This Army Developmental Counseling Form was issued to a soldier that supposedly had an interaction with a detainee at Camp Bucca, Iraq wherein the detainee was not following the soldiers instructions and the soldier said in response " These guys do what they want; unless you are Jewish you cannot understand what it is like to deal with Arabic." The counseling also states that the soldier pulled out a Star of David necklace and made a threat against the detainee. The soldier denied the charges. There is a CID Investigation report number on this form.
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For this form, see FM 22-100; the proponent agency 43.DOC
DATA REQUIRED BY THE PRIVACY ACT OF 1974
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AUTHORITY: 5 USC 301. Departmental Regulations; 10 USC 3013, Secretary of the Army and E.O. 9397 (SSW) \
PRINCIPAL PURPOSE: To assist leaders in conducting and recording counseling data pertaining to subordinates. i k
ROUTINE USES: For subordinate leader development lAW FM 22-100. Leaders should use this form as necessary.
DISCLOSURE: Disclosure is voluntary.
PART I - ADMINISTRATIVE DATA
Name (Last First MI) l Rank/Grade Social Security No. Datt_of Counseling 1411111 b(SPC/E-4 tomai
5 lif:40611.Organization Nargeind Title of Counselor _ 46 _ .R IIIIINIMIN.
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PART 9 - 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.)
Purpose of Counseling:
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Discuss the soldier's non-compliance with the 310th MP BN (UR) (SOP)
Discuss possible course of Actions and solutions
Discuss possible repercussions of repeated substandard performance
PART!!!- SUMMARY OF COUNSELING Complete this section during or immediately subsequent to counseling.
Key Points of Discussion:
It has brought to my attention, that at approximately 1330 hrs, SGT ! am,' notified me in reference to an incident. Upon arrival, made contact with SGT MEW and you. I notice that you were very upset over something that has happened. SGT 4111 ¦• stated
that. Approximately 1215 hrs. Tuesday, February 10, 2004, while you were on duty as a Com. tund Control Team (COT) atCompound 11,( Internment Facility, Camp Bucca, Iraq) . That you instructed detainee # 1 ut on his jumpsuit (orange in I color, uniform). Which detaini'' did not acknowledge you. You became u set with detainee # and went into the compound with a translator (detainee) exchange some words with the detainee. Sanchez relat -• it at you stated the remarks: "These guys do what they want; unless you are Jewith -rstand what it is like to deal with Arabic." SOT ,! 441111.
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also stated she has a meeting with the Mayor (detainee hallirof the compound # 11 and Translator (detainee . SGT Mated, that the mayor said, that you pulled out a chain, from around _.1.1:A.ic , the "Star of
your neck, anddisplae1=WI.David" and threaten t e detainee. He also during ,this argument with detainee, you were ver u1._1__nii-and insulted to
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s Aria Is. SGT this situation likes to escalate to excite a riot because of your actions. You have Shown discipline and exercised good judgment during these stressful times. If at any time you feel the need to talk or feel overwhelmed, do not hesitate to discuss the situation with me. After thit time, we will review your current situation (Personal Issues/religious background) withthe chain of command to determine what course of action should be taken. As I have explained earlier, you have been very good inholding your feeling back in this sensitive area and I am willing to work with you to obtain a solution. You are well aware ofmilitary obligations. Should a situation arise in which you feel uncomfortable or are confronted with a delicate situation
immediately notify the NCOIC. Do not become disrespectful of unprofessional with the detainee. These we can avoid problems andsituation that interfere with the mission. Again, be firm but fair, TREAT THE DETAINEE AS YOU WOULD WANT TO BE
TREATED!
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OTHER INSTRUCTIONS
This form will be destroyed upon: reassignment (other than rehabilitative transfers), separation at ETS, or upon retirement. For separation
requirements and notification of loss of benefits/consequences see local directives and AR 635-200:
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DA FORM 4856, JUN 1999 EDITION OF JUN 85 IS OBSOLETE
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FOR OFFICIAL USE ONLY
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Plan of Action: (Outlines actions that the subonfinate will do after the Counsehng session to reach the agreed upon goals).
The actions mus
specific enough to modify or maintain the subordinate's behavior and include a specified time line for implementation and assessment (Part
iv
below).)
Soldier stated that he understood the counseling and was provided a copy of the counseling.
Ensure that soldier understood that he must treat the detainee with firm and respect their language and religious customsin according with (IAW) the 310th MP BN (DR) and Geneva Convention Relative to the Treatment of Prisoner of Wars (GEPW.Art. #36, and AR /90-8, Para. 2-25d)
Session Closing: (The leader summarizes the key points of the session and checks if the ubordinate understands plan of action The subordinate agrees/disagrees and provides remarks if appropriate.) d.i
Individual counseled: I agree r4.di ' • ree with.the in tion above. der j Indvid al seled remarks: Mr i . .4( „Zatif."(t 4 /
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Signature of Individual Counseled: Date:
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Leader Responsibilities: (Leader's responsibilities in implementing the plan of action.)
Conduct follow up counseling
Continue to encourage soldier to achieve the standard
Monitor soldiers performance
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Signature of Counselor: Date:
PART IV - ASSESSMENT OF THE PLAN OF ACTION Assessment (Did the plan of action achieve the desired results? This section is completed by both the leader and the individual counseled and provides useful information for follow-up counseling)
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Counselor: Individual Counseled: Date of Assessment:
Note: Both the counselor and the individual counseled should retain a record of the counseling. REVERSE, DA FORM 4856, JUN 1999 0" 14A V I
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FICA USE ONLY
DOD-047792