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)

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:

Fort Jackson (All DS Schools consolidated to Ft. Jackson)
	Begin Date	End Date
	2007/10/08	2007/12/10
	2007/10/15	2007/12/17
	2008/01/03	2008/03/07
	2008/01/09	2008/03/17
	2008/02/07	2008/04/11
	2008/03/13	2008/05/16
	2008/03/19	2008/05/22

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?

I understand the Drill Sergeant School is 9 weeks long. I would like to be considered for the following school dates:

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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