U.S. Army Initial Counseling Statement Example

NAME:                       RANK:                         

I. DUTY HOURS

1. FORMATION/FISRT CALL FIRST CALL/REPORT FOR DUTY AT _____

_____ PT FORMATION/PT TIME

- LUNCH TIME

DUTY DAY ENDS _____

2. THESE ARE THE NORMAL DUTY TIMES/HOURS; OTHER DUTY REQUIREMENTS/FORMATION TIMES
WILL BE ADDRESSED AS REQUIRED.

II SICK CALL PROCEDURES

1. KNOW YOUR PRIMARY CARE MANAGER AND SPECIFIC SICK-CALL PROCEDURES PRIOR TO
GETTING SICK OR INJURED.

2. NOTIFY SUPERVISOR ASAP OF ILLNESS/INJURY.

3. FOR ASSISTANCE OR ROUTINE TRICARE APPOINTMENTS, CONTACT ______________

4. NOTE: SCHEDULING A SAME-DAY APPT. AT PENTAGON IS ON A WALK-IN BASIS, BEGINNING AT
0700. OTHER MEDICAL FACILITIES (FORT MYER, FORT BELVOIR, PRIMUS CLINICS) MAY HAVE
DIFFERENT PROCEDURES.

5. REPORT TO YOUR PRIMARY CARE MANAGER/MILITARY TREATMENT FACILITY DURING SICK-
CALL HOURS/WALK-IN BASIS/FOR APPT.

6. UPON COMPLETION OF SICK CALL, CONTACT YOUR SUPERVISOR/CHAIN OF COMMAND AND
RETURN SICK CALL SLIP OR PROFILE, AS REQUIRED.

III
1. SUPERVISORY CHAIN
A. TEAM CHIEF
B. BRANCH CHIEF
C. DIVISION CHIEF
2. CHAIN OF COMMAND (FOR ENLISTED)
A. HHC 1SG, USAG MYER _
B. HHC CDR, USAG MYER __
C. BN CSM
D. BN COMMANDER

3. USE YOUR SUPERVISORY CHAIN/CHAIN OF COMMAND; ENSURE YOU KEEP THEM INFORMED OF
APPOINTMENTS OR ANY PROBLEMS YOU MAY HAVE. LEADERSHIP IS THERE TO HELP YOU, DON’T
BE AFRAID TO USE THEM.

IV. APPOINTMENTS

1. SCHEDULE APPOINTMENTS TO AVOID CONFLICTS WITH DUTY SCHEDULE.

2. TURN IN ANY REQUIRED APPOINTMENT SLIPS TO YOUR SUPERVISOR.
V. PHYSICAL TRAINING

1. PT IS ROUTINELY CONDUCTED ON YOUR OWN DURING DUTY HOURS AND IS A VERY IMPORTANT
PART OF YOUR DAILY ACTIVITIES.

2. YOU SHOULD STRIVE TO ACHIEVE A SCORE OF 300 ON THE APFT.

3. VARY YOUR INDIVIDUAL PT PROGRAM TO INCLUDE CARDIOVASCULAR AND STRENGTH TRAINING.

VI. VEHICLE AND POV REGISTRATION

1. VEHICLE AND POVS ARE REGISTERED THROUGH FORT MYER.

2. REGISTRATION MUST BE DONE WITH THE PROVOST MARSHALL; YOU MUST HAVE A VALID
VEHICLE REGISTRATION, CURRENT DRIVER’S LICENSE, AND PROOF OF INSURANCE TO REGISTER
YOU VEHICLE ON POST.

VII. TRAINING

1. IF YOU ARE ASSIGNED A WEAPON, THE GOAL IS TO QUALFY EXPERT.

2. YOU WILL GIVE NO LESS THAN 100% EFFORT IN ALL TRAINING THAT WE CONDUCT.

3. ALWAYS ACCOMPLISH THE MISSION TO THE FULLEST EXTENT POSSIBLE.

4. DO NOT SECOND GUESS SUPERIOR OFFICERS OR NCOS; DISRESPECT AND NEGATIVE
ATTITUDES WILL NOT BE TOLERATED, AND WILL BE DEALT WITH SEVERELY.

VII. FAMILY MEMBERS

1. ENSURE FAMILY MEMBERS ARE TAKEN CARE OF.

2. IF YOU DEPLOY OR PERFORM TEMPORARY DUTY, ENSURE YOUR FAMILY HAS ENOUGH MONEY
AND FOOD TO LIVE COMFORTABLY.

3. ENSURE FAMILY MEMBERS RECEIVE THE MEDICAL CARE THEY NEED AND ARE INFORMED OF
YOUR WHEREABOUTS.

IX. FINANCES

1. CHECKS.

2. CREDIT CARDS

3. RENT

4. ENSURE YOU HAVE MONEY BEFORE YOU WRITE CHECKS, AND DON’T BUY THINGS THAT YOU
CAN’T REALLY AFFORD ON CREDIT. MAKE SURE YOUR RENT, UTILITIES AND ALL OTHER BILLS ARE
PAID BY THE TIME SPECIFIED.

X. LEAVE AND PASSES

1. PASSES ARE GIVEN ON A CASE-BY-CASE BASIS AND CANNOT EXCEED FOUR DAYS.

2. LEAVES ARE SCHEDULED ON AN INDIVIDUAL BASIS (NOT BLOCK LEAVE OR ROUTINELY PLANNED
ALL AT ONE TIME DURING THE YEAR.) LEAVES SHOULD BE PLANNED TO AVOID DISRUPTION TO
DUTY REQUIREMENTS WITHIN THE DIVISION.

3. TO REQUEST A LEAVE OR PASS YOU MUST GO THROUGH YOUR SUPERVISORY CHAIN, AND
HAVE A COPY OF YOUR CURRENT LES. APPROVAL AUTHORITY FOR LEAVES/PASSES IS AT THE
DIVISION CHIEF LEVEL; OPERATIONS AND SUPPORT DIVISION PROVIDES A CONTROL NUMBER AND
FORWARDS TO PAC FOR PROCESSING.

XI. RESPONSIBILITY

1. YOU ARE RESPONSIBLE FOR YOUR ACTIONS.
2. ENSURE YOUR EQUIPMENT IS CLEAN, SERVICEABLE, AND ACCOUNTABLE FOR AT ALL TIMES.
3. IF ASSIGNED A WEAPON, IT SHOULD BE CLEANED TO ESTABLISHED DIVISION STANDARDS.

4. YOU WILL BE REWARDED FOR A JOB WELL DONE. IF YOU FAIL TO MEET STANDARDS, YOU MAY
BE PUNISHED.


NAME: ____________________
SIGNATURE: ______________

COUNSELOR NAME & RANK: ________________
SIGNATURE: ______________    DATE:________

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