Da Fm 5690 R Form PDF Details

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QuestionAnswer
Form NameDa Fm 5690 R Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names5690 form, army form 5690, da form 5690 fillable, da 5960 fillable no download needed

Form Preview Example

RESERVE COMPONENTS CAREER COUNSELOR INTERVIEW RECORD

For use of this form, see AR 601-280; the proponent agency is ODCSPER

AUTHORITY: Title 5, USC, Section 301.

PRINCIPAL PURPOSE: Explain obligation and participation requirements.

ROUTINE USES: Confirmation of obligation and participation requirements as a basis for contracts and requests for personnel actions.

DISCLOSURE: Disclosure of any information on this form is voluntary; failure to answer all questions may result in denial of enlistment, or transfer to a Reserve Component unit.

SECTION A - TO BE COMPLETED BY SEPARATING SOLDIER

1.

NAME (Last, first, middle)(Jr., Sr.)

3. SEX

 

4. BIRTHDAY (YYMMDD)

5.

HEIGHT

6. WEIGHT

 

 

 

 

MALE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

SSN

 

 

 

 

 

 

 

 

7.

PULHES

 

 

 

 

FEMALE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ITEM (Check appropriate block for each item)

YES NO R/G

16. EDUCATION COMPLETED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Are you a U.S. citizen?

 

 

 

 

 

GED

 

HS GRAD

 

 

COL DEGREE

9.Do you have a military driver's license?

10.

Do you have a normal color vision?

17.

RACE

11.

Is your spouse on active duty?

 

 

 

12.

Do you have a bar to enlistment?

18.

DATE OF LAST PHYSICAL 19. DATE OF HIV SCREEN

13.Any Article 15s?

14.

Any AWOL or bad time?

 

20. HOME PHONE NO.

21.

DUTY PHONE NO.

15.

Is this a regular ETS?

 

 

 

 

22.

CURRENT UNIT DESIGNATION

23. ADDRESS AFTER SEPARATION (Street, city, state,

24.

PHONE NO. AFTER

 

 

ZIP Code)

 

SEPARATION

 

 

 

 

 

 

25.

MAJOR COMMAND

 

 

 

 

26. PMOS

27. SMOS

28. RANK/GRADE

29. YRS OF SERVICE

30. MARITAL STATUS

31. NO. DEPENDENTS

32. DATE OF ETS

33. TERMINAL LEAVE (YYMMDD)

34. TYPE OF DISCHARGE (Chapter)

35a. SIGNATURE OF SOLDIER

35b. DATE

SECTION B - TO BE COMPLETED BY RC CAREER COUNSELOR

MATH

SCI

GT

 

GM

 

EL

CL

MM

 

SC

CO

 

FA

OF

ST

AFQT

DLAB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36.

CHECK ONE

 

 

 

 

 

 

 

 

 

 

 

37.

GAINING UNIT

 

 

 

 

 

 

 

ARNG

 

USAR

 

 

 

IRR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

38.

NUMBER OF YRS

39.

BONUS

 

 

 

40.

ADDRESS/LOCATION (City, state, ZIP Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

41.

UIC

 

 

 

 

42.

CONTROL NO.

 

 

 

 

 

 

 

 

 

 

 

43. POC

44. ASGT DMOS

45. APPOINTMENT DATE

46. UNIT PHONE (Incl area code)

47. REMARKS

48a. SIGNATURE OF RC CAREER COUNSELOR

48b. DATE

DA FORM 5690-R, DEC 94

EDITION OF AUG 90 IS OBSOLETE

USAPPC V1.00

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