+-----------------------------+--------+------------+-----------------+
| **COMPANY GRADE OFFICER     |        |            |                 |
| PERFORMANCE REPORT (2D LT   |        |            |                 |
| thru CAPT)**                |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| **I. RATEE IDENTIFICATION   |        |            |                 |
| DATA**                      |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| 1\. NAME *(Last, First,     | 2\.    | 3\. RANK   | 4\. UNIT        |
| MI)*                        | CAPID  |            |                 |
|                             |        |            |                 |
| ,                           |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| 5\. PERIOD OF REPORT        | 6\.    |            | 7\. REASON FOR  |
|                             | NO.    |            | REPORT          |
| From:       Thru:           | DAYS   |            |                 |
|                             | SUPER  |            |                 |
|                             | VISION |            |                 |
|                             |        |            |                 |
|                             |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| **II. UNIT MISSION          |        |            |                 |
| DESCRIPTION**               |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| To administer and support   |        |            |                 |
| the Civil Air Patrol Cadet  |        |            |                 |
| Program through leadership  |        |            |                 |
| training and development,   |        |            |                 |
| moral leadership, and       |        |            |                 |
| aerospace education. To     |        |            |                 |
| provide highly trained      |        |            |                 |
| emergency services          |        |            |                 |
| operational personnel and   |        |            |                 |
| services to the United      |        |            |                 |
| States of America.          |        |            |                 |
|                             |        |            |                 |
| To support the local        |        |            |                 |
| community and State of      |        |            |                 |
| Indiana as required or      |        |            |                 |
| requested by MOU, LOA, or   |        |            |                 |
| other orders by competent   |        |            |                 |
| CAP or USAF officials.      |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| **III. JOB DESCRIPTION**    |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| 1\. DUTY TITLE              |        |            |                 |
|                             |        |            |                 |
|                             |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| 2\. KEY DUTIES, TASKS, AND  |        |            |                 |
| REPONSIBILITIES             |        |            |                 |
|                             |        |            |                 |
| -Provide effective          |        |            |                 |
| leadership in execution of  |        |            |                 |
| assigned tasks              |        |            |                 |
|                             |        |            |                 |
| -Effectively manage         |        |            |                 |
| resources                   |        |            |                 |
|                             |        |            |                 |
| -Continue education and     |        |            |                 |
| training                    |        |            |                 |
|                             |        |            |                 |
|                             |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| **IV. IMPACT ON MISSION     |        |            |                 |
| ACCOMPLISHMENT**            |        |            |                 |
+-----------------------------+--------+------------+-----------------+
|                             |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| **V. PERFORMANCE FACTORS    |        |            |                 |
| DOES NOT MEETS**            |        |            |                 |
|                             |        |            |                 |
| **MEET STANDARD STANDARD**  |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| **1. Job Knowledge**        |        |            |                 |
|                             |        |            |                 |
| Has knowledge required to   |        |            |                 |
| perform duties effectively  |        |            |                 |
|                             |        |            |                 |
| Strives to improve          |        |            |                 |
| knowledge                   |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| **2. Leadership Skills**    |        |            |                 |
|                             |        |            |                 |
| Sets and enforces           |        |            |                 |
| standards. Works well with  |        |            |                 |
| others.                     |        |            |                 |
|                             |        |            |                 |
| Fosters Teamwork. Displays  |        |            |                 |
| initiative. Self-confident. |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| **3. Professional           |        |            |                 |
| Qualities**                 |        |            |                 |
|                             |        |            |                 |
| Exhibits loyalty,           |        |            |                 |
| discipline, dedication,     |        |            |                 |
| integrity, honesty, and     |        |            |                 |
| officership.                |        |            |                 |
|                             |        |            |                 |
| Adheres to Civil Air Patrol |        |            |                 |
| standards. Accepts personal |        |            |                 |
| responsibility.             |        |            |                 |
|                             |        |            |                 |
| Is fair and objective.      |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| **4. Organizational         |        |            |                 |
| Skills**                    |        |            |                 |
|                             |        |            |                 |
| Demonstrates ability to     |        |            |                 |
| plan, coordinate, schedule  |        |            |                 |
| effectively, and uses       |        |            |                 |
| resources                   |        |            |                 |
|                             |        |            |                 |
| Effectively and             |        |            |                 |
| efficiently. Meets          |        |            |                 |
| suspenses.                  |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| **5. Judgment and           |        |            |                 |
| Decisions**                 |        |            |                 |
|                             |        |            |                 |
| Makes timely and accurate   |        |            |                 |
| decisions. Emphasizes logic |        |            |                 |
| in decision making.         |        |            |                 |
|                             |        |            |                 |
| Retains composure in        |        |            |                 |
| stressful situations.       |        |            |                 |
| Requires minimal            |        |            |                 |
| supervision.                |        |            |                 |
+-----------------------------+--------+------------+-----------------+
| **6. Communication Skills** |        |            |                 |
|                             |        |            |                 |
| Listens, speaks, and writes |        |            |                 |
| effectively.                |        |            |                 |
+-----------------------------+--------+------------+-----------------+
|                             |        |            |                 |
+-----------------------------+--------+------------+-----------------+

**SOU GP OPR1, V1**

+-----------------------------+---+---+----+---+---+-------------+---+-------+
| **VI. RATER OVERALL         |   |   |    | R |   |             |   |       |
| ASSESSMENT**                |   |   |    | A |   |             |   |       |
|                             |   |   |    | T |   |             |   |       |
|                             |   |   |    | E |   |             |   |       |
|                             |   |   |    | E |   |             |   |       |
|                             |   |   |    | N |   |             |   |       |
|                             |   |   |    | A |   |             |   |       |
|                             |   |   |    | M |   |             |   |       |
|                             |   |   |    | E |   |             |   |       |
|                             |   |   |    | * |   |             |   |       |
|                             |   |   |    | ( |   |             |   |       |
|                             |   |   |    | l |   |             |   |       |
|                             |   |   |    | a |   |             |   |       |
|                             |   |   |    | s |   |             |   |       |
|                             |   |   |    | t |   |             |   |       |
|                             |   |   |    | , |   |             |   |       |
|                             |   |   |    | f |   |             |   |       |
|                             |   |   |    | i |   |             |   |       |
|                             |   |   |    | r |   |             |   |       |
|                             |   |   |    | s |   |             |   |       |
|                             |   |   |    | t |   |             |   |       |
|                             |   |   |    | , |   |             |   |       |
|                             |   |   |    | M |   |             |   |       |
|                             |   |   |    | I |   |             |   |       |
|                             |   |   |    | ) |   |             |   |       |
|                             |   |   |    | * |   |             |   |       |
|                             |   |   |    | : |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    | , |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
|                             |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
| Last performance feedback   |   |   |    |   |   |             |   |       |
| was accomplished on:        |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
| NAME, RANK, UNIT            | D |   |    |   |   |             | D |       |
|                             | U |   |    |   |   |             | A |       |
|                             | T |   |    |   |   |             | T |       |
|                             | Y |   |    |   |   |             | E |       |
|                             | T |   |    |   |   |             |   |       |
|                             | I |   |    |   |   |             |   |       |
|                             | T |   |    |   |   |             |   |       |
|                             | L |   |    |   |   |             |   |       |
|                             | E |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
|                             | C |   |    |   |   | SIGNATURE   |   |       |
|                             | A |   |    |   |   |             |   |       |
|                             | P |   |    |   |   |             |   |       |
|                             | I |   |    |   |   |             |   |       |
|                             | D |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
| **VII. ADDITIONAL RATER     |   |   |    |   |   |             |   |       |
| OVERALL ASSESSMENT** CONCUR |   |   |    |   |   |             |   |       |
| NONCONCUR                   |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
|                             |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
| NAME, RANK, UNIT            |   | D |    |   |   |             | D |       |
|                             |   | U |    |   |   |             | A |       |
|                             |   | T |    |   |   |             | T |       |
|                             |   | Y |    |   |   |             | E |       |
|                             |   | T |    |   |   |             |   |       |
|                             |   | I |    |   |   |             |   |       |
|                             |   | T |    |   |   |             |   |       |
|                             |   | L |    |   |   |             |   |       |
|                             |   | E |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
|                             |   | C |    |   |   | SIGNATURE   |   |       |
|                             |   | A |    |   |   |             |   |       |
|                             |   | P |    |   |   |             |   |       |
|                             |   | I |    |   |   |             |   |       |
|                             |   | D |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
| **VIII. REVIEWER** CONCUR   |   |   |    |   |   |             |   |       |
| NON-CONCUR                  |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
| **     **                   |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
| NAME, RANK, UNIT            |   |   | DU |   |   |             |   | DATE  |
|                             |   |   | TY |   |   |             |   |       |
|                             |   |   | T  |   |   |             |   |       |
|                             |   |   | IT |   |   |             |   |       |
|                             |   |   | LE |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
|                             |   |   | C  |   | S |             |   |       |
|                             |   |   | AP |   | I |             |   |       |
|                             |   |   | ID |   | G |             |   |       |
|                             |   |   |    |   | N |             |   |       |
|                             |   |   |    |   | A |             |   |       |
|                             |   |   |    |   | T |             |   |       |
|                             |   |   |    |   | U |             |   |       |
|                             |   |   |    |   | R |             |   |       |
|                             |   |   |    |   | E |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+
| **INSTRUCTIONS**            |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
| **All:** Recommendations    |   |   |    |   |   |             |   |       |
| must be based on            |   |   |    |   |   |             |   |       |
| performance and the         |   |   |    |   |   |             |   |       |
| potential based on that     |   |   |    |   |   |             |   |       |
| performance. Promotion      |   |   |    |   |   |             |   |       |
| recommendations are         |   |   |    |   |   |             |   |       |
| prohibited. Do not comment  |   |   |    |   |   |             |   |       |
| on completion of or         |   |   |    |   |   |             |   |       |
| enrollment in PME, advanced |   |   |    |   |   |             |   |       |
| education, family           |   |   |    |   |   |             |   |       |
| activities, marital status, |   |   |    |   |   |             |   |       |
| race, sex, ethnic origin,   |   |   |    |   |   |             |   |       |
| age, or religion.           |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
| **Rater:** Focus your       |   |   |    |   |   |             |   |       |
| evaluation in section IV on |   |   |    |   |   |             |   |       |
| what the officer did, how   |   |   |    |   |   |             |   |       |
| well he/she did it, and how |   |   |    |   |   |             |   |       |
| the officer contributed to  |   |   |    |   |   |             |   |       |
| mission accomplishment.     |   |   |    |   |   |             |   |       |
| Write in "bullet" format.   |   |   |    |   |   |             |   |       |
| Your comments in section VI |   |   |    |   |   |             |   |       |
| may include recommendations |   |   |    |   |   |             |   |       |
| for assignment.             |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
| **Additional Rater:**       |   |   |    |   |   |             |   |       |
| Carefully review the        |   |   |    |   |   |             |   |       |
| rater's evaluation to       |   |   |    |   |   |             |   |       |
| ensure it is accurate,      |   |   |    |   |   |             |   |       |
| unbiased, and uninflated.   |   |   |    |   |   |             |   |       |
| If you disagree, you may    |   |   |    |   |   |             |   |       |
| ask the rater to review     |   |   |    |   |   |             |   |       |
| his/her evaluation. You may |   |   |    |   |   |             |   |       |
| not direct a change in the  |   |   |    |   |   |             |   |       |
| evaluation. If you still    |   |   |    |   |   |             |   |       |
| disagree with the rater     |   |   |    |   |   |             |   |       |
| mark "NON-CONCUR" and       |   |   |    |   |   |             |   |       |
| explain. You may include    |   |   |    |   |   |             |   |       |
| recommendations for         |   |   |    |   |   |             |   |       |
| assignment.                 |   |   |    |   |   |             |   |       |
|                             |   |   |    |   |   |             |   |       |
| **Reviewer:** Carefully     |   |   |    |   |   |             |   |       |
| review the rater's and      |   |   |    |   |   |             |   |       |
| additional rater's rating   |   |   |    |   |   |             |   |       |
| and comments. If their      |   |   |    |   |   |             |   |       |
| evaluations are accurate,   |   |   |    |   |   |             |   |       |
| unbiased, and uninflated,   |   |   |    |   |   |             |   |       |
| mark the form "CONCUR" and  |   |   |    |   |   |             |   |       |
| sign the form. If you       |   |   |    |   |   |             |   |       |
| disagree with previous      |   |   |    |   |   |             |   |       |
| evaluators, you may ask     |   |   |    |   |   |             |   |       |
| them to review their        |   |   |    |   |   |             |   |       |
| evaluations. You may not    |   |   |    |   |   |             |   |       |
| direct them to change their |   |   |    |   |   |             |   |       |
| appraisals. If you still    |   |   |    |   |   |             |   |       |
| disagree with the           |   |   |    |   |   |             |   |       |
| additional rater, mark      |   |   |    |   |   |             |   |       |
| "NON-CONCUR" and explain in |   |   |    |   |   |             |   |       |
| section VIII. Do not use    |   |   |    |   |   |             |   |       |
| "NON-CONCUR" simply to      |   |   |    |   |   |             |   |       |
| provide comments on the     |   |   |    |   |   |             |   |       |
| report. The reviewer must   |   |   |    |   |   |             |   |       |
| be of one of the following  |   |   |    |   |   |             |   |       |
| positions: Commander, Vice  |   |   |    |   |   |             |   |       |
| Commander, Deputy Commander |   |   |    |   |   |             |   |       |
| for Cadets, or Deputy       |   |   |    |   |   |             |   |       |
| Commander for Seniors.      |   |   |    |   |   |             |   |       |
+-----------------------------+---+---+----+---+---+-------------+---+-------+

**SOU GP OPR1, V1 *(REVERSE)***