DEVELOPMENTAL COUNSELING FORM
For use of this form, see ATP 6-22.1; the proponent agency is TRADOC.
AUTHORITY:
PRINCIPAL PURPOSE:
ROUTINE USES:
DISCLOSURE:
DATA REQUIRED BY THE PRIVACY ACT OF 1974
5 USC 301, Departmental Regulations; 10 USC 3013, Secretary of the Army.
To assist leaders in conducting and recording counseling data pertaining to subordinates.
The DoD Blanket Routine Uses set forth at the beginning of the Army's compilation of systems or records notices also
apply to this system.
Disclosure is voluntary.
PART I - ADMINISTRATIVE DATA
Rank/Grade
Name (Last, First, MI)
BEARD, DANIEL
SPC/ E-4
Organization
Date of Counseling
10APRIL2018
Name and Title of Counselor
D CO. 2-502 IN, 2ND BCT, 101ST ABN (AIR ASSAULT)
SSG MEJIA, DAVID
SECTION LEADER
PART II - BACKGROUND INFORMATION
Purpose of Counseling: (Leader states the reason for the counseling, e.g. Performance/Professional or Event-Oriented counseling, and includes the
leader's facts and observations prior to the counseling.)
- Initial Counseling: SQUAD LEADER
PART III - SUMMARY OF COUNSELING
Complete this section during or immediately subsequent to counseling.
Key Points of Discussion:
This is your initial counseling.
1.) TIMELINESS: Make sure you are present at least 15 minutes prior to all announced formations.
2.) ACCOUNTABILITY: Be where you need to be, when you need to be there, with the proper gear and or the right uniform. In all events, you need to keep me, or in
my absence one of the other NCOs in our platoon aware of your whereabouts at all times.
3.) UNIFORM AND APPEARENCE: Your uniform needs to be presentable at all times. there is no such thing as a "field uniform". However you do not have to wear
your best uniform to work in the motor pool. At no time should your uniform fall below the standards set forth in AR 670-1. Also, you need to make sure you are in
the correct uniform for the mission. If you are unsure of the correct uniform and I have not given you clear direction do not be afraid to ask. You are required to be
clean shaved at all times (on duty). You will have a fresh hair cut at least every two weeks.
4.) DUTY: If you have duty, you need to ensure that you are in the proper place, at the proper time, and in the correct uniform for that duty. I will inform you of any
duties you may have as soon as I am made aware of them. Be aware that things change at a moment's notice, so be prepared in case that situation arises. Always be
prepared and plan ahead.
5.) ATTITUDE: You need to have the proper attitude at all times. Show courtesy and respect to leaders, peers, and subordinates. Always be professional and never
allow your personal feelings to get in the way of respecting other Soldiers. Stay motivated in the worst of times. One attitude can affect your whole team. Always help
your peers out if they are in lack of motivation; they will do the same for you.
6.) APPOINTMENTS: If you have an appointment, let me know the time and purpose of the appointment as soon as possible. Preferably, directly after you make the
appointment. If you need to make an appointment, check with me before making the appointment so I can check the training schedule.. This includes any appointments
that your spouse/family member may need that will cause you to stay at home or take care of your child. Or in situations that require transportation.
7.) PERSONAL ISSUES: Any personal or family issues that arise, make sure to inform me ASAP so that I can give you whatever support you may need. Do not be
afraid to approach me with any concerns you may have. I cannot help a problem if I don't know the problem exists. If I am not available do not be afraid to jump the
chain of command. But first and foremost utilize your change of command.
8.) PT: You will exceed the army standard. The AIR ASSAULT Big 5 requires Soldiers to uphold a 270 or higher. You need to consistently prepare yourself to achieve
this goal every time. I recommend you shoot for a 300. Remember, if you fail a PT test, you will be flagged and required to take a PT test every month until you have a
passing one. Prepare yourself.
9.) COMMUNICATION: When I send out an e-mail, call or text message, you will send a reply as soon as you receive the message. I understand you can't always
have your phone or computer with you, but when ever you do read it, send the reply, IOT keep the information flowing smoothly up the chain of command.
10.) PROFESSIONALISM: As a Soldier you are required to think. You volunteered to be here. You are a professional. This means that you will always look to
improve not only in physical fitness but with your weapon systems and your equipment. Your courtesy to superior officers will set the example throughout the
battalion. Failure to improve or to act in a professional manner will cause you to be recommend for unfavorable action. Always fight for your spot in the team.
Constantly learn from others around you. Learn how to use your resources. We are one team; work together and have an open mind.
"Know who you are, know what you represent, and know what you come back to."
Other situations may arise that are not covered in this counseling session. If you are unsure about anything, contact me and I will help you understand. It is my duty as
an NCO to help you develop into a better Soldier. However, I cannot do this alone. You must put forth the effort to make yourself a better Soldier, and in return I will
help guide you in the right direction for your military career.
_____ I fully understand the expectations set forth in this counseling statement and choose to uphold the values set forth to the best of my ability.
OTHER INSTRUCTIONS
This form will be destroyed upon: reassignment (other than rehabilitative transfers), separation at ETS, or upon retirement. For separation requirements
and notification of loss of benefits/consequences see local directives and AR 635-200.
DA FORM 4856, JUL 2014
PREVIOUS EDITIONS ARE OBSOLETE.
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Plan of Action (Outlines actions that the subordinate will do after the counseling session to reach the agreed upon goal(s). The actions must be
specific enough to modify or maintain the subordinate's behavior and include a specified time line for implementation and assessment (Part IV below)
- Understand the standard of what it means to be a leader.
- Act as a professional.
- Come to work every day ready to work with the right attitude.
- Stay motivated.
Session Closing: (The leader summarizes the key points of the session and checks if the subordinate understands the plan of action. The subordinate
agrees/disagrees and provides remarks if appropriate.)
Individual counseled:
I agree
Individual counseled remarks:
disagree with the information above.
Signature of Individual Counseled:
Date:
Leader Responsibilities: (Leader's responsibilities in implementing the plan of action.)
I will ensure I have given you clear and concise guidance and show you what right looks like. If you are not aware of the standards I will tell you. I will stay motivated
and provide you with motivation techniques.
Signature of Counselor:
Date:
PART IV - ASSESSMENT OF THE PLAN OF ACTION
Assessment: (Did the plan of action achieve the desired results? This section is completed by both the leader and the individual counseled and
provides useful information for follow-up counseling.)
Counselor:
Individual Counseled:
Date of
Assessment:
Note: Both the counselor and the individual counseled should retain a record of the counseling.
DA FORM 4856, JUL 2014
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