figure 3-1 e4 word picture ar 623-3 part i administrative

SEE PRIVACY ACT STATEMENT IN AR 623-3 RATED SOLDIER’S NAME (Last, First, Middle Initial) SSN (FULL) PMOS DATE UIC / UNIT NAME c. CHARACTER: (Include bullet comments addressing Rated Soldier’s performance as it relates to adherence to Army Values, Empathy, Warrior Ethos/Service Ethos, and Discipline. Fully supports SHARP, EO, and EEO.) d. INTELLECT: (Mental agility, Sound judgment, Innovation, Interpersonal tact, Expertise) e. LEADS: (Leads others, Builds trust, Extends influence beyond the chain of command, Leads by example, Communicates) f. ACHIEVES: (Gets results) GA ARNG Form 2166-3-R-E, 2 MAY 2020 GA-G1-E SOLDIER IS AVAILABLE NOT AVAILABLE* FOR SIGNATURE. ALL PREVIOUS EDITIONS ARE OBSOLETE RATER OVERALL PERFORMANCE COMMENTS: (BULLET FORMAT) PART IV SENIOR RATER OVERALL POTENTIAL b. COMMENTS: (NARRATIVE FORMAT) *Memorandum for Record required for Soldiers not available for signature. Readiness NCO or S1 must sign on behalf of the Soldier. COMMENTS: (Comments required “Failed” APFT, “No” APFT, or “Profile” when it precludes performance of duty, and “No” for Army Weight Standards.) PART III PERFORMANCE EVALUATION, PROFESSIONALISM, ATTRIBUTES, AND COMPETENCIES (Rater) COMMENTS: COMMENTS: COMMENTS: E4 WORD PICTURE PART I ADMINISTRATIVE DATA PART II APFT AND ARMY WEIGHT STANDARDS a. APFT Pass/Fail/Profile: Date: b. Height: Weight: Within Standard? MOST QUALIFIED HIGHLY QUALIFIED QUALIFIED NOT QUALIFIED a. Select one box representing Rated Soldier's Overall potential. MET STANDARD MET STANDARD MET STANDARD MET STANDARD DID NOT MEET STANDARD DID NOT MEET STANDARD DID NOT MEET STANDARD DID NOT MEET STANDARD / ________________________________________ Printed Name/Signature Sr. Rater (1SG) _________________________________________ Printed Name/Signature Rater __________________________________________ Printed Name/Signature Rated Soldier Figure 3-1

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Page 1: Figure 3-1 E4 WORD PICTURE AR 623-3 PART I ADMINISTRATIVE

SEE PRIVACY ACT STATEMENT IN AR 623-3

RATED SOLDIER’S NAME (Last, First, Middle Initial) SSN (FULL) PMOS DATE UIC / UNIT NAME

c. CHARACTER: (Include bullet commentsaddressing Rated Soldier’s performance asit relates to adherence to Army Values,Empathy, Warrior Ethos/Service Ethos, andDiscipline. Fully supports SHARP, EO, andEEO.)

d. INTELLECT: (Mental agility, Soundjudgment, Innovation, Interpersonaltact, Expertise)

e. LEADS: (Leads others, Builds trust,Extends influence beyond the chain ofcommand, Leads by example,Communicates)

f. ACHIEVES: (Gets results)

GA ARNG Form 2166-3-R-E, 2 MAY 2020 GA-G1-E

SOLDIER IS AVAILABLE NOT AVAILABLE* FOR SIGNATURE.

ALL PREVIOUS EDITIONS ARE OBSOLETE

RATER OVERALL PERFORMANCECOMMENTS: (BULLET FORMAT)

PART IV SENIOR RATER OVERALL POTENTIALb. COMMENTS: (NARRATIVE FORMAT)

*Memorandum for Record required for Soldiers not available for signature. Readiness NCO or S1 must sign on behalf of the Soldier.

COMMENTS:

(Comments required “Failed” APFT, “No” APFT, or “Profile” when it precludes performance of duty, and “No” for Army Weight Standards.)

PART III PERFORMANCE EVALUATION, PROFESSIONALISM, ATTRIBUTES, AND COMPETENCIES (Rater)COMMENTS: