OFFICER EVALUATION REPORT FORM

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JUNIOR OFFICER DEVELOPMENTAL SUPPORT FORM
For use of this form, see AR 623-105; the proponent agency is ODCSPER
NAME OF RATED OFFICER (Last, First, MI)
Mascolo, Benjamin A
SSN
5247
GRADE
CDT
ORGANIZATION
Syracuse University
PART I – INSTRUCTIONS. Use of this form is mandatory for Lieutenants and WO1s; optional for all other ranks.
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Initial face-to-face (Part II and III)
Discuss duty description/major performance objectives from DA Form 67-9-1.
Discuss Army leader values, attributes and skills as related to future duty
Performance and professional development (Part II: Leader Character)
Complete Developmental Action Plan (Part III)- Record at least one
Developmental task for each leadership action that targets major
Performance objectives listed on DA Form 67-9-1.
Upon completion of the initial face-to-face counseling, date and initial Part IV
(Verification). Obtain senior rater’s initials. Rated officer and rater retain file
Copy for use during later follow-up counseling’s.
Quarterly Follow-up Counseling’s (Part V – Reverse)
Discuss major performance objectives and progress
made. Adjust as needed.
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Discuss progress made on developmental tasks;
update/modify tasks as needed to continue
developmental process.
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Rater summarizes key points in appropriate block of Part
V.
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Rater and rated officer initial date and keep a file copy for
use during later counseling’s.
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NOTE: Reference for Army Leadership Doctrine is FM
22-100.
PART II CHARACTER. Disposition of the leader: combination of values, attributes, and skills affecting leader actions. (See FM 22-100
ARMY VALUES
1. HONOR: Adherence to the Army’s publicity declared code of values.
5. RESPECT: Promotes dignity, consideration, fairness, & EO
2. INTEGRITY: Possesses high personal moral standards; honest in word and
6. SELFLESS-SERVICE: Places Army priorities before self
deed
3. COURAGE: Manifests physical and moral bravery
7. DUTY: Fulfills professional, legal, and moral obligations
4. LOYALTY: Bears true faith and allegiance to the U.S. Constitution, the Army, the unit, and the soldier
MENTAL
PHYSICAL
EMOTIONAL
ATTRIBUTES
Possesses desire, will, initiative, and
Maintains appropriate level of physical Displays self-control; calm under
Fundamental qualities and
discipline
fitness and military bearing
pressure
Characteristics
CONCEPTUAL
INTERPERSONAL
TECHNICAL
SKILLS
Demonstrates sound judgment,
Shows skill with people: coaching,
Possesses the necessary expertise to
Skill development is part of selfCritical / creative thinking, moral
teaching, counseling, motivating, and
accomplish all tasks and functions
development; prerequisite to
reasoning
empowering
action
TACTICAL Demonstrates proficiency in required professional knowledge, judgment, and war fighting
PART III – DEVELOPMENTAL ACTION PLAN. Development tasks that target major performance objectives on the DA Form 67-9-1. (See FM 22-100)
NFLUENCING: Communicating, Decision Making, Motivating
COMMUNICATING. Articulates written and oral ideas/concepts clearly and concisely. Message received equals message sent. Displays effective listening
skills.
Consistent communication skills between my self and my assistants and subordinates at Oswego. I send at least 2 emails a week in an outline form to my
assistant. I also met with the entire Oswego Detachment every day after PT as well as had informal individual counseling’s about once a month. This
generally happened after a blue card evaluation.
DECISION MAKING. Reaches sound, logical decisions based on analysis/synthesis of information and uses sound judgment to allocate resources and
select appropriate source(s) of action.
I made decisions that were the best for my cadets. For example, before the Fall FTX I made the decision that if possible we would go to Syracuse the night
before in order to avoid early morning driving.
OPERATING: Planning, Executing, Assessing
PLANNING. Uses critical and creative thinking to develop executable plans that are suitable, acceptable, and feasible.
I have planned and coordinated several events including the Oswego CWST and am currently building a land navigation course in Oswego. I have also
planned a PT syllabus in accordance with the SU plan.
EXECUTING. Shows tactical and technical proficiency; meets mission standards; takes care of people/resources. Maximizes the use of available systems
and technology. Performs well under pressure
I execute all plans to standard. PT at Oswego would be extremely easy to perform below standard or not at all based on lack of supervision. However, I
personal make sure it happens
DA FORM 67-9-1a, OCT 97
USAPA V1.00
ASSESSING. Uses after-action and evaluation tools to facilitate consistent improvement.
After the extra help session we have an AAR whose specific purpose is to make life easier and more convenient for the Oswego Cadets. The major topics
are the PT syllabus, if it needs to be improved, topics of the extra help sessions, the effectiveness of communication between Oswego and SU, and the
effectiveness of the training received the day before at lab.
IMPROVING: Developing, Building, Learning
DEVELOPING. Teaches, trains, coaches and counsels subordinates increasing their knowledge, skills and confidence
I develop each of my individual cadets but putting them in leadership positions consistently and make notes. Once the duration of their leadership has
expired I take my notes to them and let them read them. They can then ask me questions and we talk about how they can specifically meet the standard
better.
BUILDING. Develops effective, disciplined, cohesive, team built on bonds of mutual trust, respect, and confidence. Fosters ethical climate.
When one cadet makes a mistake we all take the specific corrective action. Generally this happens during PT when one cadet is out of uniform or if some
one is late.
LEARNING. Actively seeks self-improvement (individual study, professional reading, etc.), and fosters a learning environment in the unit (IPRs, AARs,
NCOPD, etc.
I consistently try to improve my self professionally by completing online Army courses, including the drivers course and the risk management as well as have
AARs on a weekly basis. I also am consistently talking with my second in command at Oswego on how I can improve aspects of the program for ym cadets.
PART IV – VERIFICATION:
Rater initials________ Rated officer initials ________ Date ________ Senior rater initials ________
PART V – DEVELOPMENTAL ASSESSMENT RECORD. Summary of key points made during follow-up counselings.
Highlight progress and strengths observed as well as developmental needs across values, attributes, skills and actions.
1st Assessment
Key Points
Rated officer initials __________
Rater initials __________
Date ____________
2nd Assessment
Key Points
Rated officer initials __________
Rater initials __________
Date ____________
3rd Assessment
Key Points
Rated officer initials __________
Rater initials __________
DA FORM 67-9-1a, OCT 97 (Reverse)
Date ____________
USAPA V1.00
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