Today’s and talent, experience workable schedule time available to do it. page. web page examples to help
1
1
Developmental Counseling FORM
For
use this form, see FM 6-22; the proponent agency in TRADOC.
|
|||
DATA REQUIRED BY THE
PRIVACY ACT OF 1974
|
|||
Authority: 5 USC 301, Departmental
Regulations; 10 USC 3013, Secretary
of the Army and E.O. 9397 (SSN)
PRINCIPAL
PURPOSE:
To assist leaders in conducting and recording counseling data
pertaining to subordinates.
ROUTINE USES: The
DoD Blanket Routine Uses set forth at the beginning of the Army’s compilation
of systems or records also
apply to this system
DISCLOSURE: Disclosure is voluntary.
|
|||
Part I - Administrative
Data
|
|||
Name
(Last, First, MI)
|
Rank/Grade
|
Date
of Counseling
|
|
Organization
|
Name
and Title of Counselor
|
||
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):
PCS Leave
Counseling
|
|||
Part III - Summary of Counseling
Complete this section during or immediately
subsequent to counseling.
|
|||
Key Points of
Discussion
|
|||
SPC xxxxxx you're
going to PCS to 3rd BDE, 1st CAV DIV REPL (WAGHAB) FT. HOOD, TX 76545. You’re
DEROS will expire on the 18 May 2012. You will be taking PCS leave on the 17
May 2012, for 30 days. You are authorizes early reporting ( no more than
60days, not later than the reporting date. Your reporting date is 10 July
2012 to your new unit. But you need to report the date your PCS leave ends,
which will be the 15 June 2012. If you don't report to your unit before your
PCS Leave you will be consider AWOL._____
* In the event you need emergency assistance
( leave extension, change in port call, family travel problems) You should
contact the ArmyTravelers' Assistance Center at
(800) 582-5552. Do
not contact you losing or gaining unit.
* You are
responsible for reporting to next duty station in satisfactory physical
condition, able to pass the Army Physical Fitness Test and meet height/weight
standards IAW AR 600-9.
* All the
information is at your fingertips as you plan your relocation. Access sites
at https://onestop.army.mil for all you're needs to know about your next
installation and surrounding communities. This website contains links to
individual installation ACSIM ( Housing and relocation) websites regarding
relocation.
* Information
about your new installation and community may be obtained by visiting the
IMCOM website at https//www.hrc.army.mil/site/imcom/ and further clicking on
the link to your next duty installation.
* If you don't
receive a sponsorship letter or welcome packet from your gaining unit of
assignment, contact the Fort Hood sponsorship office by one of the following
methods: wwwe-mailhood.sponsorship@conus.army.mil, telephone contact comm:
254-553-6767 or DSN 663-6767 or toll free 1-855-219-6336
In closing, I
expect good things from you as I do with all soldiers. If you need assistance in an area, do not
hesitate to ask for assistance or guidance. Should you have any problems do
not hesitate
|
|||
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,
AUG 2010
PREVIOUSE EDITIONS ARE OBSOLETE
For the first time, we are asking you, our patrons, to donate what you can if you find this
site useful. Even a dollar or two will help. Thanks!
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 specific time
line for implementation and assessment (Part IV below):
* If you don't receive a sponsorship
letter contact wwwe-mailhood.sponsorship@conus.army.mil, telephone contact
comm: 254-553-6767 or DSN 663-6767 or toll free 1-855-219-6336.
* You will report to your next duty
station on the no later then the 15 Jun 2012.
*
In the event you need emergency assistance contact the ArmyTravelers'
Assistance Center at
(800) 582-5552.
|
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 disagree with the information above.
Individual counseled remarks:
Signature of Individual Counseled: _________________________________ Date:
____________________
Leader Responsibilities: (Leader’s responsibilities in implementing
the plan of action):
• Provide
outstanding guidance and mentorship
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,
AUG 2010
For the first time, we are asking you, our patrons, to donate what you can if you find this
site useful. Even a dollar or two will help. Thanks!
