Dd Form 1966 – Fill Out and Use This PDF

Fill in A. Service Processing For. Under B. Prior Service, mark YES or NO and enter the Number of Days. Fill in C. Selective Service Classification and D. Selective Service Registration No.

Under Section I - Personal Data, enter 1. Social Security Number, 2.A. Name (Last, First, Middle Initial (and Maiden, if any), Jr., Sr., etc.), 2.B. DoD ID Number, 2.C. Phone Number and 2.D. Email Address.

Enter 3. Current Address and 4. Home of Record Address, each with Street, City, County, State, Country and ZIP Code.

In 5. Citizenship, X one: A. U.S. at Birth (if you mark it, also X (1) Native Born or (2) Born Abroad of U.S. Parent(s)), B. U.S. Naturalized, C. U.S. Non-Citizen National, D. Immigrant Alien (Specify) or E. Non-Immigrant Foreign National (Specify). Enter the Alien Registration Number if issued.

In 6. Sex, X one: A. Male or B. Female.

In 7. Race and Ethnicity, select all that apply: (1) American Indian or Alaska Native, (2) Asian, (3) Black or African American, (4) Hispanic or Latino, (5) Middle Eastern or North African, (6) Native Hawaiian or Pacific Islander or (7) White, and enter additional details in the spaces.

Specify 8. Marital Status and enter 9. Number of Dependents.

Enter 10. Date of Birth as YYYYMMDD.

11. Religious Preference is optional. Optional questions may be left blank.

Enter 12. Education as Yrs/Highest Ed Gr Completed. For 13. Proficient in Foreign Language, specify if Yes and enter NONE if No.

For 14. Valid Driver's License, X one, YES or NO; if Yes, list State, number, and expiration date.

Enter 15. Place of Birth as City, State and Country.

In 22. Education, A: list all high schools and colleges attended, with dates in YYYYMM format: (1) From, (2) To, (3) Name of School, (4) Location and (5) Graduate YES or NO.

In 22. Education, B: mark YES or NO if you have ever been enrolled in ROTC, Junior ROTC, Sea Cadet Program or Civil Air Patrol.

23. Marital/Dependency Status and Family Data (if Yes, explain in Section VI, Remarks): A. anyone dependent upon you for support; B. any court order or judgment in effect that directs you to provide alimony or support for children; C. an immediate relative (father, mother, brother, or sister) who is now a prisoner of war or is missing in action (MIA), or died or became 100% permanently disabled while serving in the armed services; D. you are the only living child in your immediate family.

24. Previous Military Service or Employment with the U.S. Government (if Yes, explain in Section VI, Remarks): A. now or ever in any regular or reserve branch of the armed forces or in the Army National Guard or Air National Guard; B. ever rejected for enlistment, reenlistment, or induction; C. now or ever a deserter; D. ever employed by the United States government; E. now drawing, or have an application pending, or approval for: retired pay, disability allowance, severance pay, or a pension from any agency of the government of the United States.

25. Ability to Perform Military Duties (if Yes, explain in Section VI, Remarks): A. now or ever a conscientious objector (a firm, fixed, and sincere objection to participation in war in any form or to the bearing of arms because of religious belief or training); B. ever discharged for reasons pertaining to being a conscientious objector; C. anything which would preclude you from performing military duties or participating in military activities whenever necessary.

26. Drug Use and Abuse (if Yes, explain in Section VI, Remarks): have you ever tried, used, sold, supplied, or possessed any narcotic, depressant, stimulant, hallucinogen, or cannabis, or any mind-altering substance, or anabolic steroid, except as prescribed by a licensed physician?

In 29. Certification of Applicant, enter B. your typed or printed name (Last, First, Middle Initial), C. your signature and D. the date signed (YYYYMMDD).

By signing, you certify that the information given by you in this document is true, complete, and correct to the best of your knowledge and belief.

32. Specific Option/Program Enlisted For, A: completed by the Guidance Counselor, MEPS Liaison NCO, etc., as specified by the sponsoring service, in clear text English.

32.B: you fully understand that you will not be guaranteed any specific military skill or assignment to a geographic area except as shown in item 32.A above and annexes attached to your enlistment/reenlistment document (DD Form 4). Enter C. Applicants Initials.

Under Section VI - Remarks, specify each item being continued by item number, and continue on separate pages if necessary.

Mark X one: DD Form 1966/5 attached, YES or NO.

37. Name Change: complete the following if the preferred enlistment name (name given in Item 2) is not the same as on your birth certificate, and it has not been changed by legal procedure prescribed by state law, and it is the same as on your social security number card.

Enter A. the name as shown on your birth certificate and B. the name as shown on your social security number card.

Use this DD Form 1966 page only if either section applies to the applicant's Record of Military Processing.

In Section VIII - Parental/Guardian Consent for Enlistment, 40. Parent/Guardian Statement(s): line out portions not applicable; each parent or guardian enters a typed or printed name, signature and date signed (YYYYMMDD).

DD Form 1966 is the Record of Military Processing for the Armed Forces of the United States. If you meet the standards and enlist, the information you provide on this form will also be used to initiate your Official Military Personnel File.

You can be punished by fine, imprisonment or both if you are found guilty of making a knowing and willful false statement on this document.