The DA form 3356 is a Department of Defense form that is used to document medical evacuations. This form is used to report the movement of patients and/or passengers from one location to another, as well as track the care and treatment of patients during their evacuation. The DA form 3356 must be completed by both the sending and receiving medical facilities, and must include information such as the patient's name, date of evacuation, etc. The form can be used for both military and civilian patients.
| Question | Answer |
|---|---|
| Form Name | Da Form 3356 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | da form 3356 fillable, army promotion board checklist, army promotion board recommendation sheet, you da 3356 |
1. NAME
4. Board Interview and Evaluation and Points Awarded
AVERAGE |
ABOVE AVERAGE |
EXCELLENT |
OUTSTANDING |
TOTAL |
AREAS OF EVALUATION |
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POINTS |
a.Personal Appearance, Bearing, and
b.Oral Expression and Conversational Skills
c.Knowledge of World Affairs
d.Awareness of Military Programs
e.Knowledge of Basic Soldiering (Soldier's Manual) (See note.)
f.Soldier's Attitude (includes leadership and potential for promotion, trends in performance, etc).
g. TOTAL POINTS AWARDED
NOTE: Questions concerning the knowledge of basic soldiering will be tailored to include land navigation, survival, night operations, inclement weather operations, adverse environment, and terrain.
5. REMARKS
6.
I DO
I DO NOT Recommend the Soldier for Promotion
7. SIGNATURE OF BOARD MEMBER |
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8. RANK |
9. DATE (YYYYMMDD) |
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DA FORM 3356, MAY 2000 |
PREVIOUS EDITIONS ARE OBSOLETE |
USAPA V1.00 |
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