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AIT SOLDIER IN TRAINING PERFORMANCE RECORD NEW START PRIOR PTU. cistasre SPLIT OPTION PART | BASIC DATA 1. NAME(last, st, Mi) le. ssw 3. RANK Jn sex MF 5. UNITIOLASS # 6 Mos] 7.DS 8 AGE Inst PART Il MANDATORY TRAINING REQUIREMENTS Go NoGo Go NoGo “Training completed to standara AMolae WF waiver Go NoGo D1 D ws austtcason % 11 Ci command inspection []_ [1] Demonstrates Values and Ethics O Ose 1 Oi soisierization DAYS MISSED TRNG O Or. O Crest (_reresr tasks) PART III PHYSICAL FITNESS Soldier displays effort to improve fitness level. Failure could result in New Start /S DAPFT ‘APTA Date Date: ‘Go NoGo Go NoGo oo oa PUPTS PUPTS SUPTS SUPTS RUN PTS RUN PTS PT RUN GROUP. PT RUN GROUP. SOLDIER INITIALS, SOLDIER INTTALS. “APFT2 ‘APFTS Date: ae Go NoGo Go NoGo goo oo PUPTS PUPTS SUPTS SUPTS RUN PTS RUN PTS, PT RUN GROUP PTRUN GROUP SOLDIER INITIALS. SOLDIER INITIALS ToUTSGING Teated To THPIOVETROTT an Teverse sce OTS TTT COTES TATE 1 WpTOVETTERT OF TOVETSE SES OT TNS ToT PART IV ARMY VALUES Soldier displays/adopting Army Values to required level ewe, COO D coratry-commites to amy, unit &fetow soit] C1 OO SELFLESS SERVICE - Places needs ofthe unit, the mmission and the welfare of others before self FLOOD rr nest reszenstiiesnsmatetow FF] soon. shoe nowlaze fant od wong 10101 rccheer Hots ner nigh rece vets ober] C] £1 INTEGRITY; oes ntte, cst eter rate ‘a8 solder wishes to be treated Comments: ooo00 PERSONAL COURAGE - Overcomes fears, physical and mora, to do duty SOLDIER INITIALS. PART V MOTIVATION & DISCIPLINE Begin to look, act, think fe ood Far Poor T0101 rersonat appearance 1100 C1 roxtows onners & DIRECTIONS (Dependable) OOO Basremrarasror eonoene OBEYS POLICIES Fadi bay, No Sk, OO erates oqpmens Dresses atin, e) Leadership Postions: Fe ara Tats areas COUT OETA ke asoldier punishment, Now Stat / Separation AW AR 625 200 OO OD renoers murrary courtesy OO OD rouows eupoy system aways TOOL prepares ror Inspections 10 OD mara couement accounrasiurty 11D ream raver supports Peer Leadership) Comments: SOLDIER INITIALS PART VI COMPLETION CERTIFICATION DATE SOLDIER INITIALS Soldier achieved standards to graduate O yes C1No C1 marcinat (See Reverse) FI FORM 350-100-110-E, JUN 98 (ATSG-AGT) PERFORMANCE COUNSELING RECORDS ‘fom tbe cesoqes en olga aus, WAME(iast fst, Mi) DATE Name, Grade, Signature of Counselor CIRCUMSTANCES AND SUMMARY (Include corrective actions) (Bullet entries) ‘oiler coneurinoncancur comments Solder Name, Grade and Signature DATE: ‘Solder concurTnonconcar Comments DATE Name, Grade, Signature of Counselor CIRCUMSTANCES AND SUMMARY (include corective actions) Soldier Name, Grade and Signature DATE: ‘Saldiar cancurTnonconcur comments DATE Name, Grade, Signature of Counselor CIRCUMSTANCES AND SUMMARY (Include corrective actions) Soldier Name, Grade and Signature DATE ‘Solder coneurTnonconcur Comments DATE Name, Grade, Signature of Counselor CIRCUMSTANCES AND SUMMARY (Inciude corectve actions) Soldier Namo, Grade and Signature DATE: ‘#u\WAR625 200, te oranon maybe ses docu fl oan aired proscar ae may 380 be Udo spot non i punchnarr anna de rae poses. FJ FORM 350-100-110-E, JUN 98. (ATSG-AGT)