Free army counseling form 20Free army counseling form 20
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CALIFORNIA CADET CORPS
DEVELOPMENTAL COUNSELING FORM
DATA REQUIRED BY THE PRIVACY ACT OF 1974
PRINCIPAL PURPOSE:

To assist leaders in conducting and recording counseling data pertaining to subordinates.

ROUTINE USES:
DISCLOSURE:

For subordinate leader development. Leaders should use this form as necessary.
Disclosure is voluntary.

Name (Last, First, MI)
Organization

PART I - ADMINISTRATIVE DATA
Rank/Grade
Date of Counseling

Time of Counseling

Name and Title of Counselor
PART II - BACKGROUND INFORMATION

Purpose of Counseling: (Leader states the reason for the counseling, e.g., performance/professional growth or event-oriented counseling,
and includes the leader's facts and observations prior to the counseling.

PART III - SUMMARY OF COUNSELING
Complete this section during or immediately subsequent to counseling.
Key Points of Discussion:

Note: Both the counselor and the individual counseled should retain a record of the counseling.
CACC FORM 24, June 2013

Plan of Action: (Out