Promotion Counseling

PART II - BACKGROUND INFORMATION

Purpose of Counseling:

Promotion Counseling:
To explain the reasons SGT Smith is not being recommended for promotion.

PART III - SUMMARY OF COUNSELING
Complete this section during or immediately subsequent to counseling.

You are not being recommended for promotion this month due to your Summary Court Martial conviction (15 Sep 12) for disobeying orders and for being flagged due to APFT failure.

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 PREVIOUS EDITIONS ARE OBSOLETE

Plan of Action:

o continue the high level of dedication and professionalism you have demonstrated
o continue to demonstrate to the chain of command that you are ready and qualified for advancement
o continue daily PT and focus on increasing your run time in order to pass a record APFT

Session Closing: (The leader summarizes the key points of the session and checks to ensure 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: _ _ _ _ _ _SIGNED_ _ _ _ Date: _ _ _ _ _

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

o provide guidance and supervision to ensure SGT Smith has the necessary resources to achieve his goals and plan of action.
o participate in daily physical training and prepare to administer a record APFT.

Signature of Counselor: _ _ _ _ _ _ _ _ SIGNED_ _ _ _ _ _ _ _ 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: _ _ _ _ _ _ _ _ _ _ _ Date: _ _ _ _ _

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

REVERSE, DA FORM 4856, AUG 2010