8/7/2019 Initial Counseling1

http://slidepdf.com/reader/full/initial-counseling1 1/2

266 Military Police Company

Spc. snuffy, this is your initial counseling statement. This counseling statement is to inform you of my expectations of you as a member of mysection. If you have any questions or comments, please feel free to address those to me, and I will work them out as needed.

Your areas of concern are:

1. Timeliness: Make sure you are at least 10 minutes prior to all announced formations.2. Accountability: Be where you need to be, when you need to be there. In all events, you need to keep me, or in my absence one of the other NCOs (SSG. Ferguson, SGT. Burcham, Spc. Strickler) aware of your whereabouts at all times.3. Uniform: Your uniform needs to be pressed and presentable at all times. Your boots need to be highly shined at all times. At no time shouldyour uniform fall below the standards set forth in AR 670-1. Motor Pool duty and Field Exercises are not an excuse to wear a substandarduniform. Also, you need to make sure you are in the correct uniform for the mission. If you are unsure of the correct uniform, contact me and Iwill provide you with that information.

4. Duties: If you have duty, you need to ensure that you are in the proper place, at the proper time, and in the correct uniform for that duty. I winform you of any duties you may have as soon as I am made aware of them. Be aware that things change at a moment's notice, so be prepared case that situation arises.5. Attitude: You need to have the proper military attitude at all times. Show the proper courtesy and respect to leaders, peers, and subordinatesalike. Always be professional and never allow your personal feelings to get in the way of respecting other Soldiers.6. Appointments: If you have an appointment, let me know the time and purpose of the appointment as soon as possible. Preferably, directlyafter you make the appointment. If you need to make an appointment, check with me before making the appointment so I can check the trainingschedule. DO NOT make any appointments without checking with me first. This includes any appointments that your wife may need that willcause you to stay at home to take care of your child.7. Personal Issues: Any personal or family issues that arise, make sure to inform me so that I can give you whatever support you may need. Donot be afraid to approach me with any concerns you may have, I cannot help a problem if I don't know the problem exists.

Other situations may arise that are not covered in this counseling session. If you are unsure about anything, contact me and I will work tostraighten out the situation. It is my duty as an NCO to help you develop into a better Soldier. However, I cannot do this alone. You must putforth the effort to make yourself a better Soldier, and in return I will help guide you in the right direction for your military career.

DEVELOPMENTAL COUNSELING FORM

For use of this form, see FM 22-100; the proponent agency is TRADOC

AUTHORITY:DATA REQUIRED BY THE PRIVACY ACT OF 1974

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 growth or event-oriented counseling, and 

includes the leader's facts and observations prior to the counseling.

PART III - SUMMARY OF COUNSELING

Complete this section during or immediately subsequent to counseling.

Key Points of Discussion:

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, JUN 1999 EDITION OF JUN 85 IS OBSOLETE USAPA V1

8/7/2019 Initial Counseling1

http://slidepdf.com/reader/full/initial-counseling1 2/2

The following plan of action is to be considered:

During this session we have discussed your basic duties and responsibities and goals. During our next session we will discuss the progresstoward your goals. I would also like for you to take the time to look at the following areas and provide input.

-Determine what areas you would like to work on within Squad-Training around the PTT mission for up coming deployment- Becoming weapon matter experts on all assigned weapon systems in Squad

Long Term Goals:1.2.3.

Short Trem Goals:1.2.3.

 

Signature of Counselor:   Date:

Counselor :  Individual Counseled: Date of  Assessment:  

Plan of Action: (Outlines actions that the subordinate will do after the counseling session to reach the agreed upon goal(s). The actionsmust be specific enough to modify or maintain the subordinate's behavior and include a specified time line for implementation and assessment (Part IV below).)

Session Closing: (The leader summarizes the key points of the session and checks if the subordinate understands the plan of action. TheSubordinate a rees/disa rees and rovides remarks if a ro riate.

Individual counseled: I a ree disagree with the information above.

Individual counseled remarks:

Signature of Individual Counseled: Date:

Leader Responsibilities: (Leader's responsibilities in implementing the plan of action).

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 providesuseful information for follow-up counseling.

Note: Both the counselor and the individual counseled should retain a record of the counseling.

REVERSE, DA FORM 4856, JUN 1999 USAPA V1.00