Dd Form 295 PDF Details

Dd form 295 is a document that is used to request records from the military. The form can be used to request information about yourself, your family, or another individual. The form can be completed online or through the mail, and must be accompanied by supporting documentation. Requesting your military records can provide important information about your service, and may be necessary for benefits applications or other purposes.

QuestionAnswer
Form NameDd Form 295
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesCGI, form 295, Washington, dd form 295

Form Preview Example

APPLICATION FOR THE EVALUATION OF

LEARNING EXPERIENCES DURING M ILITARY SERVICE

 

(Dat e) (YYYYMMDD)

TO: (Name and address of educat ional inst it ut ion,

EVALUATION REQUEST FOR:

agency, or employer)

 

 

 

 

(Name of Applicant )

 

 

 

(Social Securit y Number)

ATTENTION:

Dear Of f icial:

The applicant named above has request ed t hat t he at t ached summary of educat ional achievement s, accomplished w hile in t he Armed Forces of t he Unit ed St at es, be f orw arded t o you f or review and evaluat ion.

The American Council on Educat ion publishes t he Guide t o t he Evaluat ion of Educat ional

Experiences in t he Armed Services The Guide series cont ains post secondary credit recommendat ions f or select ed milit ary courses and occupat ions. The 1954 -1989 Guide cont ains recommendat ions spanning t he dat es 1/1954 - 12/1989, and should be kept as a permanent resource. The current edit ion cont ains credit recommendat ions f rom 1/1990 t o t he present , and is published every t w o years. In addit ion, supplement al handbooks are issued at 6 -mont h int ervals bet w een Guide publicat ions. The handbook cont ains recommendat ions f or all evaluat ions conduct ed af t er t he publicat ion of t he current Guide.

This f orm cont ains a record of a Service member' s milit ary courses and occupat ions. It should be signed by a milit ary of f icial w hose signat ure cert if ies t hat t he inf ormat ion t hat is ent ered on t he f orm is accurat e and is t aken direct ly f rom original records. ACE ID numbers are ent ered in column 18 by milit ary educat ion of f icers.

The American Council on Educat ion maint ains an advisory service t o provide credit recommendat ions f or courses, t est s, and occupat ions t hat cannot be locat ed in any of t he Guide publicat ions. If ACE ID numbers have been ent ered int o column 18, it is not necessary t o submit t his f orm t o ACE. If t here are quest ions about any of t he ent ries, t he inst it ut ional of f icial may cont act ACE f or addit ional inf ormat ion. Credit recommendat ions are not provided t o inst it ut ions at t he applicant ' s request .

Aut horized persons may submit quest ions t o ACE at t he f ollow ing address: American Council on Educat ion, Cent er f or Adult Learning and Educat ional Credent ials, One Dupont Circle, Washingt on,

DC 20036 -1193, ATTN: Milit ary Evaluat ions. Telephone: (202) 939 -9470; Fax: (202)

775 -8578; e-mail: mileval@ace.nche.edu.

The evaluat ion of t his applicant ' s learning experiences, as w ell as any guidance you may provide, should be sent direct ly t o t he applicant at t he address show n in Block 6 on page 3 .

Sincerely,

(Educat ion Of f icer)

DD FORM 2 9 5 , APR 2 0 0 0

PREVIOUS EDITION IS OBSOLETE.

Page 1 of 4 Pages

PRIVACY ACT STATEM ENT

AUTHORITY: 10 U.S.C. 2007; P.L. 104 -106; and E.O. 9397 .

PRINCIPAL PURPOSE(S): To f acilit at e an individual' s request f or evaluat ion of educat ional experiences w hile in t he milit ary services.

ROUTINE USE(S): None.

DISCLOSURE: Volunt ary; how ever, you w ill not be evaluat ed f or your educat ional experiences during milit ary service if you f ail t o provide request ed inf ormat ion.

INSTRUCTIONS TO APPLICANT

DDForm 295 is f or your convenience in applying f or evaluat ion of your educat ional experiences during milit ary service. Give as much det ailed inf ormat ion as possible. Include addit ional inf ormat ion on separat e sheet s, if necessary.

Do not use abbreviat ions.

You are encouraged t o w rit e a preliminary let t er t o t he school or agency concerned, explaining your int erest in it s evaluat ion of your records f or t he cont inuance of your educat ion. Training, correspondence st udy, or special experiences not described on t his f orm, w hich you believe w ould be of int erest t o t hose review ing your case, should be included in t his let t er.

The applicant should:

a.Complet e it ems 1 t hrough 14.

b.If you have at t ended college or complet ed any college correspondence courses, ask t hat college t o send a t ranscript t o t he Regist rar of t he evaluat ing agency t hat t his f orm is addressed t o. DO NOT LIST ANY COLLEGE OR UNIVERSITY COURSES ON THIS FORM .

c.If you have complet ed any college-level

st andardized examinat ions f or credit , such as USAFI or DANTES Subject St andardized Test s, or CLEP, ask t he appropriat e agency t o send a score report t o t he Regist rar of t he evaluat ing agency t hat t his f orm is addressed t o. DO NOT LIST ANY EXAMINATIONS ON THIS FORM.

d.Af t er complet ion, submit t his DD Form 295 t o t he Cert if ying Of f icer.

INSTRUCTIONS TO CERTIFYING OFFICER

(Cust odian of Personnel Records)

DDForm 295 is int ended t o provide f act ual inf ormat ion t hat schools and ot her evaluat ing agencies require f or evaluat ion of t he applicant ' s educat ional achievement . By your signat ure, you verif y t hat all inf ormat ion is accurat e and t aken direct ly f rom milit ary records.

CERTIFYING OFFICERS WILL NOT MAKE RECOMMENDATIONS REGARDING CREDIT TO BE AWARDED.

The certifying officer should:

a.Complet e it ems 15 t hrough 17, in ink (or t ype). Supplement al sheet s may be used.

b.Insure t hat t he inf ormat ion provided in Sect ion II is document ed in t he applicant ' s Service Record. Names of schools or courses should not be abbreviat ed.

c.Send t his DD Form 295 t o t he Educat ion Of f icer.

INSTRUCTIONS TO EDUCATION OFFICER

The education officer should:

a.Complet e it em 18 .

b.Counsel t he service member.

c.Complet e page 1 . The name and address of

t he evaluat ing agency should be t he same as t hat list ed at t he t op of page 3 of t his f orm.

PAGE 1 IS IN ADDITION TO, AND NOT A SUBSTITUTE FOR, THE LETTER TO BE WRITTEN TO THE EVALUATING AGENCY BY THE APPLICANT.

d.Mail DD Form 295 direct ly t o t he designat ed evaluat ing agency.

DD FORM 2 9 5 , APR 2 0 0 0

Page 2 of 4 Pages

APPLICATION FOR THE EVALUATION OF LEARNING EXPERIENCES

DURING M ILITARY SERVICE

TO (Name and address of educat ional inst it ut ion, agency, or employer)

SECTION I - TO BE COM PLETED BY APPLICANT

1 . NAM E (Last , First , Middle Init ial)

2 . GRADE/RANK

OR RATING

3 . SOCIAL SECURITY NO.

4 . PREVIOUS SERVICE NUM BER(S)

5 . PRESENT BRANCH OF SERVICE (Includes Nat ional Guard and Reserve component s)

 

ARM Y

 

NAVY

 

AIR FORCE

 

M ARINE CORPS

 

COAST GUARD

 

 

 

 

 

 

 

 

 

 

6 . APPLICANT' S M AILING ADDRESS FOR REPLY FROM EDUCATIONAL INSTITUTION

7 . DATE OF BIRTH

(YYYYMMDD)

8 . PERM ANENT HOM E ADDRESS

CIVILIAN EDUCATION

9

. HIGHEST GRADE OF SCHOOL COM PLETED (X one)

 

 

 

 

 

 

 

 

 

 

 

 

7

 

8

 

9

 

1 0

 

1 1

 

1 2

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 0

. HIGHEST YEAR OF COLLEGE COM PLETED (X one)

 

 

 

 

1 1 . COLLEGE DEGREE EARNED (X if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NONE

 

FRESHM AN

 

SOPHOM ORE

 

JUNIOR

 

SENIOR

 

ASSOCIATE

 

BACHELOR

 

 

 

(1 - 29 S.H.)

 

(33 - 59 S.H.)

 

(60 - 89 S.H.)

 

(90 - 100 S.H.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 2

. EDUCATIONAL INSTITUTION LAST ATTENDED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. NAM E

b. M AILING ADDRESS

1 3 . M ILITARY CORRESPONDENCE COURSES COM PLETED (The applicant should at t ach a copy of t he course complet ion let t er or cert if icat e.)

a. COURSE NAM E

b. ACE GUIDE COURSE OR

c. COURSE SPONSOR

d. DATE COURSE

COM PLETED

(If no courses w ere t aken, print NONE)

OCCUPATION IDENTIFICATION NUM BER

(AIPD, MCI, ECI, CGI)

(YYYYMMDD)

 

 

 

(1 )

(2 )

(3 )

(4 )

(5 )

(6 )

(7 )

(8 )

(9 )

(1 0 )

(1 1 )

(1 2 )

(1 3 )

(1 4 )

(1 5 )

(1 6 )

(1 7 )

(1 8 )

(1 9 )

(2 0 )

1 4 . APPLICANT CERTIFICATION: I have read the Privacy Act Statement on Page 2 .

a. SIGNATURE

b.DATE SIGNED (YYYYMMDD)

DD FORM 2 9 5 , APR 2 0 0 0

Page 3 of 4 Pages

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Washington writing process explained (part 1)

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