The rated student will sign the DA Form 1059-1 prior to school departure but after the academic advisor and administrative reviewer have signed the DA Form 1059-1.
Part I: completed by Rated Student, Academic Rater, and/or Administrative Reviewer.
DOD ID No: enter rated student’s unique 10-digit DOD ID number (located on the reverse side of the CAC).
Number of Enclosures: indicate the total number of enclosures. If there are no enclosures, enter “0” or leave blank.
Official transcript: an official transcript must be attached prior to submission of the DA Form 1059-1 to the AMHRR.
Reason for Attendance: only used for “Initial Report” reason for submission selection.
| Question | Answer |
|---|---|
| Form Name | DA Form 1059-1 |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 9 min |
| Edition | MAR 2019 |
| Who signs | Academic advisor, administrative reviewer and rated student |
| Other names | DA Form 1059-1, DA 1059-1, DA1059-1, Form 1059-1, 1059-1, Civilian Institution Academic Evaluation Report |
| Official source | DA Form 1059-1 (Rev MAR 2019), |
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