Af Form 4380, Air Force Special Needs Screener printable pdf download

Af Form 4380, Air Force Special Needs Screener

AF Form 4380, AIR FORCE SPECIAL NEEDS SCREENER

This form is required to be completed by all HPSP students and FAP and deferred applicants.

The Air Force makes an effort to ensure specialized medical and educational services are

available for all military family members. In order to help us do this, we need to know if any

special medical and/or educational needs exist for your family members. This form will help to

ensure that, if necessary, your family receives continuity of any specialized care they require if

you are selected for an active duty training location.

This form must be uploaded into MODS as part of your application package. The form does not

affect the scoring of your application package and will only be coordinated with the Air Force

Programs for Families with Special Needs if you are selected for an active duty program and if

you answer yes to any questions.

If necessary, the Air Force Programs for Families with Special Needs will contact you for

additional information and will assist coordinating relocations for families who have specialized

medical or educational needs.

Please ensure that you sign and date the form.

Af Form 4380, Air Force Special Needs Screener