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pdfBRIEFING ITEMS
PROCESSING PROGRAMS
Enlistment
Assignment
DEMOGRAPHICS
Lead Date
Prefix
Appointment
Lead Origination
Lead Source
Recruiter Generated
Air Show
20140131
Middle Name (if none enter NMN)
NMN
First Name
GG
Briefed on the Privacy Act
Registered to Vote & ST
Briefed on Separation Policy
NPS Viewed BMT Film
Gender
Last Name
GG
Verified SSN
999-99-9999
Suffix DOB
Age
Maiden Name / Alias Names
Citizenship
Racial Category
Hair Color
Eye Color
Ethnic Category
Religious Preference
1st Foreign Language None
2nd Foreign Language None
Selective Service Number
Home Phone 212-444-5555
Current Address
Cell Phone
Work Phone
123 New York New York NY 10024 US
Home of Record
Personal Email
Valid Drivers License
Business Email
YES
Present Occupation
Drivers License #
State
EXP Date
BIRTH VERIFICATION
City of Birth
County
Naturalization #
INS # (Citizen Certificate)
INTERVIEW
State
Country
Alien Registration #
CCMAPPEDDS
Y
REMARKS
Verification
N
Y
Citizenship
Prior Service
Conscientious Objector
Morals
Education
Dependents
Age
Drugs
Physical
SSN
Domestic Violence
Waiver(s) Required
Gov Credit Card
UIF
Malpractice
Sec. Clearance Req'd
N
GG NMN GG - 999-99-9999
Height/Weight History
Name: GG NMN GG
MEPS Height:
Open Data
SSN: 999-99-9999
Gender:
MEPS Weight:
Height (in)
Weight (lbs)
Min. Weight
Max. Weight
BFM
Remarks
GG NMN GG - 999-99-9999
MARITAL STATUS
Marital Status
What document did you use to verify the Marital Status?
MILITARY SPOUSE
Spouse's SSN:
Spouse's paygrade:
Spouse's branch of service:
Spouse's current duty station:
Is military spouse the step-parent of any children in the applicant's custody?
DEPENDENTS
Number of Adult Dependents
Number of Minor Dependents
Expected Marital and/or Dependency Changes
What document did you use to verify the Single Signature Parental Consent?
RELATIVES (Check the relatives which are dependents)
LAST NAME
FIRST NAME
ADDRESS
LAST NAME
CITY
FIRST NAME
ADDRESS
LAST NAME
FIRST NAME
LAST NAME
FIRST NAME
LAST NAME
FIRST NAME
LAST NAME
FIRST NAME
LAST NAME
ADDRESS
STATE
STATE
STATE
FIRST NAME
STATE
ZIP
FIRST NAME
STATE
ZIP
STATE
DEPENDENT
COUNTRY
DEPENDENT
COUNTRY
DEPENDENT
RELATIONSHIP
ZIP
COUNTRY
DEPENDENT
RELATIONSHIP
ZIP
COUNTRY
DEPENDENT
RELATIONSHIP
ZIP
MIDDLE NAME
CITY
COUNTRY
RELATIONSHIP
MIDDLE NAME
CITY
DEPENDENT
RELATIONSHIP
MIDDLE NAME
CITY
ADDRESS
ZIP
MIDDLE NAME
CITY
ADDRESS
STATE
COUNTRY
RELATIONSHIP
MIDDLE NAME
CITY
ADDRESS
ZIP
MIDDLE NAME
CITY
ADDRESS
STATE
RELATIONSHIP
MIDDLE NAME
CITY
ADDRESS
LAST NAME
MIDDLE NAME
COUNTRY
DEPENDENT
RELATIONSHIP
ZIP
COUNTRY
DEPENDENT
DATE OF BIRTH
CUSTODY
SELFCARE
DATE OF BIRTH
CUSTODY
SELFCARE
DATE OF BIRTH
CUSTODY
SELFCARE
DATE OF BIRTH
CUSTODY
SELFCARE
DATE OF BIRTH
CUSTODY
SELFCARE
DATE OF BIRTH
CUSTODY
SELFCARE
DATE OF BIRTH
CUSTODY
SELFCARE
DATE OF BIRTH
CUSTODY
SELFCARE
GG NMN GG - 999-99-9999
The applicant has been shown the following films:
Aptitude Index Film
BMTS Film
CCT/PJ Film
COT Film
MEPS Processing
Film
OTS/COT Film
Security Forces Film
EOD Film
Peace Keepers Film
ALTERNATE EMAILS
Type
ALTERNATE PHONES
Email
Type
Email
GG NMN GG - 999-99-9999
MORALS
Date
Morals
Cat. Violation or Charge
Reduced
Charge
Released on
Place/City
Final or Current
Disposition / Remarks
Court
Validation type
Reduced
Charge
Possible Max Sentence
Final or Current
Disposition / Remarks
Court
Validation type
Reduced
Charge
Possible Max Sentence
Final or Current
Disposition / Remarks
Court
Validation type
Reduced
Charge
Possible Max Sentence
Final or Current
Disposition / Remarks
Court
Validation type
Reduced
Charge
Possible Max Sentence
Final or Current
Disposition / Remarks
Court
Validation type
Reduced
Charge
Released on
Possible Max Sentence
Final or Current
Disposition / Remarks
Court
Validation type
Reduced
Charge
Possible Max Sentence
Final or Current
Disposition / Remarks
Court
Validation type
Reduced
Charge
Possible Max Sentence
Final or Current
Disposition / Remarks
Court
Validation type
Reduced
Charge
Possible Max Sentence
Final or Current
Disposition / Remarks
Court
Validation type
Reduced
Charge
Possible Max Sentence
Final or Current
Disposition / Remarks
Court
Validation type
Possible Max Sentence
State
Court Type
Adjudication
Disposition
UCMJ
GG NMN GG - 999-99-9999
EDUCATION
Grade Relevance
Major Code Major
School Type
Degree Type
Degree Type
Grade Relevance
Degree Type
Major Code Major
School Type
Accredited From
Degree Type
Highest Education Year Completed
Education Level
State
Zip
State
Zip
Tier
Country
No. Yrs Comp Graduated Qual Degree
Accredited From
City
To
State
Zip
Tier
Country
No. Yrs Comp Graduated Qual Degree
Tier
Total Quality Points Total Credit Hours Total Semester Hrs
Apt
Address
City
Total College Semester Hours
State
Zip
MEPCOM
Education Level
Medical Specialty
Y
Country
Total College Quarter Hours
What paramilitary organizations (JROTC/CAP/Scouts) has the lead participated with?
Degree/Residency
Country
No. Yrs Comp Graduated Qual Degree
City
To
Apt
Other Major
Degree Title
Tier
Total Quality Points Total Credit Hours Total Semester Hrs
Address
Name of School
City
To
Apt
Other Major
Degree Title
No. Yrs Comp Graduated Qual Degree
Total Quality Points Total Credit Hours Total Semester Hrs
Address
Name of School
Major Code Major
School Type
Accredited From
Other Major
Degree Title
Grade Relevance
Apt
Address
Name of School
Major Code Major
To
Total Quality Points Total Credit Hours Total Semester Hrs
Other Major
Degree Title
Grade Relevance
School Type
Accredited From
Name of School
Award Type
N
Civil Air Patrol
Yr Awarded
Scout Award
Yr Awarded
JROTC
ROTC
MEDICAL OFFICER CREDENTIALS
Licensed
Certified
Registered
Board Certified
GG NMN GG - 999-99-9999
AFOQT
Form/Version
Date Tested
Pilot
Nav
AA
Verbal
Quantitative
Other Tests
Type
Date
Version
Score
ASVAB
Test
Date
Version
QT
M
A
G
E
Test Location
GS AR WK PC MK
EI
AS MC AO
VE
NO CS
Validation
Date
Other Tests
Date
Specialty
Pull-Ups
Count
Push-Ups
Count
Date
Count
Push-Ups
Count
Pull-Ups
Count
Count
Count
Push-Ups
Count
Overall
Surface Swim
Run
Type
Sit-Ups
Count
Underwater Swim 1
Underwater Swim 2
Sit-Ups
Count
Underwater Swim 1
Underwater Swim 2
Run
Count
Underwater Swim 1
Underwater Swim 2
Sec
Min
Sec
Min
Sec
Min
Sec
Overall
Surface Swim
Run
Type
Sit-Ups
Min
Overall
Surface Swim
Type
Specialty
Pull-Ups
Underwater Swim 1
Underwater Swim 2
Specialty
Push-Ups
Date
Count
Specialty
Pull-Ups
Date
Type
Sit-Ups
Min
Sec
Min
Sec
Overall
Surface Swim
Run
Min
Sec
Min
Sec
GG NMN GG - 999-99-9999
PRIOR SERVICE
Start
End
Branch
State
Grade
RE
SPD/SPN
Character of Service
AFSC/MOS
Job Title
Grade
Relevance
Conditional Release (DD Form 368) required and submitted.
Date Initiated 368 Date Received 368
DD Form 368 sent to Unit Name
Date Forwarded
368
Address
Unit Phone #
City
State
Zip Code
GG NMN GG - 999-99-9999
DRUGS
Type of Drug
Drug Used
First Used
Last Used
Age at Use
How Drug Was Used & Frequency of Use
Times Used
GG NMN GG - 999-99-9999
Accessions Interview
What AFSC is the applicant enlisting / training into? (DAFSC)
Is this a Critical AFSC?
Is member fully qualified for the AFSC?
What PAS Code / Unit will the applicant be accessing into?
What Position number will the applicant be placed into?
Enter Date of Appointment
Enter Date of Enlistment
Enter Enlistment Pay Grade
Did applicant attend the Air Force Academy?
GG NMN GG - 999-99-9999
Recruiter
ACCESSION INFORMATION
Requirements
Qualified
Y
P
U
A
L
H
G
E
Y
Requirements
N N/A
Driver's License
X
U.S. Citizenship
Special Education
Morals
Normal Color Vision
Mandatory Tech School
Depth Perception
Accession Category
Stripes for
Bonus AFSC
Incentive
BLOCKING INFORMATION
BMT INFORMATION
UNIT
ASGN GRADE
QUOTA #
TECH START
PAS CODE
DOR
QUOTA DATE
TECH ADD
TECH GRAD
AUTH GRADE
POSITION #
BMT RPRT
SRC OF COMSN
COMP CAT
BMT START
TAFCSD
CHANGE CAT
TFCSD
TYSD
TAFMSD
PAY DATE
DAFSC
Search
PAFSC
Search
ACCESSION DATA
PS > 84 DAYS
TRAINING CODE
(refer to help menu)
PS BRANCH
RACIAL CATEGORY
RE CODE
ADN
WAIVER CODE
NA
FORCE SHAPING
NON-PAY STATUS
ENLISTMENT / ASSIGNMENT / APPOINTMENT TYPE
QUALITY POINT RIC
GAIN DATE
EDCSA
AIRFORCE ACTIVE DUTY
COT DATE
OATH OUT
DDA DATE
ASSIGNMENT
EAD DATE
Qualified
Y
Special Medical Test
E
S
Qualified
N N/A
AFQT For Program
M
Requirements
COMMISSION
N N/A
SOURCE: Stuff
GG NMN GG - 999-99-9999
ORIGINAL E-DATA RECORD (READ ONLY)
Full Name
Gender
First Name
Middle Name
Street
AF Recruitment District
Date Of Birth
Ethnic
SSN
Total Dependents
Race
Suffix Name
Last Name
City
Work Phone
MIRS Code
Citizenship
Zip
State
Home Phone
HS Year
Marital Status
School Street Address
School City
Recruitment Potential Flag
POCC
School State
Base Active Service Date Reserve Flag
Prior Service Branch
Military Grade
POP
School Zip
DOD Civ Flag TAFMS Months
Security Clearance
Reenlistment Eligibility Code
Assignment Limit Code 1
Military Unit
Separation Program Designator
Assignment Limit Code 2
Retiree Status Flag
Military Service Characterization
Assignment Limit Code 3
Reserve Component
UIF
Assignment Action Code 1
Reserve Component Category
UIF Expire Date
Assignment Action Code 2
Air Force Education Level
Base Code (Servicing MPF)
Assignment Action Code 3
Education Grad Date
Interservice Separation Code
Assignment Availability Reason
Date of Rank
Total Service Comitment
TAFMSD
Pay Date
Expiration Term of Obligation
EDCSA
Pay Entry Base Date
Expiration Term Of Service
EDIGS
Separation Date
TAFCSD
PAFSC
2nd AFSC
ASVAB Date
DAFSC
3rd AFSC
ASVAB Ver.
M
A
G
E
AFQT
AFQT-CAT
Pay Grade Months
GG NMN GG - 999-99-9999
Physical Data
Source (TOSIP, DD FORM 2807-1)
Physical Date
Physical Type
Physical Location
Physical Height
P
U
Specify if Other
Specify if Other
Location Type
Physical Weight
L
H
E
S
X
BFM%
Uncorrected distant vision for left eye 20/
right eye 20/
Corrected distant vision for left eye 20/
right eye 20/
Uncorrected near vision for left eye 20/
right eye 20/
Corrected near vision for left eye 20/
right eye 20/
Is vision corrected with glasses, or contacts?
Color Vision Passed?
Does the applicant have unrestricted use of all fingers on both hands?
Does the applicant have a speech impediment?
Depth Perception Passed?
Explain
Drug Use
Does the applicant have a fear of heights?
Explain
Source (TOSIP, DD FORM 2807-1)
Physical Date
Physical Type
Physical Location
Physical Height
P
U
Specify if Other
Specify if Other
Location Type
Physical Weight
L
H
E
S
X
BFM%
Uncorrected distant vision for left eye 20/
right eye 20/
Corrected distant vision for left eye 20/
right eye 20/
Uncorrected near vision for left eye 20/
right eye 20/
Corrected near vision for left eye 20/
right eye 20/
Is vision corrected with glasses, or contacts?
Color Vision Passed?
Does the applicant have unrestricted use of all fingers on both hands?
Does the applicant have a speech impediment?
Depth Perception Passed?
Explain
Drug Use
Does the applicant have a fear of heights?
Explain
Source (TOSIP, DD FORM 2807-1)
Physical Date
Physical Type
Physical Location
Physical Height
P
U
Specify if Other
Specify if Other
Location Type
Physical Weight
L
H
E
S
X
BFM%
Uncorrected distant vision for left eye 20/
right eye 20/
Corrected distant vision for left eye 20/
right eye 20/
Uncorrected near vision for left eye 20/
right eye 20/
Corrected near vision for left eye 20/
right eye 20/
Is vision corrected with glasses, or contacts?
Color Vision Passed?
Does the applicant have unrestricted use of all fingers on both hands?
Does the applicant have a speech impediment?
Depth Perception Passed?
Explain
Drug Use
Does the applicant have a fear of heights?
Explain
Source (TOSIP, DD FORM 2807-1)
Physical Date
Physical Type
Physical Location
Physical Height
P
U
Specify if Other
Specify if Other
Location Type
Physical Weight
L
H
E
S
X
BFM%
Uncorrected distant vision for left eye 20/
right eye 20/
Corrected distant vision for left eye 20/
right eye 20/
Uncorrected near vision for left eye 20/
right eye 20/
Corrected near vision for left eye 20/
right eye 20/
Is vision corrected with glasses, or contacts?
Color Vision Passed?
Does the applicant have unrestricted use of all fingers on both hands?
Does the applicant have a speech impediment?
Depth Perception Passed?
Explain
Drug Use
Does the applicant have a fear of heights?
Explain
Source (TOSIP, DD FORM 2807-1)
Physical Date
Physical Type
Physical Location
Physical Height
P
U
Specify if Other
Specify if Other
Location Type
Physical Weight
L
H
E
S
X
BFM%
Uncorrected distant vision for left eye 20/
right eye 20/
Corrected distant vision for left eye 20/
right eye 20/
Uncorrected near vision for left eye 20/
right eye 20/
Corrected near vision for left eye 20/
right eye 20/
Is vision corrected with glasses, or contacts?
Color Vision Passed?
Does the applicant have unrestricted use of all fingers on both hands?
Does the applicant have a speech impediment?
Depth Perception Passed?
Explain
Does the applicant have a fear of heights?
Drug Use
Explain
GG NMN GG - 999-99-9999
MAIDEN NAME / ALIAS NAMES
Enter maiden name and alias names used. Mark checkbox if maiden name. Include from and to dates.
Maiden
First Name
Middle Name Last Name
Suffix
From Date To Date
Reason
Other
Maiden
First Name
Middle Name Last Name
Suffix
From Date To Date
Reason
Other
Maiden
First Name
Middle Name Last Name
Suffix
From Date To Date
Reason
Other
Maiden
First Name
Middle Name Last Name
Suffix
From Date To Date
Reason
Other
GG NMN GG - 999-99-9999
Recruiter
Shearin, Mark Cleavon - U6ALAOM
COURSES
Algebra
Geometry
Physics
Trigonometry
Biology
Chemistry
Typing
English Composition
Computer
English
Mathematics
General Science
OTHER JOB QUALIFIERS
SJC Code
Does the applicant have a fear of insects or Spiders?
Does the applicant have a fear of blood?
Does the applicant have a fear of guns?
Does the applicant have a fear of fire?
Does the applicant have a history of emotional instability?
Does the applicant have a history of conviction for embezzlement?
Does the applicant have a history of confinement?
Does the applicant have a history of claustrophobia?
Does the applicant speak distinct English?
Have you ever been in the Peace Corps?
Does the applicant have a history of Temporomanibular Joint Disorder
(TMJ), jaw locking or jaw pain?
Have you ever been convicted of a crime of domestic violence?
F
| File Type | application/pdf |
| File Modified | 2014-01-31 |
| File Created | 2014-01-31 |