AMEDDApplicantWorksheet-July2012-3.doc

Applicant work address same as unit if no provide

Info icon This preview shows pages 31–34. Sign up to view the full content.

View Full Document Right Arrow Icon
Applicant work address same as Unit? If No, provide address and phone number. Supervisor work address same as Unit? If No, provide address and phone number. Street: Street: City: City: State: State: County: County: Zip Code: Zip Code: Country: Country: Country Code: Country Code: Telephone No.: ( ) - Telephone No.: ( ) - Extension: Extension: Best time to Contact? Best time to Contact? **More employment to be added? Continue on blank sheet providing the above information. EMPLOYMENT HISTORY DETAIL (U.S. Military) United States Military Employment History (Active Duty, National Guard/Reserve, Commissioned Corps) must be provided for each unit assigned to within the last 7 years. Unit: Position: Unit Name: Rank: 31
Image of page 31

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Employment Code: (Mark ‘X’ to one that applies) Active Military Duty Stations National Guard/Reserve U.S.P.H.S. Commissioned Corps Full Time: Part Time: Date Range of Employment Supervisor/Verifier Information From Date (dd-MMM-yyyy): Last Name: To Date (dd-MMM-yyyy): First Name: Unit Address and Phone No.: Middle Name: Street: Suffix: City: Title: State: Email Address: [‘X’ here if unknown ] County: Zip Code: Country: Country Code: Telephone No.: ( ) - Extension: Best time to Contact? Applicant work address same as Unit? If No, provide address and phone number. Supervisor work address same as Unit? If No, provide address and phone number. Street: Street: City: City: State: State: County: County: Zip Code: Zip Code: Country: Country: Country Code: Country Code: Telephone No.: ( ) - Telephone No.: ( ) - Extension: Extension: Best time to Contact? Best time to Contact? 32
Image of page 32
EMPLOYMENT HISTORY DETAIL (U.S. Military) List ALL military service history below, beginning from current and working back to include service in Active Duty, Reserves (Inactive Reserve/Delayed Entry Program/Unit Member), National Guard, U.S. Merchant Marine and Foreign Military Service. If there was a break in service, each separate period should be listed. Complete all entries blocks that may apply. All Non-Commissioned Officer Evaluation Reports and/or all Officer Evaluation Reports covering service periods will need to be submitted. Type: (Mark ‘X’ to one that applies) Enlisted Officer Warrant Officer Service Status: (Mark ‘X’ to one that applies) Active Active Reserve Inactive Reserve Unit Member Service: (Mark ‘X’ to one that applies) Air Force Marine Corps Army Merchant Marines Coast Guard Navy U.S. Public Health Service Rank: Current/Highest Grade: Effective Date of Grade (dd-MMM-yyyy ): From Date (dd-MMM-yyyy ): Date Active Tour Terminates (dd-MMM-yyyy ): To Date (dd-MMM-yyyy ): Present NG State: SSN/Service #: Country: DISCHARGE INFORMATION Discharge Type: (Mark ‘X’ to one that applies) Bad Conduct Discharge None Dishonorable Other Than Honorable Honorable Uncharacterized Honorable Conditions Narrative Reason: Separation Code: (From DD 214/NGB 22) RE Code: (From DD 214/NGB 22) MILITARY SPECIALITY INFORMATION Primary Military Occupation (PMOS) Additional Skill Identifier 1 (ASI1) Skilled Qualification Identifier 1 (SQI1) Secondary Military Occupation (SMOS) Additional Skill Identifier 2 (ASI2) Skilled Qualification Identifier 2 (SQI2)
Image of page 33

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Image of page 34
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern