Submit Personal Information for the ARNG Order of Merit List

Drill Sergeant Program

I am applying as a Drill Sergeant candidate for the:

BCT Drill Sergeant Augmentee during Summer Surge (90-130 days Active Duty)

RSP Cadre Drill Sergeant

Both BCT Drill Sergeant Augmentee and RSP Cadre Drill Sergeant

Have you been certified as a Drill Sergeant?

Yes

Did you serve time on the Drill Sergeant Trail?

Yes, Active Component

Yes, US Army Reserve

What type of Drill Duty did you perform?

On what installation did you serve?

From what dates did you serve? UNTIL

Personal Information

Last Name:

First Name:

Middle Initial:

Rank:

Gender:

Age:

City:

State:

Zip:

Area Code & Phone: -

Email (Personal):

Email (AKO):

Time in Service:

Time in Grade:

Last 4 SSN:

Height / Weight: /

Date of Birth:

Date of Last APFT:

APFT Score (PU/SU/Run): / / Total Score:

ETS Date:

Date of Last Physical:

PULHES Scores:

PMOS:

SMOS:

AMOS:

Will you have more than 24 months TIS remaining after graduating DS School?

No Yes

Have you ever received UCMJ action (i.e., Article 15)?

No Yes If yes, please explain:

Current Position

Status:	Job Description:
MDAY
ADSW
AGR

Unit Information

Unit:

UIC:

City:

State:

Zip:

Readiness NCO:

Rank:

Name:

Area Code & Phone: -

Commander:

Rank:

Name:

Area Code & Phone: -

Education Level

Highest Level NCOES Completed:

WLC/PLDC:

BNCOC: Phase I Phase II

ANCOC: Phase I Phase II

How did you hear about the ARNG DS Program?

Other, please explain:

I am applying as a Drill Sergeant candidate for the:

Have you been certified as a Drill Sergeant?

Did you serve time on the Drill Sergeant Trail?

Will you have more than 24 months TIS remaining after graduating DS School?

Have you ever received UCMJ action (i.e., Article 15)?

Readiness NCO:

Commander:

Highest Level NCOES Completed:

How did you hear about the ARNG DS Program?

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