Da Form 3175 PDF Details

In the military, certain forms are used in order to document specific information. One such form is the Da Form 3175. This form is used to report a missing person, and it must be filled out and submitted within 24 hours of the person going missing. The form requires specific information on the individual who is missing, as well as details on the circumstances leading up to their disappearance. Knowing how to fill out this form correctly is critical in order to ensure that all pertinent information is included.

Question	Answer
Form Name	Da Form 3175
Form Length	6 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 30 sec
Other names	form 3175 pdf, da form 3175 pdf, dd form 3175 fillable, da form 3175 blank

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PRELIMINARY APPLICATION FOR ACTIVE DUTY SERVICE

WITH THE JUDGE ADVOCATE GENERAL'S CORPS

For use of this form, see AR 27-1; the proponent agency for this form is the Office of The Judge Advocate General.

Authority:

Principle Purpose:

Routine Uses:

Disclosure:

DATA REQUIRED BY THE PRIVACY ACT OF 1974

10 USC 3013, 10 USC 3072

To evaluate your qualifications for appointment in the Judge Advocate General's Corps (JAG Corps) and, if selected, to initiate your Career Management Individual File (CMIF).

To make personnel decisions during your period of military service, including decisions pertaining to assignments and advanced military training and schooling. There are no routine uses outside of the Department of Defense for the CMIF.

Disclosure of the requested information is voluntary. However, failure to provide complete information may preclude selection.

		PART A: APPLICATION INSTRUCTIONS AND CHECKLIST

	The Judge Advocate Recruiting Office (JARO) must receive completed applications on or before the following dates:
Deadlines:	- November 1 to be considered for the Fall active duty selection board; or
	- March 1 to be considered for the Spring active duty selection board.

Requirement for	In order for an application to be complete, JARO must receive all of the documents listed below under "Required Documents" on or
Complete
Complete	before the aforementioned deadlines. Selection boards will not review incomplete applications.
Application:
Application:

Corrections/	If information submitted in connection with an application changes at any time (including before or after selection), you must notify JARO
Changes to
Changes to	in writing immediately. Failure to do so could preclude your selection or commissioning.
Information:
Information:

JAGCNET	JARO can process only those applications that included a signed DA Form 3175. As a result, applicants who utilize the JAGCNET
JAGCNET	On-Line Application web site to transmit the information contained in DA Form 3175 must print and sign a hard-copy version of their
On-Line
On-Line	on-line application (along with all of the documents listed below under "Required Documents"), and mail these documents to JARO.
Application
Application	An application that is received via the JAGCNET On-Line Application web site will not be complete until JARO receives all
Web Site:
Web Site:	required documents.
	required documents.

Mail	Department of the Army, Judge Advocate Recruiting Office, Attention: Active Duty Accessions Manager,1777 North Kent Street, Suite
Application
Application	5200, Rosslyn, Virginia 22209-2194
To:	5200, Rosslyn, Virginia 22209-2194
To:

		DA Form 3175. Type or print your answers, and ensure that all applicable questions are answered. Questions that require
	1	explanations on separate sheets should be consolidated on as few continuation sheets as possible (do not use a separate sheet
	1	for each question that you need to provide an explanation for). Remember to sign your application. Unsigned applications will

		not be considered complete.

School-issued transcripts of all undergraduate and law/graduate school work. Transcripts should show your class standing. If you

2are still in law school, your class standing must be based on at least two years of study. A student copy of a transcript is acceptable, for purposes of this preliminary application, should university rules prohibit you from obtaining an official copy.

3For each transcript, submit a statement issued by the school explaining the grading system if the grading policy is not provided on the back of the transcript.

Required
Documents:	A resume or statement reflecting all full-time and part-time work experience (legal and non-legal). Legal experience may include
	private practice, governmental, judicial, teaching, military legal experience, and legal clerkships. If you have government and/or

4military legal experience, you should include a description of the position and grade or rank; if a judicial office, the extent of jurisdiction of the court; if you have taught law, the subjects taught; and if engaged in private practice as an attorney, paralegal, or clerk, a list of the more important cases handled by you showing the nature of each, and a statement of the nature of your practice.

For applicants who are current members of the bar: a certificate or statement from the clerk of the highest court of a state of the

5United States, the District of Columbia, Commonwealth of Puerto Rico, or of a Federal court showing admission to practice and good standing. The certificate or statement must be dated within three months of the application deadline.

For applicants who are current or former members of the U.S. Armed Forces (active or reserve service): copies of all Officer or

6Enlisted Evaluation Reports. Former members must provide a copy of DD Form 214, Certificate of Release or Discharge from Active Duty.

Optional	1	Writing Sample (no more than one sample, preferably less than 10 pages in length).
Optional
Documents:	2	Letter(s) of Recommendation.
	2	Letter(s) of Recommendation.

DA FORM 3175, AUG 2010			PREVIOUS EDITIONS ARE OBSOLETE.	Page 1 of 6

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PART B: PERSONAL INFORMATION

1. Last Name		2. First Name		3. Middle Name
								ATTACH PHOTOGRAPH HERE
								Photograph Instructions
							1. Civilian applicants, including applicants who are former
4. Date Of Birth			5. Age				1. Civilian applicants, including applicants who are former
4. Date Of Birth			5. Age					members of the U.S. Armed Forces not currently
(YYYYMMDD)								members of the U.S. Armed Forces not currently
(YYYYMMDD)								engaged in active or reserve service: Attach a
								engaged in active or reserve service: Attach a
								photograph that shows your head and shoulders and is
								no more than 3" by 3".
							2.	Applicants who are current members of the U.S.
6. Height (inches)		7. Weight (lbs)		8. Gender			2.	Applicants who are current members of the U.S.
								Armed Forces (active or reserve service): submit an
								official photograph taken within six months of the date
								of application. U.S. Army personnel must submit a
								Department of the Army photograph.

9. Ethnic	Asian / Pacific		Hispanic		White (Not of
Group	Islander		Hispanic		Hispanic Origin)		3.	ROTC applicants: submit a photograph that satisfies
Group	Islander				Hispanic Origin)		3.	ROTC applicants: submit a photograph that satisfies
(Response								the requirements of either paragraphs 1 or 2 above.
Optional)	Black (Not of		Native		Other (Specify ):
	Hispanic Origin)		American		Other (Specify ):
	Hispanic Origin)		American

				YES	NO				YES	NO
10. Are you a U.S. citizen by birth?						12. Are you married? (Response Optional)

11. Are you a naturalized U.S. citizen? If yes, provide						13. Do you have children? If yes, number of children:
certificate number:						(Response Optional)

			PART C: CONTACT INFORMATION

Provide street, apartment number (if applicable), city, state, country, and zip code information

14. Current Address

15. Permanent Address

16. Alternative Address *

* Correspondence from JARO will be sent to your current mailing address and/or your e-mail address. Please provide an alternate mailing address if you are not going to be at your current mailing address during the months of November 1 to January 1, or March 1 to May 1.

17.	Telephone Number (Home):				20.	Primary E-Mail Address:

18.	Telephone Number (Work):				21.	Secondary E-Mail Address:

19.	Telephone Number (Cell / Other) :				22.	Fax Number:

		PART D: MILITARY SUMMER INTERN PROGRAM INFORMATION

23.	Have you ever served as a U.S. Army JAG Corps		YES	NO	24.	Have you ever participated in a legal internship program		YES	NO
Summer Intern (i.e., have you ever served as a temporary			YES	NO	(other than the U.S. Army JAG Corps Summer Intern			YES	NO
Summer Intern (i.e., have you ever served as a temporary					(other than the U.S. Army JAG Corps Summer Intern
federal employee under the U.S. Army JAG Corps Summer					Program) sponsored by the U.S. Army or another military
Intern Program)?					branch of the Department of Defense?

a. If yes, provide the following information on your internship:					a. If yes, provide the following information on your internship:

b. 1L / 2L Internship?					b. Military Service

c. Dates Of Service (YYYYMMDD)					c. Dates Of Service (YYYYMMDD)
From		To			From		To

d. Office Location					d. Office Location

e. Nature Of Work					e. Nature Of Work

DA FORM 3175, AUG 2010

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PART E: RESERVE OFFICER TRAINING CORPS (ROTC) PROGRAM INFORMATION

		YES	NO		YES	NO
25.	Have you participated in an ROTC Program? If yes,			29. Are you currently on ROTC educational delay status to
proceed to next question. If no, proceed to Part F.				attend law school? If yes, list number of years:

26.	Did you participate in the ROTC Program as an			30. Did you participate in the ROTC Program as a graduate
undergraduate student? If yes, proceed to next question.				student (but not as an undergraduate)? If yes, proceed to
If no, proceed to question 30.				next question. If no, proceed to Part F.

27.	Did you receive an ROTC scholarship as an			31. Did you receive an ROTC scholarship as a graduate
undergraduate student?				student?

28.	Was your ROTC scholarship withdrawn while you were			32. Was your ROTC scholarship withdrawn while you were a
an undergraduate student? If yes, provide an explanation on				graduate student? If yes, provide an explanation on a
a separate sheet.				separate sheet.

33.	Have you been the subject of proceedings that could have resulted in the withdrawal of your ROTC scholarship? If yes, provide an
explanation on a separate sheet.

PART F: MILITARY SERVICE INFORMATION

34.Provide a chronology of your service with the U.S. Armed Forces. List your most current service first. You may use a continuation sheet that follows the format below for additional entries. If you have never served with the U.S. Armed Forces on either active duty or as a member of the Reserve Components, proceed to Part G.

a.	b.	c.	d.	e.	f.	g.
Dates of Service	Military Service (e.g.,	Active Duty or	Was active duty due	Branch	Highest Grade	Unit and Location
(YYYYMMDD)	Army, Army Reserve) Reserve Components?		to mobilization of the	(e.g., Signal, Armor)	Attained	(State or Country)
			Reserve Component?		(E1 to O10)
					(E1 to O10)

To

To

35.If you are a current or former commissioned officer, what was the source of your commission (Direct, ROTC, Military Academy, OCS, or NGUS)?

36.If you are currently serving on active duty and you have career status, what is your status (CVI, VI, RA, or Other (for non-Army personnel))?

YES NO

37. Have you been the subject of adverse administrative action, regardless of outcome, including (but not limited to) being flagged for failing to satisfy military height / weight requirements, or for failing a military physical fitness test? If yes, provide an explanation on a separate sheet.

38. Have you been the subject of non-judicial punishment proceedings, regardless of outcome, under Article 15 of the Uniform Code of Military Justice? If yes, provide an explanation on a separate sheet.

39. Have you been the subject of court-martial proceedings, regardless of outcome, under the Uniform Code of Military Justice? If yes, provide an explanation on a separate sheet.

40. Have you ever been released or discharged from the U.S. Armed Forces? If yes, attach your DD Form 214, Certificate of Release or Discharge from Active Duty.

41.What was the reason for your discharge from active duty (as noted on DD Form 214)?

42.How was your discharge characterized (as noted on DD Form 214) - Honorable, General, Other Than Honorable, Bad Conduct, or Dishonorable?

43.List any security clearances granted (Secret, Top Secret, TSI), and the dates granted.

44.List any decorations, service medals, or qualification badges you have been awarded.

DA FORM 3175, AUG 2010

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PART G: EDUCATIONAL INFORMATION

45.Undergraduate School Information: List all of the undergraduate schools you have attended. You may use a continuation sheet that follows the format below for additional entries.

a. Name and Location	b. Dates of Attendance	c. Major(s)	d. Class Rank	e. Degree(s) Awarded
(City and State)	(YYYYMMDD TO YYYYMMDD) Army	c. Major(s)	d. Class Rank	e. Degree(s) Awarded
(City and State)	(YYYYMMDD TO YYYYMMDD) Army

	to

	to

46.Law / Graduate School Information: List all of the law/graduate schools you have attended. If you are still in law school or if you have graduated from law school, list law school first. You may use a continuation sheet that follows the format below for additional entries.

a. Name and Location

b. Dates of Attendance

c. Major(s)

d. Class Rank

e. Degree(s) Awarded

(City and State)

(YYYYMMDD TO YYYYMMDD)

Army

47. Extra-Curricular Information: List all of the extra-curricular activities you participated in during your undergraduate and law/graduate studies. List

your activities in the following order: law journal, moot court, student government, school-sponsored athletic organizations, and student

groups. You may use a continuation sheet that follows the format below for additional entries.

b. During

d. Positions Held

Undergraduate or

c. Dates of Participation

a. Extra-curricular Activity

- Law Journal Members: indicate if you published an article

Graduate School?

(YYYYMMDD to YYYYMMDD)

- Moot Court Members: list your competitions

YES

48. Did you take the Law School Aptitude Test (LSAT)?

The questions below apply to undergraduate and law /

If yes, provide your highest LSAT score:

graduate school attendance. If any of your responses are

yes, provide an explanation on a separate sheet.

49. Are you proficient in a foreign language?

51.

Have you ever been placed on academic probation,

If yes, list language(s) and degree(s) of proficiency:

suspended, or expelled?

50. Were you employed while you attended law school?

52.

Have you ever been the subject of school-regulated

If yes, explain the nature of your employment and the number

disciplinary proceedings, regardless of outcome, for reasons

of hours worked per week on a separate sheet.

not related to academic performance?

PART H: BAR ADMISSION AND STANDING INFORMATION

YES

53. Are you admitted to practice and a member in good standing of the Bar of the highest court of a state of the United States, the District of Columbia, Commonwealth of Puerto Rico, or a Federal Court? If yes, list each bar and date admitted:

54.If you are not a member of the Bar, list the states where you plan to take the Bar examination, the date(s) of the examination, and the date(s) you expect to be admitted to practice.

State(s)

Exam Date(s)

(YYYYMMDD)

Expected Admittance Date(s)

(YYYYMMDD)

YES NO

55.Have you ever failed a Bar examination? If yes, list the number of failed Bar examination(s), the state(s) and the date(s) of each exam:

56.Have you been the subject of an investigation conducted by a Bar that you were a member of? If yes, provide an explanation on a

separate sheet. Include the name of the investigating Bar, the dates of and reasons for the investigation, and the outcome.

57. Has your membership in a Bar ever been suspended or revoked? If yes, provide an explanation on a separate sheet. Include the name of the Bar that suspended or revoked membership, the date(s) and the reason(s) for suspension or revocation.

58. Have you ever applied for and been refused Bar membership for reasons other than failure of a Bar examination? If yes, provide an explanation on a separate sheet. Include the name of the Bar that denied membership, the date(s) and the reason(s) for denial.

DA FORM 3175, AUG 2010

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PART I: ADDITIONAL INFORMATION

59.List the date when you will be ready for active service with the U.S. Army JAG Corps (YYYYMMDD). If you are still in law school and/or have not yet taken the Bar examination, provide a date that is after the anticipated date you expect to receive your Bar examination results:

60.In your own words, describe your current state of physical health (include any service-limiting factors that you may know of) :

61.List any factors which would limit the locations where you could be assigned:

62.List the legal fields or specialties you are particularly interested in:

63.List any other activities, organizations, or awards not listed elsewhere on this form, or on other attachments (including your resume):

YES NO

64.Have you ever, under military or civilian law, been indicted or summoned into court as a defendant in a criminal proceeding (including any proceedings involving juvenile offenses and any court-martial) regardless of outcome (including acquittal, withdrawal, or dismissal of charges); or convicted, fined, imprisoned, placed on probation, paroled, or pardoned (including proceedings which resulted in sealed/ expunged record)? If yes, provide an explanation on a separate sheet.

65.Have you ever been ordered to deposit bail or collateral for the violation of any law, police regulation or ordinance (excluding traffic violations involving a fine or forfeiture of $100.00 or less)? If yes, provide an explanation on a separate sheet.

		PART J: FIELD SCREENING OFFICER (FSO) INTERVIEW INFORMATION

FSO Interview	All applicants for active duty service with the U.S. Army JAG Corps must be interviewed by an FSO.
Requirement:
Requirement:

	1.	Contact your law school's career services office to arrange an on-campus interview with an FSO.
Scheduling an FSO	2.	If an on-campus interview is not possible, contact the FSO that is responsible for your law school and arrange an interview.
Interview:	3.	If you are unable to be interviewed by the FSO that is responsible for your law school, contact the FSO for a law school that is
	located nearest to you.

	1.	An FSO interview obtained prior to the convening of an active duty selection board may be used to support an application
	submitted for that selection board, and/or an application submitted to the next immediate active duty selection board.
Use of FSO	2.	For example, if you obtain an FSO interview prior to the convening of the Fall 2004 active duty selection board, you may use
Use of FSO	that interview to support an application submitted to that selection board and/or the selection board that immediately follows (e.g.,
Interview:
Interview:	the Spring 2005 active duty selection board).
	the Spring 2005 active duty selection board).
	3.	Under this example, an FSO interview obtained prior to the convening of the Fall 2004 active duty selection board cannot be
	used to support applications submitted to the Fall 2005 active duty selection board, or subsequent boards thereafter.

	1.	Do not submit application materials to your FSO. If you provide a resume to your FSO during your interview, your resume
Additional Notes:	will not be forwarded to JARO.
	2.	Visit http://law.goarmy.com to locate the name and e-mail address of the FSO that is responsible for your law school.

Completing	Provide the name of the FSO, the location of the interview, and the date your interview was conducted (or the date you have
Questions 67 to 69:	scheduled the interview for).

66.Name of FSO (Last, First, M)

67. Date / Anticipated Date of Interview

68. Location of Interview

DA FORM 3175, AUG 2010

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PART K: PERSONAL STATEMENT

69.In the space provided below, state your interest, motivation and objectives in applying for active duty service with the U.S. Army JAG Corps. Do not exceed the space provided on this page; continuation sheets will not be reviewed. Do not use a font size smaller than 10.

PART L: SIGNATURE AND AFFIRMATION

I hereby affirm that this and other information I have furnished in connection with this application for active duty service with the U.S. Army JAG Corps are true and correct to the best of my knowledge and belief.

71. Signature Of Applicant

72. Date (YYYYMMDD)

DA FORM 3175, AUG 2010

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How to Edit Da Form 3175 Online for Free

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If you want to complete this PDF form, ensure that you provide the required information in each and every blank field:

1. The form 3175 pdf involves particular details to be typed in. Make certain the subsequent blank fields are filled out:

Stage number 1 of submitting form 3175 form

2. When this selection of blanks is filled out, go on to enter the suitable information in all these: Provide street apartment number if, Current Address, Permanent Address, Alternative Address, Correspondence from JARO will be, Primary EMail Address, Telephone Number Work, Secondary EMail Address, Telephone Number Cell Other, Fax Number, PART D MILITARY SUMMER INTERN, Have you ever served as a US Army, YES, Have you ever participated in a, and YES.

Fax Number, Have you ever participated in a, and Primary EMail Address inside form 3175 form

3. This next step will be focused on c Dates Of Service YYYYMMDD, c Dates Of Service YYYYMMDD, From, d Office Location, From, d Office Location, e Nature Of Work, e Nature Of Work, DA FORM AUG, and Page of APD PE vES - fill in all of these blank fields.

4. The subsequent paragraph needs your input in the following places: YES, YES, Have you participated in an ROTC, Are you currently on ROTC, Did you participate in the ROTC, Did you receive an ROTC, Did you participate in the ROTC, Did you receive an ROTC, Was your ROTC scholarship, Was your ROTC scholarship, Have you been the subject of, PART F MILITARY SERVICE INFORMATION, Provide a chronology of your, Dates of Service YYYYMMDD, and eg Military Service Army Army. Just be sure you fill in all of the requested information to go further.

Have you been the subject of, Did you receive an ROTC, and Did you participate in the ROTC in form 3175 form

5. The pdf must be completed with this part. Further you can see an extensive listing of blanks that need correct information in order for your form usage to be accomplished: If you are a current or former, If you are currently serving on, Have you been the subject of, Have you been the subject of, Have you been the subject of, Have you ever been released or, What was the reason for your, How was your discharge, List any security clearances, List any decorations service, and YES.

form 3175 form conclusion process shown (portion 5)

Always be very careful while filling out If you are currently serving on and What was the reason for your, because this is where a lot of people make some mistakes.

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