The Navcruit 1131/16 form serves a crucial role in managing the careers of individuals in the Navy's medical programs, encapsulating both their duty preferences and personal information under the umbrella of the Privacy Act. Authorized under the Department of Regulations and Executive Order 9397, the form's primary purpose is to streamline the administration and operation of personnel affairs within the Navy. It assists Department of Navy officials in making informed decisions about qualifications and suitability for future assignments, with an emphasis on matching individuals to their preferred duty stations. Applicants are required to detail personal information, including name, contact details, and professional background, alongside their duty station preferences. Participation in the process is voluntary, but failing to provide the requested information may result in an assignment without considering one's preferences. Additional sections cater to verifying educational background, professional licenses, and marital status, ensuring a comprehensive overview for NAVCRUITDIST and NAVMEDCOM/NAVCRUITCOM personnel. This intricate procedure not only allows for a tailored approach to future assignments but also emphasizes the Navy's commitment to respecting and protecting the privacy of its personnel.
| Question | Answer |
|---|---|
| Form Name | Form Navcruit 1131 16 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | NCP Duty Preference form NAVCRUIT 1131_16 navy ncp form |
DUTY PREFERENCE FOR MEDICAL PROGRAMS
Privacy Act Statement
AUTHORITY AND PURPOSE: 5 U.S.C. 301, Departmental Regulations; and E.O. 9397(SSN). Provided information is used to assist officials and employees of the Navy in the management, supervision and administration of Navy personnel (officer and enlisted) and the operations of related personnel affairs and functions.
ROUTINE USES: Information will be utilized by Department of the Navy officials in verifying qualifications and suitability for future assignments. Contact information may also be provided to applicable personnel as it relates to your established future duty stations.
DISCLOSURE: Voluntary. However, failure to provide the requested information may result in an administrative assignment to future duty without your preference.
To be completed by Applicant
Name: (Last Name, First Name, Middle Initial)
DOB (dd/mm/yyyy)
Gender:
Male
Female
Email: |
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Home Phone |
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Work Phone |
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Collocation With Aactive Duty Spouse Requested: |
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Yes |
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No |
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N/A |
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Is Buddy System Requested? |
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Yes |
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No |
If yes to the question above or this question, please provide the following information: |
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Name: (Last Name, First Name, Middle Initial)
Rank.and Corps:
Duty Station:
Detailer's Name:
Telephone Number:
Duty Preferences:
1.
2.
3.
OIS Class (dd/mm/yyyy)
To be completed by NAVCRUITDIST personnel
NAVCRUITDIST:
UIC:
Recruiter: |
Telephone Number: |
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Please provide the following Applicant information:
Home of Record with Zip Code:
Mailing Address with Zip Code:
Education Level (Yrs): |
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Graduation Date (dd/mm/yyyy): |
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Current License: |
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Yes |
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No |
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B.D. Cert. Date (dd/mm/yyyy): |
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Current Pending License: |
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Yes |
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No |
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Active Service? |
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Yes |
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No |
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Prior |
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Current |
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If Yes - Specialty:
Years:
Rank.and Corps:
Brief Summary of Civilian Experience:
Marital Status:
Married
Single/Divorced/Widow
Number of Family members (excluding active duty members):
To be completed by NAVMEDCOM/NAVCRUITCOM personnel
Grade: |
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Designator: |
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OIS Class: |
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Subspecialty Code(s): |
1st |
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2nd |
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3rd |
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Scholarship Student? |
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Yes |
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No |
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New Accession Bonus? |
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Yes |
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No |
End of Obligated Service Date: |
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NAVCRUIT 1131/16 (Rev |
FOR OFFICIAL USE ONLY - PRIVACY SENSITIVE |
Page 1 of 1 |
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