Da Form 5434 PDF Details

The Department of Defense Form 5434 is a document used to collect information from service members on their education and experience. The form is also used to identify which military occupation the service member is best suited for. This form is important for the career planning process, and can be helpful in identifying which billets the service member may be eligible for. The Department of Defense (DoD) publishes detailed instructions on how to complete the DA Form 5434, which can be found on their website. Service members should carefully review these instructions prior to completing the form. The completion of the DA Form 5434 may take some time, but it is worth taking the time to ensure that all information is accurate and up-to-date. By doing so, service

QuestionAnswer
Form NameDa Form 5434
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names5434 sponsorship da, how to army form 5434, sponsorship 5434, da 5434 example

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SPONSORSHIP PROGRAM COUNSELING AND INFORMATION SHEET

 

For use of this form, see AR 600-8-8; the proponent agency is ACSIM.

 

 

 

DATA REQUIRED BY THE PRIVACY ACT OF 1974

 

 

AUTHORITY:

Title 5, USC Section 301.

PRINCIPAL PURPOSE:

Personnel service support. To counsel Soldier or civilian employee about sponsorship program entitlements, and provide information to gaining

 

battalion or activity of new members.

ROUTINE USES:

None. The DoD Blanket Routine Uses set forth at the beginning of the DoD's compilation of systems of records notices may apply to this system.

DISCLOSURE:

Mandatory for service members. Nondisclosure may prevent participation in the sponsorship program.

1. NOTE: Soldiers/Famify members/Civilians may retrieve information regarding their new assignment at

Army Knowledge Online -

 

 

I have been counseled on the

FOR CIVILIAN EMPLOYEES ONLY:

 

I would like to have a sponsor assigned to me. (Complete remainder of form.)

 

 

Total Army Sponsorship Program

 

 

 

I decline the offer of sponsorship. (Complete Section 1 only.)

 

 

 

 

 

 

 

 

 

Typed or Printed Name:

 

 

 

 

 

 

Rank/Grade:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MOS/Branch/Civilian Occupational Series:

 

Signature:

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.ARRIVAL INFORMATION TO ASSIST GAINING UNIT OR ACTIVITY:If additional space is necessary, please attach your documentation to the form)

a. I (Rank/Grade and Name):

 

 

, am on assignment to (Gaining Installation):

 

 

 

and expect to arrive on/about (Month and Year):

 

 

 

 

 

 

b.Soldier's/Civilian's contact information: Current Unit/Activity Address:

 

DSN Phone number:

 

 

Cell Phone number:

 

 

 

Email address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (i.e., Social Media):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Leave Address and Phone number at this address until:

 

 

 

 

 

 

 

 

 

Status (check one):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c.

 

 

 

Married-accompanied

 

 

Single-accompanied

 

Married-unaccompanied

 

Single-unaccompanied

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exceptional Family

d.

Accompanied by Family members: NAME

 

 

 

 

 

AGE

SEX

 

RELATIONSHIP

 

 

 

 

 

 

Member Program (EFMP)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

3.GAINING UNIT/ACTIVITY INFORMATION: If additional space is necessary, please attach your documentation to the form)

a.

Gaining Unit/Activity:

 

 

d.

Unit 1SG/Supervisor:

b.

Unit CDR/Supervisor:

 

 

 

 

 

 

 

 

 

 

 

Phone number:

 

 

 

 

 

 

 

 

 

 

 

 

Phone number:

 

 

 

Email address:

 

 

 

 

 

e.

 

 

 

 

 

 

Email address:

 

 

TASP Unit Coordinator:

c.

 

 

 

 

 

 

 

 

 

 

Unit sponsor:

 

 

 

Phone number:

 

 

 

 

 

 

 

 

 

 

 

 

Phone number:

 

 

 

Email address:

 

 

 

 

 

f.

 

 

 

 

 

 

Email address:

 

 

Date of initial contact:

 

 

 

 

 

 

 

 

 

 

 

4.LOSING UNIT/ACTIVITY INFORMATION: If additional space is necessary, please attach your documentation to the form)

a.

Losing Unit/Activity:

c.

Unit 1SG/Supervisor:

b.

 

 

 

 

 

 

 

 

 

Unit CDR/Supervisor:

 

Phone number:

 

 

 

 

 

 

 

 

 

 

Phone number:

 

Email address:

 

 

 

d.

 

 

 

 

 

Email address:

TASP Unit Coordinator:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email address:

 

 

 

 

 

 

 

 

 

 

5.FAMILY CONSIDERATIONS:If additional space is necessary, please attach your documentation to the form)

a. Housing requirements (check one):

 

 

b. Pets:

 

Yes

 

 

No

c. Child care requirements:

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

On-post housing

 

 

Off-post housing

 

If yes, list pet and type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. Spousal Employment info:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

e. List of local schools:

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes, list type of work:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

f.Contact by Unit Family Readiness Group

If yes, list Email address:

 

Yes

 

 

 

(FRG):g. Additional comments:

No

DA FORM 5434, DEC 2012

PREVIOUS EDITIONS ARE OBSOLETE.

APD LF v1.01ES

 

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