Counseling Statements

APFT Failure Counseling

 
 
 
 
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APFT Failure Counseling

On ____________, you failed the semi-annual Physical Fitness Test. IAW AR 350-15, Chapter 1, you are required to take and pass the APFT twice each year. You are being counseled so you may clearly understand the serious actions which may be initiated against you for failing to achieve a passing score on each of the three APFT events. _______________Effective immediately you are considered a PT failure. You are informed that Report for Suspension of Favorable Personnel Actions has been completed. Your personnel records are now flagged and you are ineligible for promotion and reenlistment. Your records will continue to be flagged until you pass the APFT. All PT failures will be given a "FOR THE RECORD" test every 90 days until successfully completed. Your records will be flagged until you pass the APFT. In addition to attending regularly scheduled PT formations, you will attend REMEDIAL formations at ____________________. Continued unsatisfactory conduct/performance cannot and will not be allowed to continue. Should you continue to regularly fail the APFT without any medical justification, you could be processed for elimination from the service under Chapter 13 of AR 635-200. If conduct worsens, you could be discharged for misconduct under Chapter 14, AR 635-200, resulting in an other than honorable discharge. If separated for your duty performance, the least favorable character of discharge you could receive is a general discharge. If separated for misconduct, you could receive an under other than honorable conditions discharge. Both may cause undue hardships in civilian life and may reflect on your eligibility for veteran's benefits, eligibility for reentry into the Armed Forces, and acceptability for employment in the civilian community.



 
 
 
 

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Bar to Re-enlistment

 
 
 
 
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Bar to Re-enlistment
On ________________, a Bar to Reenlistment was initiated in accordance with AR 601-280, Chapter 6, for _________________. On ______________, under the provisions of AR 601-280, paragraph 6-5e, I am informing you that you have 7 days from this date to summit an appeal to the Bar to Reenlistment. Your appeal, if you decide to submit one, must be returned to me by ______hrs, on _____________. On case by case basis an extension of this period may by granted. Appeals will be endorsed personally by each commander (or acting commander) in the chain of command. For soldiers with less than 10 years active Federal service at ETS, the approval or disapproval authority is the Commanding General of Ft. XX. For soldiers with more than 10 years active Federal service at ETS, the approval authority is the Commander, MACOM. You are also informed the bar will be reviewed every 6 months or 30 days prior to your PCS or ETS. Mandatory separation proceedings will be initiated if you fail to overcome the bar by the completion of the second 6 months of review. If you believe you will be unable to overcome the bar to reenlistment you may apply for immediate discharge IAW para 6-5f, AR 601-280 and under the provisions of AR 635-200, Chapter 16. You are now in a non-promotable status IAW para 7-6, AR 600-200. I will forward a recommendation to lift this bar to reenlistment anytime I believe your duty performance warrants retention.


 
 
 
 

Civilian Education Counseling

 
 
 
 
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Civilian Education Counseling
Congratulations on enrolling in _______________.Your personal initiative to improve your educational level through appropriate academic/vocational schooling reflects your concern for your future. This is an important step toward furthering your self development and will ultimately enhance both your personal and professional endeavors. I applaud and support this decision. Receipt of tuition assistance dictates that your place of duty during class is the classroom. Failure on your part, for non-military commitments, to attend this course may result in UCMJ action, loss of educational benefits, or both. However, be advised that course enrollment does not automatically guarantee class attendance. Your ability to attend class during assigned duty hours will be based on current and future operational commitments and manning levels. In the event that you are unable to attend class due to operational/manning requirements, we will notify your instructor so that your absence will not have a negative impact on your pursuit.


 
 
 
 

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Corrective Training

 
 
 
 
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Corrective Training
1. REFERENCE: AR 600-20, para 4-6b; AR 27-10, para. 3-3c
2. REFERENCE: How to Counsel Soldiers
3. REFERENCE: Military Leadership (FM 22-100)

4. Corrective training (extra or remedial training) is an effective non-punitive disciplinary measure available when a soldier's duty performance has been deficient and the soldier would benefit from extra training. It must be directly related to an observed deficiency and it must be oriented towards improving the soldier's performance in the problem area.

5. A soldier's commander or any NCO in the soldier's supervisory chain may authorize corrective training. A member of the soldier's chain of command should be present and supervising the corrective training session.

6. Army regulations allow corrective training to be conducted during or after normal duty hours.

7. Corrective training is not punishment and should not be confused with extra duty imposed as punishments under Article 15, UCMJ. Extra duty need not be related to the soldier's misconduct. For example, a soldier who receives an Article 15 because he was AWOL may be required to perform cleaning duties as extra duty. Extra duty imposed as punishment under Article 15, UCMJ may be ordered executed during any off-duty time.



 
 
 
 

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Debt Obligations

 
 
 
 
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Debt Obligations

The Army requires that soldiers pay their debts promptly, failure to do so damages credit reputations and effects the Army's public image. The willful failure to resolve unpaid debts may result in administrative or punitive actions to include:

a. Making it a matter of permanent record by the placement of memorandum of reprimand, admonitions, or censure in the soldier's official personnel files.

b. Denial of reenlistment under AR 601-280.

c. Administrative separation from the service (AR 635-100 or AR 635-200).

d. Punishment under the UCMJ, when proper such misconduct may be charged under Article 92, 123, 133, or 134 of the UCMJ.

Counseling service is available under the Legal Assistance Program (AR 27-3). You are urged to seek budget counseling and consumer protection advice. These services may be obtained from on-post credit unions, Army Community Service Program Counselors (AR 608-1), or through financial management seminars or workshops. You may write your intentions about the debt in block 11 of the DA Form 4856-R. The impact of an adverse separation can be severe depending upon the type of discharge you receive. A dishonorable discharge deprives a soldier of all veteran's benefits and may deprive him or her of their civil rights. If separated for your duty performance, the least favorable character of discharge you could receive is an under other than honorable conditions discharge. Both may cause undue hardships in civilian life and may reflect on your eligibility for veteran's benefits, eligibility for reentry into the Armed Forces, and acceptability for employment in the civilian community.



 
 
 
 

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Initial Counseling NCO

1. The purpose of this document is to record the initial counseling of the platoon leaders within UNIT. This initial counseling was conducted on ________, between _________ and ______________.
2. Your principal duties: XXXXXXXXX. Responsible for all personnel assigned in the areas of training, safety, soldier/family welfare, as well as personal and professional development.
3. Your appointed duties include: XXXXXXXXX.
4. PROFESSIONALISM. In addition to your principal duties, the most important responsibility you have as a leader is to set a proper professional example. Especially important are the ethical values of loyalty, duty, selflessness, and integrity. Failure to meet standards in these areas indicates a basic flaw in your character and may precipitate a relief for cause.

a. Selflessness. You must place the goals and missions of the unit above your personal goals. You must be dedicated to their accomplishment in spite of their impact on your personal welfare or comfort.
b. Pride/Team. You must show pride in what you, your squad, platoon, company, and battalion do. Once committed to executing a mission, you must give 100% and maintain a positive attitude. Always remember that your squad or platoon is part of a team and that what you may have to do may not always be best for your squad or platoon, but someone thinks it is best for the team. When you get to choose what you will do, think about what would be good for the unit.
c. Orders. Execute your orders as completely and rapidly as possible. Obey the spirit of the order, not just the letter of it. Execute implied tasks just as faithfully as specified tasks; you will be held responsible for both.
d. Missions. I assume all missions given to you will be accomplished. If your mission is in danger of failing, tell me ASAP so we can adjust our plans.
e. Honesty. Be absolutely honest in your communications with me and with your subordinates. Cheating during training or falsifying documents will never be condoned.
f. Conduct. Be a good example of the American Soldier both on and off duty. Drink prudently and do not abuse alcohol; under no circumstances should you drink and drive. Stay in control of your finances and don't overextend yourself.
g. Take Responsibility. Do the harder right, not the easier wrong. It does not matter what everyone else did, or didn't do, you will be held responsible for the decisions you make. Be willing to stand-alone for what you know is right against your peers, your subordinates, or me.

5. PERFORMANCE. The principal duties as discussed in paragraph 3 above are performance oriented. It is expected that you will perform all of your duties to meet and exceed the Army and unit standards. Don't wait to be told to do something you know needs to be done. Take initiative and don't be afraid to make a mistake. I anticipate that you will fail to meet standards from time to time, and this will result in an opportunity for retraining. However, a pattern of substandard performance after opportunities to retrain indicates either an inability or unwillingness to meet the standard. If the standard is sound, an inability or unwillingness to meet it may be cause for relief.

a. Competence is the key to accomplishing your duties. Do all you can to develop yourself into a great NCO and soldier.
b. Physical fitness and military bearing will go a long way toward communicating that you are a competent professional. Always stay fit and be sharp.

(1) You will pass the APFT at least twice a year. The goal for squad leaders and platoon sergeants is 270 or above. You will also meet the proper height-weight standards.
(2) Always present yourself as well groomed and always meet Army haircut standards. You will shave first thing every morning to include in the field. You will wear all of your uniforms properly and maintain a sharp appearance.
(3) Display mental and physical stamina. Never give up. The standard is you will try and try again, then seek help. The goal is that you will always attempt to complete the mission unless told to stop.
(4) You will act energetically and will communicate clearly and with confidence. Never complain or criticize other officers/NCO's in front of soldiers.

c. Leadership is what the Army pays you for. To lead, you must know where you are going. Therefore, define your objective, then get your squad or platoon there.

(1) Always put the mission first. If you or your squad or platoon stop trying, you have failed. The goal is 100% mission accomplishment, IAW published standards, without unnecessary energy or resources expended. Also instill in your subordinates the desire to achieve and accomplish the mission.
(2) Lead from the front. You will try the hardest, work the longest, get the dirtiest, be the coldest, and LEAD your soldiers.
(3) Take care of your soldiers. Be more concerned for their welfare than your own and ensure they know it. Take care of your soldiers' families. The Army is a lifestyle, and not just a job, know how to influence lives.
(4) In discipline, be strict but fair and remain consistent. If you bring a soldier to me, expect fair but strict punishment.
(5) Give clear guidance (task, conditions, and standards) to your subordinates so they can accomplish their mission. Avoid "yesterday management."
(6) The Commanders, 1SG's and XO's orders are mine - comply with them. Utilize their knowledge and experience to your advantage.
(7) Be a leader not a hero. A leader makes hard, unpopular decisions, while a hero decides on what the population wants. Soldiers like their heroes, but they respect their leaders.
(8) By virtue of your position you are owed the respect of your subordinates; despite this, you will make every effort to earn their respect. Don't make them earn your trust, give it to them and make them prove themselves unworthy. Most soldiers will appreciate this trust and will fight to keep it. Don't make a superior fight to earn your respect. It is owed to him or her and he or she should have to prove to be unworthy of it.

d. Training is our #1 priority. You will use your abilities and resources to train your squad or platoon. Always remain ready to fight anywhere, anytime. Never waste an opportunity to assess the performance of tasks in training.

(1) Understand training management as outlined in FM 25-101 and make it work when you train. Maintain a current squad or platoon collective task assessment.
(2) Conduct tough and realistic training. It is your responsibility to ensure all your squad's or platoon's training is well planned and thoroughly resourced. Training time is precious. Every time you train, it will be oriented on METL supporting tasks and Battle drills we determine to be most important.
(3) Train your soldiers on the things that will make them successful. If they do not qualify with their weapon and pass PT tests, you as their trainer will be held responsible for getting them there.

e. Responsibilities. For you to be a useful and dependable squad leader or platoon sergeant, you must be held responsible for all of your duties, your soldiers and their actions, your equipment, and any other Army facilities you have influence over. You must hold your subordinates accountable in the same way.

(1) Take care of the equipment and facilities you are responsible for. Keep them clean and serviceable. Get them fixed when they break. Do not lose things. When you recognize someone has mistreated, broken, or lost something, be the bad guy and hold him or her responsible for it.
(2) Conserve our limited training resources. Do not waste supplies.

f. Safety. Ensure that safety is foremost in your and your subordinates' minds. Preach it often, but don't become paralyzed by the fear of an accident. You live in a hazardous environment and must know how to safely operate in it. In whatever you do, conduct a thorough risk assessment and devise specific risk reduction measures to prevent accidents. The goal is that your subordinates do this on their own. The standard is that no soldiers lose life, limb, eyesight, or have irreversible damage done to them that you could have prevented.
g. Remember that you are accountable to both me and to your senior rater. Both of us should know what you and your squad or platoon are up to at all times. Hold your subordinates responsible to stay in touch one up and one down at all times. Check in with me prior to PT and before you and your squad or platoon leave for the day.

6. I have attempted to be specific, but there are still many facets we have not yet discussed. Communicate with me regularly, so that we both know where you stand overall. We will assess and discuss your performance during monthly and quarterly counselings.

Initial Counseling PVT-SPC (2)

 
 
 
 
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Initial Counseling

This is your initial counseling. This is an overview of what I expect from you and what you can expect from me.

o Performance - Ensure that you are always on time, do what you are told to do and perform all duties in a military manner. Also, I expect you to become knowledgeable in your MOS and strive to attain the next level.

o Appearance - Maintain your uniforms in accordance with AR 670-1 and _______________ Division Regulation XXX-X. Your uniform identifies you as a member of the US Army and the _________________ Division. Wear it with pride. Abide by Army hair and fingernail standards and grooming policies. Your boots should be IAW AR 670-1.

o Education - I encourage you to take college classes and Army correspondence courses along with any available military schooling. These will not only help you in your Army career, but also in your future should you decide not to stay Army.

o Physical Fitness - You need to ensure that you can pass a PT test at any time and also maintain the standards governed by AR 600-9.

o Military Courtesy - You need to show respect to your seniors, peers and subordinates alike. When speaking to NCOs, you need to be at the position of parade rest. Maintain a good positive military bearing at all times to include on and off duty. What you can expect from me is the following:

I will ensure that you do the above to the utmost of my ability.

I will provide you motivation, direction and training.

If any problems should arise in the future, I will assist you in solving them. I am here to help you in anyway possible



 
 
 
 

Initial Counseling PVT-SPC (3)

 
 
 
 
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Initial Counseling

________ As your immediate supervisor, I would like to take this opportunity to introduce myself and welcome you to UNIT. During this session, we will discuss the following areas:
a. Unit mission
b. Chain of command
c. Physical fitness
d. Battalion counseling policy
e. JQR training program
f. Duty performance and conduct
g. Promotion requirements
h. Read CSM's memorandum
i. Soldier programs (SOM/NCOM)
j. Functions/ Locations of assistance agencies
k. Duty description
l. BDE, BN, CO, policy letters
m. Career guidance/ reenlistment
n. Family situation/ concerns
o. Duty hours/ work schedule
p. Medical concerns
q. Personal appearance
r. Information dissemination
s. Leave/ Pass policy
t. Civilian education
u. Battalion / Company METL
v. NCOPD
w. Self-development career map**

**SEE U.S. Noncommissioned Officer Development Guide (DA PAM 600-25) PDF for MOS specific career map and Enlisted Assignments (AR 614-200) and Enlisted Personnel (AR 635-200)
**Use a-w above as a guide to discuss initial unit integration with the soldier.



 
 
 
 

Initial Counseling PVT-SPC (4)

 
 
 
 
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Initial Counseling

PVT __________, this is your initial counseling statement. This counseling statement is to inform you of my expectations of you as a member of my section. 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 (list other NCOs in section here) 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 should your uniform fall below the standards set forth in AR 670-1. Motor Pool duty and Field Exercises are not an excuse to wear a substandard uniform. 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 I will 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 will inform 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 in 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 subordinates alike. 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, directly after you make the appointment. If you need to make an appointment, check with me before making the appointment so I can check the training schedule. DO NOT make any appointments without checking with me first. This includes any appointments that your wife may need that will cause 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. Do not 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 to straighten 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 put forth the effort to make yourself a better Soldier, and in return I will help guide you in the right direction for your military career.



Ensure you are at the proper place at the proper time and in the proper uniform. Follow the guidelines presented in this counseling. Ensure you are following the standards set forth by this section, this company, and all ARs. To help ensure you are keeping within the standards. To provide you with whatever means necessary to accomplish your mission. To guide you in the right direction to further your military career.

 
 
 

Lost Military Identification Card Counseling

 
 
 
 
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Lost Military Identification Card Counseling

On ________, you lost your Military Identification Card. Your Military Identification Card is military property. It is your responsibility to report a loss of government property immediately to your chain of command. It is your responsibility to maintain positive control of your Military Identification Card at all times. Loss of your Military Identification Card jeopardizes the security of all military installations worldwide. You are required to report to the Identification Card section to the Provost Marshall and then have another Military Identification Card re-issued immediately.

Separation actions may be initiated if unsatisfactory behavior or performances continues. Unsatisfactory performances and acts or patterns of misconduct can result in separation from the Army under AR 635-200. Chapter 13 ( Unsatisfactory Performance ) is the commanders judgment of your performance. Chapter 14 (Misconduct) is misconduct because of minor disciplinary infractions, a pattern of misconduct, commission of a serious offense, conviction by civil authorities, desertion, and absence without leave. Under the provisions of these chapters, discharge from the Army can be characterized as: Chapter 13 Honorable or under honorable conditions as warranted by their military record. Chapter 14: a Discharge under other than honorable conditions is normally appropriate for a soldier under this chapter. However, the separation authority may direct a general discharge if such is merited by the soldiers overall record.



 
 
 
 

Monthly Performance Counseling (2)

 
 
 
 
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Monthly Performance Counseling

1. Duty Performance: Your overall performance for past month has been (OUTSTANDING / SATISFACTORY / UNSATISFACTORY).

a. Areas you should Sustain:

b. Areas you should Improve:

2. Personal Issues: During the last month we talked about your inability to make your car payment on time. As a result...

3. Promotion: In order to be considered in the primary zone for promotion to RANK a soldier must have ____ months Time in Service and ____ months Time in Grade. You currently have ____ months Time in Service and ____ months Time in Grade. In MONTH/YEAR you will be eligible for promotion in the primary zone of consideration to the rank of RANK.

4. Upcoming Events: Next month we will be attending the M16 range... During the next month you need to accomplish the following tasks: In closing, I expect good things from you as I do with all soldiers. We will accomplish all tasks together as a team. If you need assistance in an area, do not hesitate to ask for assistance or guidance. Should you have any problems do not hesitate to contact me immediately. My phone number is (555) 123-4567 _____ (soldier's initials)



 
 
 
 

Monthly Performance Counseling (3)

 
 
 
 
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Monthly performance counseling for December

  • Physical Fitness
  • Promotions
  • Personal appearance
  • Personal accountability
  • Safety/Drinking

PVT Snuffy, this is your counseling for the month of December. You are still new to the section but you have already started to show great leadership capabilities. You are learning your job quickly and doing it in a professional manner. Several times you have been left in charge to accomplish a task and have been able to finish that task proficiently and professionally. I hope to expect more of these work habits from you in the future.

Physical Fitness: PT is a personal responsibility, even thought we do PT 5 days a week, there is no way we can make a program that will successfully better everyone's scores. You have to work on your weakest events on your own if you need any help feel free to ask me and I will do everything within my power to help you.

Promotions: You only have a short time left until you're promoted to PFC without a waiver. Continuing working in the manner in which you have been and you may be eligible for a waiver. Waivers do not come very often in this unit however you should consider trying to earn promotion points for when you are at the stage to make SGT. Doing correspondence courses online is a great way to earn points and with your current rank you still have very little responsibility giving you more free time to do things like this. Now is the best time before you transfer to another duty station where earning points is not as easy as it is here.

Personal Appearance: Your uniform and boots have met the standard set forth in AR 670-1. Keep up the good work.

Personal Accountability: It is your responsibility to keep me informed of your whereabouts at all times. If there is for any reason you are going to miss or be late to a formation or work call it is up to you to make me aware of the situation.

Safety / Drinking: The drinking age is 21. You are over the age of 21. This does not give you the right to drink out of control. You are a soldier 24 hours a day, 7 days a week. If you are caught in any situation with alcohol in your system it is classified as an alcoholic incident. Maintain your military bearing at all times and drink responsibly. All in all be safe and responsible in all that you. Lastly thank you for a safe and productive month.



 
 
 
 

Monthly Performance Counseling

 
 
 
 
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  • Duty
  • Uniform Policies / Soldier Appearance (AR 670-1)
  • Shift Times and Schedules
  • Counseling of Subordinates
  • Continual Soldier Development
  • Physical Fitness Program
  • Conduct of Soldiers (On and Off Duty)
  • Chain of Command
  • Drill Attendance and SUTA Policy
  • PMCS/DDC
  • Alcohol Policy

- Soldiers will carry themselves in a military manner at all times while on duty. While on duty, soldiers will maintain speed limits and stay within their assigned areas.
- Soldiers will report to work in proper duty uniform and maintain appearance in accordance with AR 670-1. The duty uniform will include ID Cards/Dog Tags/ROE Cards/notepad and pen.
- Shift times and schedule will be posted and adhered to.
- Counseling of all soldiers will be done on a quarterly basis or as operational and personal needs warrant.
- Soldiers are encouraged to enroll into correspondence courses, read soldiers manuals, and to continue learning all related computer programs within the operation for self development. Soldier’s are encouraged to attend training or classes to better themselves for future employment.
- Soldiers will participate in a Physical Fitness Program, and will perform PT on a regular basis. Schedules will be maintained by shift NCOIC’s, and diagnostic PT tests will be scheduled.
- Soldiers will conduct themselves in a military manner and maintain a military bearing on and off duty at all times. This means showing proper respect to others while on this mission.
- All personnel will use the chain of command at all times.
- All soldiers on State Activation Duty, (SAD) regardless of duty station will attend drills with their respective unit each month when mission allows. SUTA’s will be performed on soldiers days off when that months drill can not be attended.
- Soldier will not consume alcohol 12 hours prior to starting work.
- Ensure duty areas are clean, trash/recyclable containers emptied by end of shift daily.



Soldier’s will be monitored by their chain of command, follow up to be conducted in 30 days.
 
30 day counseling of all soldier’s
 

Motorcycle Safety Counseling

 
 
 
 
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Motorcycle Safety Counseling

The purpose of this counseling is to inform you the requirements for motorcycle safety and licensing requirements. Per Brigade Commander's Guidance, the Company Commander will visually inspect each rider's motorcycle (to include DoD decal), drivers license, and motorcycle training certificates. Each motorcycle rider will be required to complete the basic motorcycle course upon notification. Riders are highly encouraged to complete the advanced rider's course. Army motorcycle riders are responsible for wearing personal protective equipment (PPE) both on and off post. Soldiers that fail to wear PPE off-post and are in an accident will be subject to a line of duty investigation and possibly not receive SGLI or medical benefits from an accident. Higher visible PPE is preferred. Required PPE is a helmet that meets the Department of Transportation requirements, eye protection, jacket, pants, gloves, boots. Rain suits are not required, but highly encouraged in the event of adverse weather conditions. At all times assess your skill level and those that you are riding with. If the other riders are more skilled and experienced, do not attempt to keep up with other riders. Ensure that you remove DoD decals and return to the post Provost Marshall in the event that you sell your motorcycle. In the event that you identify other motorcycle riders in the unit, notify your chain of command. Motorcycles are a safe form of transportation if we take the appropriate actions in ensuring safety and being responsible. Ensure that your motorcycle fits your body and the intent of its use. As with all forms of transportation, drinking and driving will not be tolerated. Those found guilty of drinking and driving will receive a General Memorandum of Reprimand in their permanent file. If you are a licensed motorcycle rider, but do not own a motorcycle, all of the above applies if you ride a motorcycle that belongs to someone else.



 
 
 
 

Pregnancy Counseling

 
 
 
 
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Pregnancy Counseling

Congratulations on your pregnancy. This counseling provides required details . I affirm that I have been counseled by XXXXX this date on all items on the attached counseling checklist and I understand my entitlements and responsibilities. I understand that if I elect separation I may receive maternity care at Department of Defense expense, on a space available basis for up to 6 weeks postpartum for the birth of my child only in a military medical treatment facility which has maternity care capability and that I may elect a separation date no later than 30 days prior to expected date of delivery, or latest date my physician will authorize me travel, whichever is earlier. Further, I understand that many military medical treatment facilities cannot provide maternity care and that unforeseen circumstances or medical emergency could force me to use civilian medical treatment facilities following separation from active duty. Should this happen, I fully understand that UNDER NO CIRCUMSTANCES can CHAMPUS, any military department, or the Veterans Administration reimburse my civilian maternity care expenses. Such costs will be a matter of my personal responsibility. Further, I understand that the separation authority, in conjunction with my military physician and the needs of the Army, will determine my separation date. I also understand that if I should remain on active duty, I will be expected to fulfill the terms of my enlistment contract. If I elect to remain on active duty, I understand that I must remain available for unrestricted service on a worldwide basis when directed and that I will be afforded no special consideration in duty assignments or duty stations based on my status as a parent. Per AR 635-200: 1. Retention or separation: You may choose to remain in the Service, or separate. 2. Maternity Care: If you remain on active duty, you will receive treatment in a military facility, or in a civilian facility if there is no military maternity care available within 30 miles of your location, per AR 40-3, Para 2-35 3. For care after separation: If you separate, you are authorized treatment only in a military facility which has maternity care. You are NOT authorized care in a civilian facility at Government expense. 4. Leave: You may request ordinary, advance, and excess leave in order to return home, or other appropriate place, for the birth of your child or to receive other maternity care. Such leave usually terminates with onset of labor. Nonchargeable convalescent leave for postpartum care is limited to the amount of time essential to meet your medical needs, per AR 630-5, Cpt 9 5. Maternity and clothing uniforms: Military maternity uniforms will be provided to you, per AR 670-1, Chpt 24 6. BAQ and Government Quarters: Availability depends on the status of quarters at your installation. 7. Assignments: You will not normally receive PCS orders directing movement overseas during your pregnancy. However, you will be considered available for unrestricted worldwide assignment upon completion of post-partum care. If overseas, you remain assigned overseas, per AR 614-30, Para 2-5 8. Separation: If your performance or conduct warrant separation for unsatisfactory performance or misconduct, or if parenthood interferes with your duty performance, you may be separated involuntarily even though you are pregnant, per AR 635-200, Para 5-8, 13-2, & Chp 11, 14 9. Family care: You must have an approved Family Care Plan on file stating actions to be taken in the event you are assigned to an area where dependents are not authorized or you are absent from your home or military duty. failure to develop an approved care plan will result in a bar to reenlistment, per DA Pam 600-8, Pro 9-6, AR 601-280 Chp 6. 



 
 
 
 

UCMJ Violation

 
 
 
 
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UCMJ Violation

____________________. Your actions are in violation of Article (**See UCMJ Page for specific articles) of the Uniformed Code of Military Justice (UCMJ). Continued misbehavior of this type may result in judicial punishment or non-judicial punishment under Article 15 of the UCMJ adverse administrative personnel actions. Potential adverse actions may include: written or oral reprimands, a bar to reenlistment, extra training, suspension or revocation of your security clearance, and involuntary separation under AR 635-200, Chapter 13, Unsatisfactory Performance or Chapter 14, Misconduct. The impact of adverse separation can be severe depending upon the type of discharge you receive. A dishonorable discharge deprives a soldier of all veteran's benefits and may deprive him or her of their civil rights. If separated for your duty performance, the least favorable character of discharge you could receive is an under other than honorable conditions discharge. Both may cause undue hardships in civilian life and may reflect on your eligibility for veteran's benefits, eligibility for reentry into the Armed Forces, and acceptability for employment in the civilian community. 



 
 
 
 

Unsatisfactory Performance Counseling ("Magic Statement" or "Silver Bullet")

Here are three separate statements you may use depending on your preference or available space in the counseling. Place one at the end of the "Key Points of Discussion" portion of the DA Form 4856.

  1. Separation actions may be initiated if unsatisfactory behavior or performances continues. Unsatisfactory performances and acts or patterns of misconduct can result in separation from the Army under AR 635-200. Chapter 13 (Unsatisfactory Performance) us the commanders judgment of your performance. Chapter 14 (Misconduct) is misconduct because of minor disciplinary infractions, a pattern of misconduct, commission of a serious offense, conviction by civil authorities, desertion, and absence without leave. Under the provisions of these chapters, discharge from the Army can be characterized as: Chapter 13 Honorable or under honorable conditions as warranted by their military record. Chapter 14: a Discharge under other than honorable conditions is normally appropriate for a soldier under this chapter. However, the separation authority may direct a general discharge if such is merited by the soldiers overall record.
  2. This counseling statement has been furnished to you, not as a punitive measure under the provisions of article 15, UCMJ, but as an administrative measure to stress that continued behavior of the same or a similar nature may result in initiation of action eliminating you from the U.S. Army for (Involuntary Separation Due To Parenthood) (Personality Disorder) (Entry Level Performance and Conduct) (Unsatisfactory Performance) (Misconduct or Minor Disciplinary Infractions) under the provisions of Chapter (5) (8) (11) (13) (14) , AR 635-200. Such action may result in the issuance of either an Honorable Discharge, General Discharge, or an Other Than Honorable (OTH) Discharge. If you receive a General or an OTH Discharge, this could result in the possible loss of some or all Veterans Benefits and substantial prejudice in obtaining civilian employment. In addition, if you have contributed money to the Montgomery G.I. Bill and you are released from active duty with a less than Honorable Discharge, you will not be eligible to receive money for educational purposes and any money already contributed for educational purposes is nonrefundable and may be forfeited.
  3. I am counseling you for the conduct noted above. Be advised that continued conduct of this nature may result in initiation of a bar to reenlistment, administrative action to include your separation from the service, and/or punitive action (i.e. UCMJ action). If this conduct continues, action may be initiated to involuntarily separate you from the service under AR 635-200, Chapter 5, 11, 13 or 14. If you are involuntarily separated, you could receive an Honorable, General Under Honorable Conditions, Other Than Honorable, or Uncharacteristic Discharge. An Honorable Discharge may be awarded under Chapter 5, 13 and 14. An Uncharacteristic Discharge may be awarded under Chapter 11. A General Under Honorable Conditions Discharge may be awarded under Chapter 5, 13 and 14. An Other Than Honorable Discharge may be awarded under Chapter 14. If you receive an Honorable Discharge, you will be qualified for most benefits resulting from your military service. If you receive a General Under Honorable Conditions Discharge or an Uncharacteristic Discharge, you will be disqualified from reenlisting in to the service for some period (i.e. at least two years) and you will be ineligible for many veterans benefits to include but not limited to the Montgomery G.I. Bill. If you receive Other Than Honorable Discharge, you will be ineligible for most, if not all, veterans benefits to include but not limited to the Montgomery G.I. Bill and you will be precluded from reenlisting in the service. If a General Under Honorable Conditions, Other Than Honorable, or Uncharacteristic Discharge is given, you may face difficulty in obtaining civilian employment as employers have a low regard for less than Honorable Discharges. Although agencies exist to which you may apply to upgrade a less than Honorable Discharge, it is unlikely that such application will be successful.

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Initial Counseling PVT-SPC (2)
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Lost Military Identification Card Counseling
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Magic Statement (2)
Magic Statement (3)
Monthly Performance Counseling (2)
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NCO Initial Counseling
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Weight Control Program Removal Counseling
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Weight Control Program Entry

 
 
 
 
ArmyGuru.com
Weight Control Program Entry

Ensure you check the applicable regulations for EXACT forms and procedures for soldiers enrolled in the Overweight Control program. On _____________, you reported to the Company Training NCO, for a weigh-in. You were weighed and found to be over the screening table weight and were subsequently taped. You were found to be ________ over the maximum allowable body fat of _______ for your age ( ). A DA Form 268, Report to Suspend Favorable Personnel Actions (Flag) was initiated and signed by the company commander effective this date. On ______________, you are being entered into the company weight control program. A copy of the flagging action has been provided to you. You are strongly encouraged to participate in the company's PT enhancement program, with the primary focus on meeting the standards set forth in AR 600-9. Participants in this PT enhancement program are required to meet ____________ at __________________. You are required to take XX memorandums to the the TMC/Hospital to have medical personnel determine whether your weight control problem is a result of a medical condition. You must show satisfactory weight loss while enrolled in this program. AR 600-9 states that satisfactory weight loss is 3-8 pounds per month. You will remain flagged and enrolled in the company's program until such time as you meet the standards set forth in AR 600-9. Your next scheduled weigh-in is _________________. Failure to make satisfactory progress in the company's weight control program could result in a Bar to Reenlistment, initiation of separation from the service under provisions of AR 635-200, or both. 



 
 
 
 

Weight Control Program Removal Counseling

 
 
 
 
ArmyGuru.com
Weight Control Program Removal Counseling

On _____________, you reported to________ for a body fat analysis. You were taped at____ which is ____below the maximum allowable body fat of _______ for your age ( ). It has been determined that you no longer exceed the body fat standard. As of this date, you were removed from the weight control program per AR 600-9 para 20f. DA Form 268, Report to Suspend Favorable Personnel Actions (Flag) was removed from your official records by the company commander effective this date per AR 600-31. It is IMPERATIVE that you understand that if it is determined that you exceed your screening table weight and the body fat standard prescribed in AR 600-9, para 20c within 36 months from this date, the following actions will apply:
1. Within 12 months, without medical reason, you will be subject to separation from the service under AR 600-9 para 20j.
2. After the 12th month, but within 36 months from this date, without medical reason, you will be placed on the weight control program again and have 90 days to meet the standards set forth in AR 600-9; meeting standards within 90 days will result in removal from the program; failure to do so can result in separation from the service under AR 600-9 para 20j.
3. If you meet the standards and become pregnant, you will be exempt from the standards for the duration of the pregnancy plus the period of convalescent leave after pregnancy. After medical release, you will be entered into the program again, if you fail to the meet standards IAW AR 600-9 para 20c.
4. If a medical condition is determined to exist, AR 600-9 para 20d will be followed. As part of removal from the weight control program, you are no longer required to attend remedial physical fitness training. However, you are required to maintain a regular workout program, no less than three times per week and maintain healthy eating habits.

Congratulations on your removal from the weight control program.You have demonstrated that you have the ability to meet Army standards. It is extremely important that you strive to maintain these standards as set forth in AR 600-9. The Army has traditionally fostered a military appearance which is neat and trim. Further, an essential function for day-to-day effectiveness and combat readiness of the Army is for all soldiers to maintain a healthy and physically fit posture. Self-discipline to maintain proper weight discipline and appearance are essential to the Army's success. I am confident that you will continue to meet these standards.