Dd Form 3006 - Military Reserve Exchange Program Officer/non-Commissioned Officer Application

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MILITARY RESERVE EXCHANGE PROGRAM
Officer/Non-Commissioned Officer Application
1. PROGRAM YEAR
2. RESERVE COMPONENT (X as applicable) (If National Guard, complete item 3.)
Army National Guard
Air National Guard
Army Reserve
Navy Reserve
2016
Air Force Reserve
Marine Corps Reserve
Coast Guard Reserve
3. NATIONAL GUARD (If applicable)
4. RANK
5. ANTICIPATED PROMOTION DATE
a. STATE
b. STATE OML
6. NAME: a. LAST
b. FIRST
c. MIDDLE
7. GENDER (X one)
Male
Female
8. HOME ADDRESS (Street, Apartment Number, City, State and ZIP Code)
9. TELEPHONE NUMBERS (Include Area Code)
a. HOME
b. CELLULAR
10. PRIMARY EMAIL ADDRESS
11. SECONDARY EMAIL ADDRESS
a. OFFICIAL: Number
Expires:
b. TOURIST: Number
Expires:
12. PASSPORT(S)
13. CIVILIAN OCCUPATION/POSITION
14. WORK TELEPHONE NO. (Include Area Code)
15. CIVILIAN EDUCATION
16.a. MILITARY UNIT OF ASSIGNMENT:
b. UNIT POINT OF CONTACT AND ADDRESS
c. UNIT TELEPHONE NO. (Include Area Code/DSN)
d. UNIT EMAIL ADDRESS
e. DUTY POSITION/TITLE
f. UNIT ROLES/RESPONSIBILITIES
17. PRIMARY MOS/AFSC/DESIGNATOR/
18. SECONDARY MOS/AFSC/
19. LEVEL OF SECURITY CLEARANCE
RATING
DESIGNATOR/RATING
AND EXPIRATION
DD FORM 3006, 20150507 DRAFT
Adobe Designer 9.0

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