Af Form 4446 PDF Details

In an effort to ensure the utmost accuracy and fairness in evaluating the physical fitness of its members, the Air Force utilizes a comprehensive tool known as the AF Form 4446, Air Force Fitness Assessment Scorecard. This critical document serves not just as a fitness performance record but as a cornerstone of the Air Force's commitment to maintaining the physical readiness of its personnel. Grounded in authority derived from 10 U.S.C. 8013 and Executive Order 9397 (SSN), the form facilitates the positive identification of an individual prior to the administration of the Fitness Assessment (FA), thereby ensuring the integrity of the evaluation process. It meticulously records various metrics including rank, name, unit, contact information, and physical statistics such as age, height, and weight, along with the results of aerobic, push-up, sit-up components, and abdominal circumference measurements. Additionally, it documents any exemptions and acknowledges injuries or illnesses experienced during the assessment, offering a comprehensive overview of an airman's physical fitness status. Designed with both privacy and accuracy in mind, the AF Form 4446 not only aligns with the Privacy Act of 1974 by protecting the personal information of service members but also plays a pivotal role in the Air Force Fitness Assessment, affecting career progression and readiness.

QuestionAnswer
Form NameAf Form 4446
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesair force fitness assessment, air force fitness form, air force fitness scorecard, 446f form

Form Preview Example

AIR FORCE FITNESS ASSESSMENT SCORECARD

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. 8013 and Executive Order 9397 (SSN).

PURPOSE: Information is used to positively identify an individual prior to administration of the Air Force Fitness Assessment (FA).

ROUTINE USE: In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, these records or information

Rank/Name:._________________________________

Unit: --------------------

Duty Phone: __________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail: ____________________________________ SSN: _________

Age: ___ (years)

 

 

 

 

 

 

 

 

 

 

Height:____ (inches)

Weight: ___ (lbs)

FSQ Date: _____

Test Date: _____

Aerobic Component exemption:

 

 

 

 

 

 

 

 

 

 

 

 

 

YIN

Date Start: ______

Date End: _____

 

 

Push-up exemption:

 

 

YIN

Date Start: _____

Date End: _____

 

 

Sit-up exemption:

 

 

YIN

Date Start: ______

Date End: _____

 

 

Abdominal circumference exemption:

YIN

Date Start: ______

Date End: ______

 

 

Component

 

 

Measurement I Reps I Time

Score

 

Minimum Value Met?

Abdominal

 

 

1:______

2:--- 3: ---

 

 

 

 

 

 

 

 

 

 

 

y

I

 

Circumference

 

 

 

 

 

N

(inches)

 

 

Average:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Push-ups (reps)

 

 

 

 

 

 

 

y

I

N

Sit-ups (reps)

 

 

 

 

 

 

 

y

I

N

1.5-Mile Run I

 

 

 

 

 

 

 

 

 

 

2.0-Kilometer Walk

 

 

Time:

--- · ---

 

 

y

I

N

(mins:secs)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Score:

-----

of

 

 

 

Category (circle one): Unsatisfactory I Satisfactory I Excellent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I acknowledge the above information reflects my performance today. I also understand I may address discrepancies !A W the guidance in

AFI 36-2905 on removing FA scores. NOTE: Refusal to sign does not invalidate the test; score will be updated in Air Force Fitness Management System (AFFMS).

TEST MEMBER:

 

DATE:

 

SIGNATURE

 

TEST ADMINISTRATOR: ------------------------

DATE:

AFFMS RECORDER:

PRINT

SIGNATURE

 

 

DATE:

 

PRINT

SIGNATURE

o I experienced an injury or illness during this FA and will immediately pursue evaluation at the Medical Treatment Facility. I understand this FA will count unless rendered invalid by the Unit Commander within 5 duty days (conclusion ofnext UTA for non-AGR ARC Airmen).lf no request to invalidate this FA is received by the Fitness Assessment Cell (FAC) from the Commander by the 6th duty day (conclusion of

*FAC Augmentee signature:

DATE:

*FAC Augmentee (or UFPM if no FAC exists) will only sign above if member checks block indicating presence of illness or injury during test. FAC signature acknowledges the requirement to hold score for 5 duty days (AFFMS input on 6th duty day)For non-AGR ARC Airmen, FAC staff will hold scores until the next UTA and enter scores into AFFMS upon conclusion of that UTA.

o I have received and considered the provided medical documentation and render this test invalid due to injury/illness

UNIT COMMANDER:

DATE: -----

PRINT

SIGNATURE

AF FORM 4446, 20131021

PRIVACY ACT INFORMATION: The information in this

form is FOR OFFICIAL USE ONLY. Protect lAW the

 

 

Privacy Act of 1974.

How to Edit Af Form 4446 Online for Free

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Provide the appropriate data in the space I acknowledge the above, TEST MEMBER, DATE, SIGNATURE, TEST ADMINISTRATOR, AFFMS RECORDER, PRINT, SIGNATURE, DATE, DATE, PRINT, SIGNATURE, o I experienced an injury or, FAC Augmentee signature, and DATE.

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