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U.S. DOD Form dod-da-5374-r PERFORMANCE ASSESSMENT For use of this form see AR 40-68 the proponent agency is OTSG FROM AREAS OF ASSESSMENT Check Appropriate Box. Qualifying statements may be made under Comments below. GOOD EXCELLENT Clinical judgment. SATISFACTORY Basic clinical knowledge displayed* PERIOD COVERED TO Clinical performance. a* Outpatient. b. Inpatient. c* Operating room* Communication skills. Rapport with patients. Relationship with colleagues. Cooperation with hospital/clinic...
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Who needs DA Form 5374:

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Military personnel: Members of the Armed Forces may need DA Form 5374 to request and record their leaves or absences.
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Contractors: Individuals working as contractors within the military or government organizations may also need to fill out DA Form 5374 to document their leaves or absences.
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Any personnel seeking to request and document their leaves or absences within a military or government context may need to use DA Form 5374.
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Da Form 5374 is a form used by the Department of the Army for recording corrective actions taken on individual training evaluations.
Individuals responsible for the training and evaluation of Army personnel are required to file Da Form 5374.
To fill out Da Form 5374, provide information on the individual being evaluated, the training event, the deficiencies noted, and the corrective actions taken.
The purpose of Da Form 5374 is to document corrective actions taken to improve the training of Army personnel.
Information such as the individual's name, rank, and unit, the date of the training event, the deficiencies observed, and the corrective actions taken must be reported on Da Form 5374.
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