Da Form 3439 PDF Details

The DA Form 3439 is a Department of the Army, Standard Form that documents all types of leave. The form is also known as the "request and approval for leave". The form can be used by both military and civilian personnel. The purpose of the form is to document all leaves, including annual, compensatory, discretionary, emergency, holiday, rest and recuperation (R&R), sick leave (including convalescent), special duty assignment pay (SDAP) days authorized absence without loss of pay (AWOL), terminal leave, unearned leave and other types of approved absence. Personnel who complete the form will have a record of all leaves taken during a given period. The DA Form 3439 must be completed in full and signed

QuestionAnswer
Form NameDa Form 3439
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesda 3439 fillable, da form 3439 fillable, da form 3439, YYYYMMDD

Form Preview Example

NONAPPROPRIATED FUND INSTRUMENTALITY EMPLOYMENT INQUIRY

For use of this form see AR 215-3; the proponent agency is ASA (M&RA)

1. HOW LONG HAVE YOU KNOWN APPLICANT AND IN

 

 

 

2. IF EMPLOYER OR SUPERVISOR, INDICATE:

 

WHAT CAPACITY(IES)? (Check applicable block and

BEGINNING SALARY

POSITION TITLE

 

 

DATE (YYYYMMDD)

enter below)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CAPACITY

APPROXIMATE TIME KNOWN

LAST SALARY

 

POSITION TITLE

 

 

DATE (YYYYMMDD)

SUPERVISOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYER

 

 

3. IF NO LONGER IN YOUR EMPLOY, SHOW REASON FOR LEAVING

 

FELLOW EMPLOYEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACQUAINTANCE

 

 

4. WOULD YOU REEMPLOY APPLICANT IN THE SAME POSITION?

 

OTHER (Specify)

 

 

 

 

YES

 

 

 

 

NO (If no, indicate reasons under "Remarks.")

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSONAL APPRAISAL (Based on your experience with applicant, indicate

INSUF-

 

 

 

 

 

 

FICIENT

 

OUT-

BETTER

 

 

UNSATIS-

by check mark in the appropriate column your evaluation of the following

OPPOR-

 

THAN

ADEQUATE

 

STANDING

FACTORY

factors.)

 

 

 

 

TUNITY TO

 

AVERAGE

 

 

 

 

 

 

 

OBSERVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.a. DEPENDABILITY - Accepts assigned responsibility and effectively

 

 

 

 

 

 

 

 

 

 

accomplishes duties in an approved manner within time established.

 

 

 

 

 

 

 

 

 

 

b.COOPERATION - A team worker, maintains good working relationships.

c.INITIATIVE AND CREATIVENESS - Ability to think along original lines and to work without detailed instructions or supervision.

d.SOUND JUDGEMENT/ABILITY TO ADAPT UNDER PRESSURE - Poise and judgment in meeting adverse or emergency situations.

e.ADAPTABILITY - Ability to adjust to changes in working or living environments.

f.CONSIDERATION FOR OTHERS - Courteous in daily contacts including attitude toward different races, religions, and nationalities.

g.COMPLETE ONLY IF CHECKED:

JOB KNOWLEDGE - Has knowledge of techniques and procedures applicable to the job for which being considered.

MANAGERIAL SKILLS - Ability to plan and organize work.

SUPERVISION - Ability to supervise other employees.

Check applicable block. (If any answer is "yes" to the following questions, give details under "Remarks.")

6.Do you have any reason to question this person's loyalty to the United States?

7.Do you have any knowledge of any behavior, activities, or associations which tend to show that this person is not reliable, honest, trustworthy, and of good conduct and character?

8.REMARKS

YES

NO

9.DATE (YYYYMMDD)

10. NAME OF ORGANIZATION

11. YOUR POSITION OR TITLE AND SIGNATURE

DA FORM 3439, JAN 2002

DA FORM 3439, 1 JUN 93 IS OBSOLETE

USAPA V1.01ES

DEPARTMENT OF THE ARMY

Dear

is being considered by this office

for a Nonappropriated Fund position as

In the application for employment, the candidate indicates:

your name as a reference

association with your organization from

The Department of the Army is charged with the responsibility of administering certain critical programs both at home and abroad. It is essential that these programs be administered in a manner which reflects to the credit of this Government. Therefore, it is necessary that individuals selected for employment be fully qualified and have personal characteristics and loyalty which are above reproach.

In selecting applicants we must depend in a large measure upon information and advice given us by persons who have been associated with them. It will be appreciated, therefore, if you will furnish, to the best of your knowledge, information as indicated on the enclosed DA Form 3439. Your frank evaluation will be of great assistance to us in determining the applicant's suitability for selection for the above position.

The information you provide, including your identity, will be disclosed to the person identified above if he or she should so request.

Inasmuch as final selection for this position will be influenced by your reply, we shall appreciate hearing from you as soon as possible. We are enclosing a self-addressed envelope which requires no postage.

Sincerely yours,

Enclosure

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2. After the last segment is finished, you have to add the needed specifics in MANAGERIAL SKILLS Ability to plan, SUPERVISION Ability to supervise, Check applicable block If any, YES, Do you have any reason to, Do you have any knowledge of any, and REMARKS so you're able to proceed further.

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