Da Form 5434 - Sponsorship Program Counseling And Information Sheet - 1993
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1SPONSORSHIP PROGRAM COUNSELING AND INFORMATION SHEET
For use of this form, see AR 600-8-8; the proponent agency is ODCSPER
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY:
Title 5, USC Section 301.
PRINCIPAL PURPOSE:
Personnel service support.
ROUTINE USES:
To counsel soldier or civilian employee about sponsorship program entitlements, obtain a sponsorship election, and provide
information to gaining battalion or activity on arrival of new members.
DISCLOSURE:
Mandatory. Nondisclosure may prevent participation in the sponsorship program.
1. SPONSORSHIP PROGRAM ENTITLEMENTS. (To be used by personnel reassignments work center or civilian personnel office in counseling soldier
or civilian employee about sponsorship program.)
a. Welcome letter
b. A sponsor for information and help
c. Army Community Service relocation services
d. Greeting upon arrival
e. Assistance with inprocessing and outprocessing
f. Orientation to the new unit or activity and the community
2. SPONSORSHIP PROGRAM ELECTION. A sponsor will be appointed unless soldier or civilian employee initials the space below.
I do not want a sponsor.
3. ARRIVAL INFORMATION TO ASSIST GAINING BATTALION OR ACTIVITY:
a. I expect to arrive at your command on/about
.
(Month and Year)
b. My status will be (check one):
Married/accompanied
Single/accompanied
Married/unaccompanied
Single/unaccompanied
c. Accompanied by family members:
NAME
AGE
SEX
RELATIONSHIP
4. LOCATOR INFORMATION
a. CURRENT UNIT/ACTIVITY ADDRESS
b. DSN PHONE NUMBER
c. LEAVE ADDRESS AND PHONE NUMBER
d. HOME ADDRESS AND PHONE NUMBER
At this address until:
At this address until:
5. REQUEST INFORMATION ON: (Note: If soldier or employee is being relocated near an Army Community Service Center, he or she may obtain
general information such as housing, medical facilities, and schools for that area by contacting the local Army Community Service.)
I have been counseled on the sponsorship program and understand my entitlements.
TYPED OR PRINTED NAME
RANK/GRADE
SSN
MILITARY CAREER FIELD/CIVILIAN OCCUPATIONAL SERIES
DATE
SIGNATURE
DA FORM 5434, JUN 93
DA FORM 5434, JUN 85 IS OBSOLETE
USAPPC V2.00
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