SCHOOL APPLICATION - Fort ?· SCHOOL APPLICATION For use of this form see FR Reg 350-1; the proponent…

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  • SCHOOL APPLICATION For use of this form see FR Reg 350-1; the proponent agency is DPTMS

    DATA REQUIRED BY THE PRIVACY ACT OF 1974 Authority: 10 U.S.C., Section 3013 Principal Purpose: For personnel service support Routine Uses: For personnel requesting to attend an official military school. Social Security Number is required to register individual in a course on the ATRRS database. Disclosure: Disclosure of this information is voluntary. However, failure to provide the Social Security Number may result in an incomplete application, which will not be processed.

    5. To: MILITARY SCHOOLS, 8388 ARMISTEAD, FORT RILEY, KS 66442

    1. From: POC Name/Title:

    Date: Signature 2. Thru:

    3. Thru:

    4. Thru:

    10. School (Location/Code):

    6. Course Title: 7. Course Number:

    Unit: E-Mail:

    Phone:

    POC Name/Title:

    POC Name/Title:

    POC Name/Title:

    Unit:

    Unit:

    Unit:

    E-Mail:

    E-Mail:

    E-Mail:

    Signature

    Signature

    Signature

    Date:

    Date:

    Date:

    Phone:

    Phone:

    Phone:

    12. Alternate Location Acceptable? 13. Schedule for First Available?11. Alternate Dates Acceptable? 14. Best Alternate Time Frame:From To

    15. Individual is Not Available:From To

    (e) Clearance

    (d) ETS Date

    16 (a) Rank/Grade

    (g) AD/RES/GRD

    (b) Name (Last, First MI), E-mail

    (c) FULL SSN - NO DASHES

    (f) BR/MOS

    (h) UIC

    (i) Unit/Installation

    17. Remarks: (enter duty position for each person)

    FR FORM 28, Jan 2015

    8. Class #:

    ToFrom9. Class Dates:

    SCHOOL APPLICATION

    For use of this form see FR Reg 350-1; the proponent agency is DPTMS

    DATA REQUIRED BY THE PRIVACY ACT OF 1974

    Authority: 10 U.S.C., Section 3013

    Principal Purpose: For personnel service support

    Routine Uses: For personnel requesting to attend an official military school. Social Security Number is required to register individual in a course on the ATRRS database.

    Disclosure: Disclosure of this information is voluntary. However, failure to provide the Social Security Number may result in an incomplete application, which will not be processed.

    5. To: MILITARY SCHOOLS, 8388 ARMISTEAD, FORT RILEY, KS 66442

    1. From:

    2. Thru:

    3. Thru:

    4. Thru:

    12. Alternate Location Acceptable?

    13. Schedule for First Available?

    11. Alternate Dates Acceptable?

    14. Best Alternate Time Frame:

    15. Individual is Not Available:

    (e)Clearance

    (d)ETS Date

    16 (a)Rank/Grade

    (g)AD/RES/GRD

    (b)Name (Last, First MI), E-mail

    (c)FULL SSN - NO DASHES

    (f)BR/MOS

    (h)UIC

    (i)Unit/Installation

    FR FORM 28, Jan 2015

    9. Class Dates:

    10.0.2.20120224.1.869952.867557

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