W. Va. Code R. agency 141, tit. 141, ser. 141-42, app D

Current through Register Vol. XLI, No. 50, December 13, 2024

Appendix D - UNIT COMMANDER'S PERFORMANCE TEST FOR SAMC

UNIT

UNIT ADDRESS

MEMORANDUM FOR

SUBJECT: Sergeant Audie Murphy Club Performance Test

1. The following performance test results are submitted:

a. Name:__________________________________________________

b. Rank:______________

c. SSAN:______________

d. Unit:__________________________________________________

e. DOR:______________

f. DOB:______________

g. ETS:______________

h. PMOS:______________

i. Highest NCOES:__________________________________________

j. Number of subordinate soldiers supervised:______________

k. Name and address of next of kin:________________________

________________________

l. Awards/Decorations/Letters of Achievements:_____________

________________________

________________________

________________________

________________________

m. Performance Achievements:

IndividualSubordinate Soldiers

(1) SDT Score ______________ SDT Score ____________

(Total %)

(2) APFT Test Score ________ APFT Test Score ______

(Total %)

(3) Individual Weapon Qualification Score _____________

(4) Number of Subordinate Soldiers Qualified: EXP ______ MM ______ SS ______

2. The next areas measure discipline in subordinate soldiers of candidates during the last 12 months:

a. Unsatisfactory Participation:_________________________

b. DWI:________________________________________________

c. UCMJ:_______________________________________________

3. Any other information pertinent to the candidates leadership accomplishments:___________________________________________

________________________

________________________

________________________

________________________

COMPANY COMMANDER/1SG

W. Va. Code R. agency 141, tit. 141, ser. 141-42, app D