Da Form 4187 - Personnel Action (With Airborne Volunteer Statement) (Page 3 of 3) in pdf

Da Form 4187 - Personnel Action (With Airborne Volunteer Statement) Page 3

AIRBORNE VOLUNTEER STATEMENT

I hereby volunteer for Airborne training and/or assignment under the provisions

of chapter 6, AR 614-200. The following information is submitted:

PMOS

Service Component

I volunteer to perform frequent aircraft flights, parachute jumps, and to participate

in the realistic training while undergoing Airborne training and/or performing Airborne

duty. I also understand that I may be assigned to an Airborne unit for a period of not less

than 12 months upon satisfactory completion of the prescribed course.

My current period of service expires on

. Upon

approval of this application, I understand that I will be required to extend my enlistment

or reenlist in accordance with AR 601-280 before departure, if necessary to meet the

length of service requirement (12 months after completion of training).

There has been no significant change in my physical condition since the time of

the physical examination. I consider myself qualified for Airborne training and/or

Airborne assignment.

Upon successful completion of Airborne training, I agree to complete a minimum

of 12 months on Airborne status. I may not voluntarily terminate my Airborne status

unless Physically disqualified.

__________________________

Signature/Date

__________________________

Printed Name

__________________________

SSN

Da Form 4187 - Personnel Action (With Airborne Volunteer Statement) Page 3