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Get DA 67-9-1 2006

LIST 3 FUTURE ASSIGNMENTS FOR WHICH YOU FEEL YOU ARE BEST SUITED SIGNATURE AND DATE DA FORM 67-9-1 MAR 2006 Page 2 of 2 APD v1. In addition data entered in Block IIIe of the OER Support Form Professional Skills/Areas of Expertise will transfer to Block Vd on the OER same subject. The rater then may edit the OER until he/she is satisfied with the wording and content of the rater s portion. Rated officers that intend to list additonal accomplishments beyond what will fit in the space provided may use the ADD COMMENTS function in the FCMP Wizard to create a continuation page to the form. However data entered on the continuation pages on the OER Support form in the FCMP Wizard will not be automatically transferred to an OER created from the completed OER Support Form. a. APFT DATE HEIGHT b. LIST YOUR SIGNIFICANT CONTRIBUTIONS c. LIST ANY UNIQUE PROFESSIONAL SKILLS OR AREAS OF EXPERTISE OF VALUE TO THE ARMY d. The rater then may edit the OER until he/she is satisfied with the wording and content of the rater s portion. Rated officers that intend to list additonal accomplishments beyond what will fit in the space provided may use the ADD COMMENTS function in the FCMP Wizard to create a continuation page to the form. However data entered on the continuation pages on the OER Support form in the FCMP Wizard will not be automatically transferred to an OER created from the completed OER Support Form. a. APFT DATE HEIGHT b. LIST YOUR SIGNIFICANT CONTRIBUTIONS c. LIST ANY UNIQUE PROFESSIONAL SKILLS OR AREAS OF EXPERTISE OF VALUE TO THE ARMY d. IF UNABLE TO SERVE IN THE CURRENT BRANCH/CAREER FIELD IN WHICH BRANCH/CAREER FIELD WOULD YOU PREFER TO SERVE e. INDICATE YOUR MAJOR PERFORMANCE OBJECTIVES POSITION AOC / BR NAME FCMP NOTE Block IIId of the OER Support Form Rated Officer s Accomplishments has been sized to correspond directly with Block Vb on the OER where the Rater writes comments on the rated officer s performance. When a user in FCMP creates an OER using a completed OER Support Form the data entered in Block IIId of the OER Support Form will automatically transfer to Block Vb on the newly-created OER in their narrative comments on performance. In addition data entered in Block IIIe of the OER Support Form Professional Skills/Areas of Expertise will transfer to Block Vd on the OER same subject. When a user in FCMP creates an OER using a completed OER Support Form the data entered in Block IIId of the OER Support Form will automatically transfer to Block Vb on the newly-created OER in their narrative comments on performance. In addition data entered in Block IIIe of the OER Support Form Professional Skills/Areas of Expertise will transfer to Block Vd on the OER same subject. The rater then may edit the OER until he/she is satisfied with the wording and content of the rater s portion. Rated officers that intend to list additonal accomplishments beyond what will fit in the space provided may use the ADD COMMENTS function in the FCMP Wizard to create a continuation page to the form. However data entered on the continuation pages on the OER Support form in the FCMP Wizard will not be automatically transferred to an OER created from the completed OER Support Form. a. APFT DATE HEIGHT b. FOR OFFICIAL USE ONLY FOUO SEE PRIVACY ACT STATEMENT IN AR 623-3. OFFICER EVALUATION REPORT SUPPORT FORM For use of this form see AR 623-3 the proponent agency is DCS G-1. PART I - RATED OFFICER IDENTIFICATION NAME OF RATED OFFICER Last First MI RANK SSN UNIT ORG. STATION ZIP CODE OR APO MAJOR COMMAND DATE OF RANK YYYYMMDD FROM DATE STATUS CODE UIC BRANCH DESIGNATED/PMOS WO SPECIALITIES CMD CODE PSB CODE PART II - AUTHENTICATION NAME OF RATER Last First MI POSITION NAME OF INTER. RATER Last First MI NAME OF SENIOR RATER Last First MI PART III - VERIFICATION OF FACE-TO-FACE DISCUSSION MANDATORY RATER / RATED OFFICER INITIAL FACE-TO-FACE COUNSELING ON DUTIES RESPONSIBILITIES AND PERFORMANCE OBJECTIVES FOR THE Date Rated Soldier Initials Rater Initials Senior Rater Initials CURRENT RATING PERIOD TOOK PLACE ON Review PERIODIC RATER / RATED OFFICER FOLLOW-UP FACE-TO-FACE COUNSELINGS Dates Rated Soldier Initials PRINCIPAL DUTY TITLE a. STATE YOUR SIGNIFICANT DUTIES AND RESPONSIBILITIES b. INDICATE YOUR MAJOR PERFORMANCE OBJECTIVES POSITION AOC / BR NAME FCMP NOTE Block IIId of the OER Support Form Rated Officer s Accomplishments has been sized to correspond directly with Block Vb on the OER where the Rater writes comments on the rated officer s performance. PART I - RATED OFFICER IDENTIFICATION NAME OF RATED OFFICER Last First MI RANK SSN UNIT ORG. STATION ZIP CODE OR APO MAJOR COMMAND DATE OF RANK YYYYMMDD FROM DATE STATUS CODE UIC BRANCH DESIGNATED/PMOS WO SPECIALITIES CMD CODE PSB CODE PART II - AUTHENTICATION NAME OF RATER Last First MI POSITION NAME OF INTER. RATER Last First MI NAME OF SENIOR RATER Last First MI PART III - VERIFICATION OF FACE-TO-FACE DISCUSSION MANDATORY RATER / RATED OFFICER INITIAL FACE-TO-FACE COUNSELING ON DUTIES RESPONSIBILITIES AND PERFORMANCE OBJECTIVES FOR THE Date Rated Soldier Initials Rater Initials Senior Rater Initials CURRENT RATING PERIOD TOOK PLACE ON Review PERIODIC RATER / RATED OFFICER FOLLOW-UP FACE-TO-FACE COUNSELINGS Dates Rated Soldier Initials PRINCIPAL DUTY TITLE a. STATE YOUR SIGNIFICANT DUTIES AND RESPONSIBILITIES b. INDICATE YOUR MAJOR PERFORMANCE OBJECTIVES POSITION AOC / BR NAME FCMP NOTE Block IIId of the OER Support Form Rated Officer s Accomplishments has been sized to correspond directly with Block Vb on the OER where the Rater writes comments on the rated officer s performance. When a user in FCMP creates an OER using a completed OER Support Form the data entered in Block IIId of the OER Support Form will automatically transfer to Block Vb on the newly-created OER in their narrative comments on performance. .

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