Master Instructor Selection Board Member Appraisal Worksheet
Instructions: Each voting member will complete section 1 of this worksheet for each master instructor candidate.
Each voting member will score the candidates in section 2, areas of evaluation: 2.a, 2.b, and 2.c, and score the
master instructor candidate’s response to their specific questions in area 2.d (instructor domain/competencies) of
this worksheet. Voting members will indicate whether they recommend or do not recommend the candidate for
master instructor in section 3.a. Note: Areas 2.a.,
2.b. and 2.c. have a maximum score of 60 points; area 2.d. has a
maximum score of 40 points; the maximum total is 100 points. After completing the form the voting board
member will sign the worksheet the same day the Master Instructor Selection Board (MISB) is executed.
Section 1. Administrative Data.
1.a. Master Instructor Candidate’s Last, First, MI:
1.c. Training School / Institution Name:
1.d. Training School / Institution Location:
1.e. Board Member’s Last, First, MI:
Section 2. Board Interview and Evaluation Points Awarded.
2.a. Personal appearance,
bearing, and self-confidence
2.b. Oral expression and
conversational skills
2.c. Soldier’s attitude and
character
2.d. Instructor
domain/competency
Section 3. Recommendations.
Directions: Please place an “X” to indicate the correct answer.
or do not
recommend the candidate for Master Army Instructor recognition and
3.b. Remarks/Recommendations:
Section 4. Signature Authority and Date.
4.a. Board Member Signature:
TRADOC Form 600-21-2-R-E, October 2017
For use of this form see TRADOC Regulation 600-21; the proponent agency is ARMYU
