E-4 WORD PICTURERATED SOLDIER’S NAME (Last, First, Middle Initial) SSN (FULL) PMOS DATE

PERFORMANCE EVALUATION, PROFESSIONALISM, ATTRIBUTES, AND COMPETENCIES (Rater)

APFT Pass/Fail/Profile: Date: Height: Weight: Within Standard?

METSTANDARD

DID NOT MEET STANDARD

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

DID NOT MEET STANDARD

MET STANDARD

COMMENTS: I N T E L L E C T : (Mental agility, Sound judgment , Innovation, Interpersonal tact, Expertise)

METSTANDARD

DID NOT MEETSTANDARD

L E A D S : (Leads others, Builds trust, Extends influence beyond the chain of command, Leads by example, Communicates)

METSTANDARD

DID NOT MEET STANDARD

COMMENTS: A C H I E V E S : (Gets results)

RATER OVERALL PERFORMANCE

COMMENTS: (NARRATIVE FORMAT)

Select one box representing Rated Soldier’s

overall potential.

MOST QUALIFIED

HIGHLY QUALIFIED

QUALIFIED

NOT QUALIFIED

__________________________________________ Printed Name/Signature Rated Soldier

_________________________________________ Printed Name/Signature Rater

_________________________________________ Printed Name/Signature Sr. Rater (PSG/1SG)

GA ARNG Form 2166-2-R-E, 20 June 2019 ALL PREVIOUS EDITIONS ARE OBSOLETE GA-G1-E

a.

a.

c.

d.

e.

f.

C H A R A C T E R : (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.)

COMMENTS:

COMMENTS:

SOLDIER IS AVAILABLE NOT AVAILABLE* FOR SIGNATURE. (*Memorandum for Record required. Readiness NCO or S1 must sign on behalf of the Soldier.)

UPC, UNIT NAME

SENIOR RATER OVERALL POTENTIAL

b. COMMENTS: (NARRATIVE FORMAT)