MI)
RITTER, JACKIE R.
E-MAIL ADDRESS (.gov or .mil)
SENIOR RATER TELEPHONE NUMBER
SENIOR RATER'S ORGANIZATION
HQ, 120th Engineer Battalion
e. SIGNATURE OF RATED OFFICER
d. This is a referred report, do you wish to make comments?
Kandahar Airfield, APO AE 09355
Yes, comments are attached
PART III - DUTY DESCRIPTION
AFGHAN NATIONAL ARMY MENTOR TEAM PLATOON LEADER
12A / EN
a. PRINCIPAL DUTY TITLE
b. POSITION AOC/BR
c. SIGNIFICANT DUTIES AND RESPONSIBILITIES. REFER TO PART IVa, DA FORM 67-9-1.
Serves as a Platoon Leader for an Afghan National Army (ANA) Mentor Team in a Mechanized Combat Engineer
Company that executes mobility and survivability missions in support of ISAF operations to enable a Multinational
Force to apply specific mission groups; responsible for the health, welfare, training, readiness and professional
development of assigned personnel; supervises, mentors, and liaisons with all necessary parties to coordinate training,
logistics, and readiness of an ANA company for both partnered and independent operations; advises commander and
staff on the combat readiness and effectiveness of the ANA Route Clearance Company; responsible for the maintenance
and accountability of equipment valued in excess of $8 million dollars.
PART IV - PERFORMANCE EVALUATION - PROFESSIONALISM (Rater)
Disposition of the leader: combination of values, attributes, and skills affecting leader actions
(Comments mandatory for all "NO" entries. Use PART Vb.)
Promotes dignity, consideration, fairness, & EO
Adherence to the Army's publicly declared code of values
Possesses high personal moral standards; honest in word and deed
Places Army priorities before self
Manifests physical and moral bravery
Fulfills professional, legal, and moral obligations
Bears true faith and allegiance to the U.S. Constitution, the Army, the unit, and the soldier
b. LEADER ATTRIBUTES / SKILLS / ACTIONS:
First, mark "YES" or "NO" for each block. Second, choose a total of six that best describe the rated officer. Select one from
ATTRIBUTES, two from SKILLS (Competence), and three from ACTIONS (LEADERSHIP). Place an "X" in the appropriate numbered box with optional comments in PART Vb.
Comments are mandatory in Part Vb for all "No" entries.
b . 1 . ATTRIBUTES (Select 1)
Fundamental qualities and
Possesses desire, will, initiative, and discipline
Maintains appropriate level of physical
Displays self-control; calm under pressure
fitness and military bearing
b.2 SKILLS (Competence)
Demonstrates sound judgment, critical/creative
Shows skill with people: coaching, teaching,
Possesses the necessary expertise to
thinking, moral reasoning
counseling, motivating and empowering
accomplish all tasks and functions
Skill development is part of self-
development; prerequisite to action
Demonstrates proficiency in required professional knowledge, judgment, and warfighting
b.3. ACTIONS (LEADERSHIP) (Select 3) Major activities leaders perform: influencing, operating, and improving
Method of reaching goals while
Displays good oral, written, and listening skills for
Employs sound judgment, logical reasoning
Inspires, motivates, and guides others toward
operating / improving
individuals / groups
and uses resources wisely
Develops detailed, executable plans that are
Shows tactical proficiency, meets mission
Uses after-action and evaluation tools to
feasible, acceptable, and suitable
standards, and takes care of people/resources
facilitate consistent improvement
Long-term improvement in the Army
Invests adequate time and effort to develop
Spends time and resources improving teams,
Seeks self-improvement and organizational
its people and organizations
individual subordinates as leaders
groups and units; fosters ethical climate
growth; envisioning, adapting and leading change
d. OFFICER DEVELOPMENT - MANDATORY YES OR NO ENTRY FOR RATERS OF CPTs, LTs, CW2s, AND WO1s.
WERE DEVELOPMENTAL TASKS RECORDED ON DA FORM 67-9-1a AND QUARTERLY FOLLOW-UP COUNSELINGS CONDUCTED?
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DA FORM 67-9, OCT 2011
PREVIOUS EDITIONS ARE OBSOLETE.
APD PE v1.01ES