Note: Type this counseling in regular case, and perform with a witness in a private location.
COUNSELING WORKSHEET
This document is not to be included in any official system of records.
References: NAVMC 2795 (Guide to Counseling), MCI 8002, MCI 7104, IRAM, MCO P1610.7E (PES)
A. ADMINISTRATIVE INFORMATION
Marine Reporting:
Last Name
First Name
MI
Rank
Billet MOS
WHITE
MICHAEL
Z
Cpl
2111
Marine Performing Counseling:
Last Name
First Name
MI
Rank
Billet MOS
PIKE
DAVID
E
SSgt
0369
B. COUNSELING OCASSION / DATE OR PERIOD
Adverse
20210524
C. MAJOR ACCOMPLISHMENTS / DISCIPLINARY ACTION REMARKS
SNM LOST HIS WALLET CONTAINING HIS ID CARD, SOCIAL SECURITY CARD, DEBIT CARDS, ETC. SNM WAS
DRINKING FRIDAY 5-22-2021 AT AN UNKNOWN BEACH NEAR AMERICAN VILLAGE. SNM WAS INTOXICATED AT
THE TIME OF THE INCIDENT AND DOES NOT KNOW THE WHEARBOUTS OF HIS WALLET.SNM REPORTED THE LOST
WALLET TO PMO ON CAMP SCHWAB AND WENT AND GOT A NEW ID CARD RE-ISSUED.
D. EVALUATION OF PERFORMANCE
SNM IS CAPABLE OF COMPLETING TASKS WITH NO SUPERVISION. SNM IS A HARD WORKER AND CAN BE
COUNTED ON WHEN ASKED TO PERFORM ANY TASKS TO ACCOMPLISH THE MISSION. SNM HAD A LAPSE OF
JUDGEMENT AND IT SEEMS TO BE AN ISOLATED INCIDENT AS THIS IS THE FIRST PROBLEM SNM HAS HAD AT
CAMP SERVICES.
E. ASSIGNED GOALS
READ RESILIENCE: HARD-WON WISDOM FOR LIVING A BETTER LIFE by Eric Greitens OFF THE COMMANDANTS
READING LIST. THIS BOOK WILL HELP YOU IN UNDERSTANDING THE CHOICES YOU MAKE HAVE AN
EVERLASTING OUTCOME THAT CAN BE DETRIMENTAL TO YOUR CAREER AND LIFE.
F. CERTIFICATION
Signature of Marine Reporting
Date
Signature of Marine Performing Counseling
Date
Signature of Witness
Date