Dd Form 3006 - Military Reserve Exchange Program Officer/non-Commissioned Officer Application Page 2

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20. LAST FITNESS ASSESSMENT DATE
21. MEDICALLY DEPLOYABLE (X one)
Yes
No
22. PERMANENT PROFILES (X one)
No
Yes (If yes, what for?):
23. HAVE YOU PARTICIPATED IN THE EXCHANGE PROGRAM BEFORE? (X one)
Yes
No
24. PAST MILITARY ASSIGNMENTS
25. DESIRED EXCHANGE (X all that apply)
Denmark
Estonia
Germany
United Kingdom
Other:
26. DESCRIBE OPPORTUNITIES YOU WOULD LIKE TO EXPERIENCE
27.a UNIT ANNUAL TRAINING DATES AND LOCATION(S):
b. IF REQUIRED, CAN YOU ATTEND TWO ANNUAL TRAINING PERIODS?
Yes
No
c. ANY PERIODS YOU ARE UNABLE TO ATTEND ANNUAL TRAINING OVERSEAS
28. LANGUAGE PROFICIENCY (Not mandatory)
29. APPLICANT
a. SIGNATURE (Digital)
b. DATE SIGNED
c. EMAIL
30. SUPERVISOR
a. SIGNATURE (Digital)
b. DATE SIGNED
c. EMAIL
31. COMMANDER'S APPROVAL
Commander's signature recommending participation in the exchange program and certifying the member is worldwide deployable,
is not a medical profile, and successfully passed service specific Fitness Assessment. The Unit Commander is also validating that
he/she may serve as the U.S. host unit , when applicable, for a British, Danish, Estonian, German, or other partner nation
participant during the unit's Annual Training. The U.S. host unit is responsible for local transportation, lodging, mess, and
training for the foreign participant as indicated in the appropriate partner nation memorandum of understanding.
a. SIGNATURE (Digital)
b. DATE SIGNED
c. EMAIL
DD FORM 3006 (BACK), 20150507 DRAFT

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