Submit Personal Information for the ARNG Order of Merit List

* If you experience a technical difficulty submitting this form please save and print the completed form and fax it to SFC Jerry Ramsey at 703.607.0357.

Drill Sergeant Program

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:

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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