Da 330 Form PDF Details

The DA Form 330 plays a crucial role for individuals in the military, specifically within the Army, where demonstrating foreign language proficiency is essential for certain assignments and duties. Known as the Language Proficiency Questionnaire, this form is governed by AR 11-6 and falls under the auspices of the Office of the Deputy Chief of Staff, G-2. It collects detailed data as mandated by the Privacy Act of 1974, ensuring that all information provided is used strictly for official purposes, maintaining confidentiality, and disclosing it only to authorized personnel. The form requires an array of personal details, including Social Security Number (SSN), which aids in accurately identifying an individual's language proficiency levels. It's geared towards evaluating a candidate's eligibility for roles that demand specific language skills by assessing listening, reading, and speaking proficiencies across different languages. Moreover, the DA Form 330 outlines various methods by which one’s language proficiency may be acquired, ranging from formal education to self-study, and utilizes a combination of self-explanatory and complex items that evaluate language competence. Additionally, this form stipulates the conditions under which personal information is disclosed, emphasizing the voluntary nature of this disclosure while also noting the potential repercussions of withholding requested details. With sections dedicated to capturing the nuances of language acquisition and proficiency levels, the DA Form 330 is comprehensive in its aim to streamline the identification and placement of personnel in positions where language skills are paramount.

QuestionAnswer
Form NameDa 330 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdlpt individual, enter proficiency 2, enter n proficiency, dlpt form

Form Preview Example

LANGUAGE PROFICIENCY QUESTIONNAIRE

For use of this form see AR 11-6; the proponent agency is ODCS, G-2.

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY: This collection is authorized by Section 3012 of Title 10, United States Code, and Executive Order No. 9397 (SSN). The information you furnish will be treated For Official Use Only and will be maintained and used in strict confidence in accordance with Federal Privacy laws and regulations and will only be disclosed to authorized personnel within Army, DOD, and other government agencies consistent with authorized disclosures under the Privacy Act.

PRINCIPLE: Your SSN will be used to correctly identify you as an individual with a degree of language proficiency. During personal interviews, you may also be asked to disclose personal information about your background, past experience, knowledge, etc.

PURPOSE: This information will be used to evaluate and determine your eligibility for assignment to and performance of duty in positions requiring foreign language proficiency.

DISCLOSURE: Disclosure of this information is voluntary; however, failure to provide some or all of the requested information could result in non-qualification for selection or assignment to duty requiring knowledge of the foreign language in question.

1. NAME (Last, First, MI)

2. SSN

3. GRADE

4. SSI/PMOS

5. CONTROL LANGUAGE

6. SERVICE/AGENCY

7. COMPONENT

8. ORGANIZATION AND STATION

9. LANGUAGE

 

 

 

 

 

 

10. PROFICIENCY

 

 

11. DATE OF

 

 

 

 

 

 

 

 

 

 

 

 

EVALUATION

 

 

 

HOW

LISTENING

READING

SPEAKING

 

 

 

 

 

 

FOREIGN LANGUAGE

LANG.

ACQUIRED

 

 

 

 

 

 

 

 

 

 

 

 

CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

1st

2nd

3rd

METHOD

RATING

METHOD

RATING

METHOD

RATING

YYYY

MM

DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

n.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. REMARKS

13.REPORTING OFFICIAL a. TYPED NAME

b. RANK/GRADE

c. PHONE NUMBER

d. UNIT/ORGANIZATION

e. EMAIL

f. DATE (YYYYMMDD)

g. SIGNATURE

DA FORM 330, MAY 2008

PREVIOUS EDITIONS ARE OBSOLETE

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INSTRUCTIONS

ITEM NO. TITLE AND EXPLANATION

1-4 SELF-EXPLANATORY

5CONTROL LANGUAGE. Leave blank, U.S. Army Human Resource Command use only.

6SERVICE/AGENCY. Enter the individual's Service or Agency.

7COMPONENT. Enter the individual's Service component, e.g., Active, ARNG, Reserves.

8ORGANIZATION AND STATION. Enter individual's organization and station.

9LANGUAGE. Enter the results of each language evaluated. Multiple skills for the same language evaluated on the same day can be

entered on one line. If the skills for the same language are evaluated on different days, enter them on separate lines.

a- FOREIGN LANGUAGE. Enter the foreign language evaluated.

b- LANGUAGE CODE. Enter the language identification code for the foreign language evaluated.

 

c-e

-

HOW ACQUIRED. Enter the code below for the foreign language evaluated. A maximum of 3 codes may be used if the

 

 

proficiency was acquired by more than one method.

 

 

 

Civilian School

A

 

 

Defense Language Institute Foreign Language Center (DLIFLC)

B

 

 

Foreign Residence

C

 

 

Home Environment

D

 

 

Military School other than DLIFLC

E

 

 

Self-study

F

10

PROFICIENCY (LISTENING , SPEAKING, AND READING)

 

 

f, h, j

- METHOD. Enter the language evaluation method using the codes listed below.

 

g, i, k

-

RATING. Enter the data code based on the proficiency rating using the codes below.

11 DATE OF EVALUATION

l- Enter the year in the format YYYY for each foreign language tested.

m- Enter the month in the format MM for each foreign language tested.

n- Enter the day in the format DD for each foreign language tested.

12REMARKS

Enter the type of DOD Standardized Test: DLPT-I, DLPT-II, DLRPT, DLPT-III, DLPT-IV, DLPT5, or OPI. For DLPT (I, II, III, IV, or 5) or DLRPT enter whether it is lower or upper range. Also enter the form of test used if known. For individuals completing DLIFLC course or equivalent, enter the class number and date completed.

13a-g SELF-EXPLANATORY

Determination of Entry for Listening, Reading, and Speaking Proficiency Ratings (Items 10g, 10i, and 10k) DA Form 330

Paper DLPT-1

Paper DLPT II, III, IV and

Proficiency

Data Code Rating

Raw Score

DLRPT Converted Score

Rating

10g/10i/10k

 

 

 

 

0-20

0-24

0

00

21-23

25-29

0+

06

24-29

30-35

1

10

30-35

36-39

1+

16

36-42

40-45

2

20

43-48

46-49

2+

26

 

 

 

 

49-60

50+

3

30

N/A

N/A

3+

36

N/A

N/A

4

40

N/A

N/A

4+

46

 

 

 

 

N/A

N/A

5

50

 

 

 

 

Language Evaluation Method (Items 10f, 10h, and 10j)

 

Method

Code

DOD Standardized Test

1

Self-appraisal

2

Oral Proficiency Interview

3

DA Form 330, MAY 2008

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