Fc Form 4137 PDF Details

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QuestionAnswer
Form NameFc Form 4137
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesarmy 4137, fc4137, 4137 air assault, form 4137 air assault

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CLASS ENROLLMENT - AIR ASSAULT SCHOOL COURSES

(For use of this form see CAM Circular 351-1. The proponent of this form is G3/DPTMS/TAAS)

CLASS REQUESTED (CIRCLE ONE)

 

 

BASIC AIR ASSAULT

RAPPEL MASTER

IRT

 

 

 

PATHFINDER

FRIES/SPIES MASTER

PRE-RANGER

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION I - PERSONNEL INFORMATION

 

 

1.

NAME (Last, First, MI)

 

2. RANK

3. SEX (circle one)

 

 

 

 

 

 

 

 

MALE FEMALE

 

 

 

 

 

 

 

 

 

 

4.

SSN

 

5. MOS

6. AGE

7. DUTY POSITION

8. UIC

 

 

 

 

 

 

 

 

 

9.

UNIT (Co, Bn, BCT, Installation and Zip)

 

 

 

 

10. CLASS #

11.MUST HAVE TWO TELEPHONE NUMBERS FOR EMERGENCIES

UNIT:SUPERVISOR:

SECTION II - PRE-REQUISITES

12. The above mentioned Soldier meets the folowing pre-requisites:

 

DATE (YYYYMMDD)

INITIALS

 

 

 

 

TL / SL

SOLDIER

 

 

 

 

 

 

 

a. MEET HEIGHT/WEIGHT STANDARDS, IAW AR 600-9 (Attach DA Form 5500/5501, if needed).

 

 

 

 

 

 

b. SUCCESSFULLY COMPLETE THE APFT, IAW FM 21-20 (within 30 days).

 

 

 

 

 

 

 

 

 

 

c. COMPLETE 12 MILE FOOT MARCH (within 90 days).

 

 

 

 

 

 

 

 

 

 

 

d. COMPLETE OBSTACLE COURSE (within 60 days).

 

 

 

 

 

 

 

 

 

 

 

e. EQUIPMENT INSPECTION (within 30 days).

 

 

 

 

 

 

 

 

 

 

 

f. 12 MONTH RETAINABILITY.

 

 

 

 

 

 

 

 

 

 

g. SOLDIER HAS ASSIGNED WEAPON (IRT only). (CIRCLE ONE)

M16

M4

M9

 

h.ROPER QUALIFIED IAW USASOC 350-6 (for SPIES/FRIES Master only).

i.AIR ASSAULT QUALIFIED (for Pathfinder, Rappel Master & SPIES/FRIES Master only).

j.CURRENT PHYSICAL (Pathfinder, Pre-Ranger & Soldiers over 40 only).

k. PRE-RANGER MODIFIED APFT: PU-49, SU-59, 5MR-40 mins or less (Pre-Ranger

CHIN UPS

 

only).

 

 

 

l. CWST: 15m SWIM, 3m DROP, EQUIPMENT REMOVAL (Pre-Ranger only).

 

 

 

m. LAND NAVIGATION COURSE (Pre-Ranger only).

 

SECTION III - REMARKS

13.

SECTION IV - APPROVAL/SIGNATURES

14.

SUPERVISOR

15.

SUPERVISOR SIGNATURE

16.

DATE (YYYYMMDD)

 

 

 

 

 

 

17.

COMMANDER/FIRST SERGEANT

18.

CDR/1SG SIGNATURE

19.

DATE (YYYYMMDD)

 

 

 

 

FC FORM 4137, AUG 2007

(FC FORM 4137, SEP 2006, IS OBSOLETE)

 

Page 1 of 1

v1.00

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part 1 to writing army 4137 form

Type in the necessary particulars in The above mentioned Soldier meets, DATE YYYYMMDD, TL SL, SOLDIER, a MEET HEIGHTWEIGHT STANDARDS IAW, b SUCCESSFULLY COMPLETE THE APFT, c COMPLETE MILE FOOT MARCH within, d COMPLETE OBSTACLE COURSE within, e EQUIPMENT INSPECTION within days, f MONTH RETAINABILITY, g SOLDIER HAS ASSIGNED WEAPON IRT, circle one M M M, h ROPER QUALIFIED IAW USASOC for, i AIR ASSAULT QUALIFIED for, and j CURRENT PHYSICAL Pathfinder section.

part 2 to finishing army 4137 form

It's essential to provide the essential data in the SUPERVISOR, SUPERVISOR SIGNATURE, DATE YYYYMMDD, COMMANDERFIRST SERGEANT, CDRSG SIGNATURE, DATE YYYYMMDD, FC FORM AUG, FC FORM SEP IS OBSOLETE, and Page of v field.

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