1. / M/f
NCO EVALUATION REPORT SEE PRIVACY ACT STATEMENT .
For use of this form, see AR 623-205; the proponent agency is ODCSPER IN AR 623-205. APPENDIX C. T
PART I - ADMINISTRATIVE DATA
b. SSN RANK d. DATE OF RANK PMOSC
a NAME (Last. First. Middle Initial)
NliWMAN, JEREMY A 571-75-6939 SGT 051201 13S20
f UNIT, ORG . STATION, ZIP CODE OR APO, MAJOR COMMAND g. REASON FOR SUBMISSION
HWB, 1/3 ACR, FT CARSON, CO 80913 FORSCOM 3 | CHANGE OF RATER
o PSB
h. PERIOD COVERED i RATED j NON- k NO OF I RATED NCO COPY (Check one and Date) m PSC n CMD
MONTHS RATED ENCL Dare Initials CODE CODE
FROM THRU 1 Given to NCO
CODES
&
YYYY MM YYYY MM
JUL 1 7 2006
2005 12 2006 07 08
a
PART II • AUTHENTICATION
2. Forwarded to NCO FC FS13
SIGNATURE
a NAME OF RATER (Last. First, Middle Initial) SSN
BOONE,-ROBERT L 522-23-9091
DATE
RANK. PMOSC/BRANCH, ORGANIZATION, DUTY ASSIGNMENT
SFC, 13B48, HWB, 1/3 ACR, FT CARSON, CO 80913 PLATOON SERGEANT JUL 1 7 2006
SIGNATURE
b. NAME OF SENIOR RATER (Last. First, Middle Initial) SSN
FELIX, LLOYD A 330-68-6134
RANK, PMOSC/BRANCH, ORGANIZATION, DUTY ASSIGNMENT ^^ ^*^ DATE
CPT, MI, HWB, 1/3 ACR, FT CARSON, CO 80913 EXECUTIVE OFFICER______________________________JUL 1 7 W% DATE
evaluations of the rater and senior rater I further understand my signature verifies thafthe administrative JUL 1 7 2006
data in Part I. the rating officials in Part It. the duly description to include the counseling dates in Part IN. and
the APFT ana height/weight entries in Pan IVc are correct. I have seen the report completed through Part v.
except Parts lid and lie. ram aware of the appeals process of AR 623-205
SSN
d NAME OF REVIEWER (Last. First. Middle Initial)
WOODS, KENNETH T. 246-43-4414
DATE
RANK, PMOSC/BRANCH, ORGANIZATION. DUTY ASSIGNMENT
CPT, FA, HWB, 1/3 ACR, FT CARSON, CO 80913 BATTERY COMMANDER JUL 1 7 2006
e ^ CONCUR WITH RATER AND SENIOR RATER EVALUATIONS Q NONCONCUR WITH RATER AND/OR SENIOR RATER EVAL (See attached comments)
PART til • DUTY DESCRIPTION (Rater)
b. DUTYMOSC
a PRINCIPAL DUTY TITLE
74D20
Nuclear, Biological and Chemical Operations NCOIC
c. DAILY DUTIES AND SCOPE (To include, as appropriate, people, equipment, facilities and dollars)
Nuclear, Biological and Chemical Operations NCOIC in a M109A6 Paladin Howitzer Battery in a world wide deployable Armored
Cavalry Regiment; responsible for training 150 personnel on proper usage and maintenance of radiation, chemical agent and biological
agent detectors and alarms, individual protective equipment, and decontamination apparati; responsible for assembling and training
contamination reconnaissance teams; responsible for advising the chain of command on operations under contaminated conditions;
responsibleOFfor maintenance, calibration and accountability of equipment valued in excess of $3,000,000_______________________
d AREAS SPECIAL EMPHASIS
operations during OIF 04-06; battle tracking; small arms; preparation for TOA; redeployment from OIF 04-06; APFT
Rater: robert.boonel^,; S/R: lloyd.felix@; Rev: kenneth.t.woods®__________________________________
e APPOINTED DUTIES
Calibrations NCOIC; Battery Historian; Armorer; Training NCO; Schools NCO; Sensing NCO
LATER LATER
INITIAL LATER
f COUNSELING DATES
051203 060301 060605
PART IV - ARMY VALUES/ATTRIBUTESfSKILLS/ACTIONS (Rater) YES NO
a. ARMY VALUES. Check either "YES" Or "NO". Comments are mandatory for "No" entries; optional for "Yes" entries.) X
1 LOYALTY Bears true faith and allegiance to the U. S. Constitution, the Army, the unit, and other soldiers.
Loyalty 2 DUTY- Fulfills their obligations.
J&
V Duty 3. RESPECT/EO/EEQ: Treats people as they should be treated
Respect 4. SELFLESS-SERVICE: Puts the welfare of the nation, the Army, and subordinates before their own.
Selfless-Service
A 5. HONOR: Lives up to all the Army values.
6. INTEGRITY- Does what is right - legally and morally.
X
7 PERSONAL COURAGE: Faces fear, danger, or adversity (physical and moral)
Bullet comments
u o always put the Army, the mission and the interests of Soldiers above his own
Honor
o dedicated to excellence and a role model of honor
Integrity
Personal Courage
o integrity beyond reproach
APDI-'b I L'l
REPLACES DA FORM 2166-7 ,SEP 87. WHICH IS OBSOLE1 b
)A FORM 2166-8, OCT 2001

2. + RATED NCO'S NAME (Last, First. Middle Initial) SSN
THRU DATE
NEWMAN, JEREMY A jeremy.a.newman@
2006 07 +
PART IV fRaferl- VALUES/NCO RESPONSIRII ITIFS speaiic Uuiiel examplesBullettxt-fctLt/vt-t' orareHttun iMHHUVtMkNl Ӗ are mandatory.
Specific 01 examples of 'SUCCESS' optional.
571-75-6939
b. COMPETENCE
o Duty proficiency; MOS competency
o Technical & tactical; knowledge, skills, and
abilities
o combat operations to serve as NBC NCOIC and Battery Operations NCO during
selected above peers
o Sound judgment
o Seeking self-improvement; always learning
o Accomplishingto excellence fullest capacity;
committed tasks to the o the Battery to successfully complete all missions combat conditions, enabling
continually displayed sound judgment under stressful
EXCELLENCE. SUCCESS NEEDS IMPROVEMENT
(Exceeds std) (Meets std) (Some) (Muchi
w • n___n . n o assigned above standard of knowledge that enabled him to accomplish any mission
possesses a wide breadth
c. PHYSICAL FITNESS & MILITARY BEARING
o Mental and physical toughness APFT PASS 0512
o Endurance and stamina to go the distance HEIGHT/WEIGHT 74/235 yES
o Displaying confidence and enthusiasm; 0 maintains high state of personal appearance and mental toughness
looks like a soldier
EXCELLENCE SUCCESS NEEDS IMPROVEMENT
0 displays energy and vitality in performing daily responsibilities
(Exceeds std) (Meets std) (Some) (Much) 0 projects self confidence, authority and enthusiasm
d. LEADERSHIP
0 Mission first.
0 Genuine concern for soldiers 0 mentor anda counsel concernwho needed guidanceSoliders, taking personal time to help
exhibited genuine those for the welfare of
0 Instilling the spirit to achieve and win
0 Setting the example; Be, Know, Do
o the unit and platoon to succeed during every endeavor, a strength that has allowed
constantly puts forth maximum effort in redeployment
EXCELLENCE SUCCESS NEEDS IMPROVEMENT
(Exceeds std) (Meets std) (Some) (Much)
n 53 n 0 able to utilize a vast array of resources and draw upon civilian experience to
e. TRAINING enhance both the mission effectiveness of himself and the Soldiers around him
0 Individual and team
o Mission focused; performance oriented o trained incoming personnel from 1st Armored Division during transfer of authority
o Teaching soldiers how; common tasks,
duty-related skills
on combat operations in the Tactical Operation Center at FOB Al Nimr, Iraq
0 Sharing knowledgewin experience to fight,
survive and
and
0 ChemicalBattery was properly trained in the usage of Nuclear, Biological and
ensured Individual Protective Equipment
EXCELLENCE SUCCESS NEEDS IMPROVEMENT
(Exceeds std) (Meets std) (Some) (Much)
M_______Ӛ________Q 0 conducted training for the unit on usage, maintenance and inspection of crew served
f. RESPONSIBILITY & ACCOUNTABILITY,, and individual weapons with outstanding results______• __________________
o Care and maintenance of equipment/facilities
o Soldier and equipment safety 0 in excess of 53,000,000units.sensitive items and NBC equipment valued
maintained 100% accountability of .
0 Conservation of supplies and funds
o Encouraging soldiers to learn and grow
0 Responsible for good, bad, right & wrong
0 that assisted the Battery maintenance program on crewofserve and individualtimes
developed an extensive in maintaining a high level combat power at all weapons
EXCELLENCE SUCCESS NEEDS IMPROVEMENT
(Exceeds std) (Meets std) (Some) (Much)
1*1 n n n o the consequence and without hesitation those of his subordinates regardless of
assumes responsibility of his actions and
PART V - OVERALL PERFORMANCE AND POTENTIAL
a. RATER. Overall potential for promotion and/or e. SENIOR RATER BULLET COMMENTS
service Jn positions of greater responsibility.
0 promote ahead of peers
AMONG FULLY
THE BEST CAPABLE MARGINAL 0 send to BNCOC immediately
M.
b. RATER. List 3 positions in which the rated
NCO could best serve the Army at his/her
0 assigned unlimited potential for positions of higher authority; an asset to any unit
possesses
current or next higher grade.
Instructor__________________________
Drill Sergeant_______________________
Observer/ Controller
c. SENIOR RATER. Overall performance d. SENIOR RATER. Overall potential nr^r
E for promotion and/or service in
12 3 4 5 positions of greater responsibility. 12 3 4 5
+
Successful Fair Poor Superior Fair Poor
DA FORM 2166-8, OCT2001 APOPEvl.01