Form Navpers 5350/3 - Dapa Admin Screening Form - Navpers Form Page 6
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10DAPA ADMIN SCREENING FORM
Servicemember Name
12. Enlisted Evaluations (Officer Fitness Reports are not maintained in service record)
Past Two (2) Evaluations:
Command:
Date:
Type:
Institutional & Technical Expertise:
(E7-E9)
Character:
(E7-E9)
Deck Plate Leadership:
(E7-E9)
Individual Trait Average:
(E1-06)
Alcohol or drug related entries?
If yes, provide details.
Yes
No
Command:
Date:
Type:
Institutional & Technical Expertise:
(E7-E9)
Character:
(E7-E9)
Deck Plate Leadership:
(E7-E9)
Individual Trait Average:
(E1-06)
Alcohol or drug related entries?
If yes, provide details.
Yes
No
r
DAPA Name
Phone Numbe
NAVPERS 5350/3 (Revised 08-09)
FOR OFFICIAL USE ONLY
PAGE 6 OF 10
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