Adj Details

If you are looking for a new job, or even just considering it, you will likely need to fill out a job application. Job applications can seem daunting, but with the right preparation and tools, they can be easy to complete. This guide will walk you through the steps of filling out a 3355 Form, also known as the National Employment Registry form. Completing this form is the first step in finding employment opportunities that match your skills and qualifications.

Below are some details you might like to consider before starting using the 3355 form.

QuestionAnswer
Form Name3355 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesarmy promotion point worksheet, army promotion points worksheet, promotion points worksheet, promotion

Form Preview Example

PROMOTION POINT WORKSHEET

For use of this form, see AR 600-8-19; the proponent agency is DCSPER

1. TYPE

a. Initial

b. Total Reevaluation

2.DATE (YYYYMMDD)

 

DATA REQUIRED BY THE PRIVACY ACT OF 1974

 

AUTHORITY:

Title 5 USC, Section 301.

 

PRINCIPAL PURPOSE:

To determine eligibility for promotion.

 

ROUTINE USES:

Reviewed to determine promotion eligibility and validity of points granted.

 

DISCLOSURE:

The furnishing of fraudulent information may result in denial of promotion.

 

 

 

 

3. NAME

4. SSN

5. RECOMMENDED GRADE

 

 

 

6. ORGANIZATION

7. PMOS

SECTION A - RECOMMENDATION

1.MILITARY TRAINING (Maximum 100 Points)

a. LATEST APFT DATE

 

 

 

b. SCORES

 

c. POINTS AWARDED

(YYYYMMDD)

 

 

 

 

 

 

 

PUSH-UPS

SIT-UPS

 

RUN

TOTAL

 

 

 

 

 

 

 

 

 

 

d. LATEST WEAPONS QUALIFICATION

e. DA FORM USED:

 

 

f. TOTAL HITS g. POINTS AWARDED

DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

h. TOTAL POINTS AWARDED

2.DUTY PERFORMANCE EVALUATION (Maximum 150 Points Award 1-30 Points For Each Category)

CATEGORY

POINTS AWARDED

a.COMPETENCE: Proficient, Knowledgeable, Communicates Effectively

b.MILITARY BEARING: Role Model, Appearance, Confidence

c.LEADERSHIP: Motivates Soldiers, Sets Standards, Mission, Concern

d.TRAINING: Individual and Team, Shares Knowledge and Experience, Teaching

e.RESPONSIBILITY AND ACCOUNTABILITY: Equipment, Facilities, Safety, Conservation

f. TOTAL POINTS AWARDED

I certify that the above APFT and weapons qualification scores shown have been extracted from appropriate records and the latest valid scores are in accordance with Army Training Regulations and Army Field Manuals.

3. SIGNATURE OF COMMANDER

4. TYPED OR PRINTED NAME AND GRADE

5. DATE (YYYYMMDD)

 

 

 

SECTION B - ADMINISTRATIVE POINTS

1.AWARDS, DECORATIONS AND ACHIEVEMENTS (Maximum 100 Points. List all awards individually. Include award number (i.e. 3rd OLC) and the order number.)

TOTAL POINTS AWARDED

DA FORM 3355, MAY 2000

PREVIOUS EDITIONS ARE OBSOLETE

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NAME

SSN

SECTION B - ADMINISTRATIVE POINTS (Continued)

2.MILITARY EDUCATION (Maximum 200 Points. List all military education.)

TOTAL POINTS AWARDED

3.CIVILIAN EDUCATION (Maximum 100 Points. List all civilian education.)

TOTAL POINTS AWARDED

I certify that the above administrative points shown have been accurately extracted from appropriate records and that the promotion points indicated are correct.

4. TYPED OR PRINTED NAME OF

5. DATE

6. SIGNATURE OF RECOMMENDED

7. DATE

RESPONSIBLE OFFICIAL

(YYYYMMDD)

INDIVIDUAL (Required)

(YYYYMMDD)

 

 

 

 

SECTION C - TOTALS

Only whole numbers will be used in awarding promotion points for all sections (drop fractions). Only initial and total reevaluations require submission of DA From 3355. Administrative reevaluations and adjustments are submitted on DA Form 4187 and annotated in the Eval/Adj column.

1. POINTS GRANTED

 

INITIAL

EVAL/ADJ

EVAL/ADJ

EVAL/ADJ

EVAL/ADJ

EVAL/ADJ

ITEM

(Date)

(Date)

(Date)

(Date)

(Date)

(Date)

 

 

 

 

 

 

 

a. TOTAL PERFORMANCE EVALUATION AND MILITARY

 

 

 

 

 

 

TRAINING POINTS - SECTION A (Maximum 250 points)

 

 

 

 

 

 

b. TOTAL ADMINISTRATIVE POINTS - SECTION B (Maximum

 

 

 

 

 

 

400 points)

 

 

 

 

 

 

 

 

 

 

 

 

 

c. TOTAL BOARD POINTS (Maximum 150 points)

 

 

 

 

 

 

 

 

 

 

 

 

 

d. TOTAL PROMOTION POINTS (Maximum 800 points)

 

 

 

 

 

 

 

 

 

 

 

 

 

2. INITIALS OF RESPONSIBLE PSB OFFICIAL

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION D - CERTIFICATION

I certify that the above total points shown have been accurately extracted from appropriate records and promotion list points indicated are correct.

1.

RECOMMENDED BY BOARD

 

2. ATTAINED MINIMUM POINTS

 

 

 

YES

 

NO

 

 

 

YES

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

TYPED OR PRINTED NAME AND SIGNATURE OF BOARD RECORDER

4. GRADE

 

 

5. DATE (YYYYMMDD)

 

 

 

 

 

 

 

I certify that the soldier has been recommended for promotion by a valid promotion board.

 

 

 

 

 

 

 

 

 

 

 

6.

TYPED OR PRINTED NAME OF PROMOTION AUTHORITY

7. SIGNATURE

 

 

 

8. DATE PROCEEDINGS WERE

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROVED (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Counseling statement: I have been counseled on my promotion status and deficiencies. (Use only when recommendation is disapproved, when a soldier is not selected by a board, or when a soldier cannot be added to the recommended list due to not attaining the minimum required points).

9. SIGNATURE OF SOLDIER10. DATE (YYYYMMDD) 11. TYPED OR PRINTED NAME AND SIGNATURE OF COUNSELOR

DA FORM 3355, MAY 2000

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