ࡱ> 5@ bjbj22 "XX]<<<P1111p2P~T23:9:9:9:9:x@$#DSSSSSSS$URXS9<Ee:":EES:9:9+8TIIIE8:9<:9SIESIII:N,$<!O:93 $01OH@ O PNT0~TO XH0X!OPPX<!OEEIEEEEESSPP/1IPP1 EVALUATION REPORT & COUNSELING RECORD 1. Name (Last, First MI suffix) 2. Class Year 3. Company-PLT-SQD 4. Period of Report Fall  FORMCHECKBOX  Winter  FORMCHECKBOX  Year 5. Type of Report  FORMCHECKBOX  Regular  FORMCHECKBOX  Special6. PFA/PFT Date 7. Ht/Wt  FORMCHECKBOX  WS  FORMCHECKBOX  NS8. Swim Qualification  FORMCHECKBOX  None  FORMCHECKBOX  1st  FORMCHECKBOX  2nd  FORMCHECKBOX  3rd9. Billet Assigned: 10. Major: 11. Awards / NROTC Extracurricular Activities: 12. Community Service Activities: 13. Date Midterm Counseling Completed 14. Name of Midterm Counselor 15. Signature of Individual Counseled PERFORMANCE TRAITS: 1.0 Below standards/not progressing or UNSAT in any one standard; 2.0 Does not 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. (* Must be specifically justified)PERFORMANCE TRAITS1.0* Below Standards2.0 Progressing3.0 Meets Standards4.0 Above5.0 Greatly Exceeds Standards16. Equal Opportunity: Fairness, respect for Human Worth.- Displays personal bias or engages in harassment - Lacks respect for EO objectives. - Interferes with order and discipline by disregarding rights of others.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Always treats others with fairness and respect. - Does not condone bias or harassment in or outside the battalion. - Positively contributes to unit morale and cohesiveness.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Admired for fairness and human respect. - Ensures a climate of fairness and respect for human worth. - Leader and model contributor to unit cohesiveness and morale.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 17. Organizational Support: Contributions towards team building and team results. Communication skills.- Creates conflict, unwilling to work with others, puts self above team. - Fails to understand team goals or teamwork techniques. - Does not take direction well. - Finds excuses to get out of battalion activities.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Reinforces others efforts, meets personal commitments to team. - Understands team goals, employs good teamwork techniques. - Accepts and offers team direction. - Will volunteer if asked to.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Team builder, inspires cooperation and progress. - Talented mentor, focuses goals and techniques for team. - The best at accepting and offering team direction. - Volunteers for almost everything.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 18. Military Bearing/ Appearance, Physical fitness- Unsatisfactory demeanor or conduct. - Consistently unsatisfactory appearance. - Unable to meet one or more physical readiness standards.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Excellent personal appearance. - Excellent demeanor or conduct. - Complies with physical readiness program, within all standards.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Exemplary personal appearance. - Exemplary personal demeanor or conduct. - Excellent or outstanding PRT. A leader in physical readiness.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 19. Character, Conduct: Adherence to Navy Core Values: Honor, Courage, Commitment,. - Fails to live up to Navy Core Values: Honor, Courage, and. Commitment. - Frequently corrected due to inappropriate behavior.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Always lives up to Navy Core Values: Honor, Commitment, and Courage. - Always behaves correctly.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX    FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Exemplifies Navy Core Values: Honor, Commitment, and Courage. - Personal behavior clearly marks midshipman as superior.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  EVALUATION REPORT & COUNSELING RECORD (contd) PERFORMANCE TRAITS1.0* Below Standards2.0 Progressing3.0 Meets Standards4.0 Above5.0 Greatly Exceeds Standards20. Mission Accomplishment, Academic effort, Initiative: Taking initiative, planning, prioritizing, and achieving goals.- Lacks initiative - Unable to plan or prioritize. - Fails to get the job done. - Sets unrealistic or unchallenging goals. - Academic achievement has caused midshipman to receive a PRB (second consecutive offense).  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Takes initiative to meet goals. - Plans/prioritizes effectively. - Always gets the job done. - Academic achievement clearly demonstrates effort.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Develops innovative ways to accomplish goals. - Plans/prioritizes with exceptional skill and foresight. - Gets job done earlier and better than expected. - Sustained superior effort. - Significant upward trend over previous semester.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 21. Leadership/ Followership, Management: Organizing, Motivating, and Developing others to accomplish goals- Fails to motivate, train, or develop subordinates. - Fails to organize, creates problems for subordinates. - Lacks the ability to cope with or tolerate stress.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Effectively motivates, trains and develops subordinates. - Organizes successfully, solves problems as they occur. - Performs well in stressful situations.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX - Inspiring motivator and trainer. - Superb organizer, great foresight, gets ahead of problems. - Perseveres through the toughest challenges.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  22. Comments on Performance (Rater) : Name of Rater:  23. Comments on Performance (Senior Rater) : Name of Senior Rater:  24. Comments on Performance (Class Advisor) :  FORMTEXT       Promotion Recommendation Significant Problems Progressing Promotable Must Promote Early Promote Individual  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Summary  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Peer Score Academic Term GPA  FORMTEXT       Cum. GPA  FORMTEXT       Aptitude Grade  FORMTEXT       Signature of Class Advisor 25. Signature of*KLZ[nop 4 ¸’‚ȸr’b[ hd 5CJjh'ppht{zCJUjhZ(hCJUjhi hRNCJUjhRNCJU he+CJjhZ(hCJU hZ(CJjhZ(CJU hRNCJ hRN5CJ h7SCJh"'h7S5CJaJh"'h7S5CJ\h Rh7S\ h7S5CJh7S"*KLZ[noppkd$$IflF-,0    4 la $If  / 5 > h ~ skdg$$Ifl0-<04 la $If4 5 > ? 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