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Date Submitted: 01/09/2011 09:10 AM
|Developmental Counseling FORM |
|For use of this form see FM 22-100. |
|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: For subordinate leader development IAW FM 22-100. Leaders should use this form as necessary. |
|DISCLOSURE: Disclosure is voluntary. |
|Part I - Administrative Data |
|Name (Last, First, MI) |Rank / Grade |Social Security No. |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 |
|leaders facts and observations prior to the counseling): |
|...