Usar Form 136 R – Fill Out and Use This PDF

RRC:

Rank:

WMOS:

Applicant's Name:

Unit Assigned:

UIC:

Unit Phone:

Unit Address:

Applicant is: USAR TPU

OTHER

YES

NO

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DA Form 61 (w/Commander's statement signed in Block 41)

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DA Form 6256 or DOD 1304 (FAST or AFAST Scoring Worksheet)

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Recommendation by Applicant's Unit Commander

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Recommendation by Applicant's Battalion Commander

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Interview Statement from a Field Grade Army Aviator

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Statement of Aviation training and/or experience (attach copies of pilot ratings, logbook)

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Other Letters of Recommendation

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Waivers: Moral

_____ Prerequisite _____ Age _____ Medical _____

BNCOC ____ APFT

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DA Photo

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Resume

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DA Forms 2A and 2-1

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DA Form 2166-8 (NCOERs for last five years)

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NCOER Letter (for missing evaluations)

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Training Certificates - MOS - Leadership

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Transcripts

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Security Clearance Letter (Clearance level, investigation, date initiated)

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DA Form 3574 or 3575

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Statement of Understanding

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Initial Class 1 flight physical with aeromedical approval stamp by Ft. Rucker

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Statement of Religious Practices

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Is applicant mobilized?

UIC __________

Para _______ Line _______ Posn _______ WMOS _________ Grade _________

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DA Form 4856 for Bonus Counseling

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Warrant Officer Accession Bonus Documents

WOANCO/LRTNCO OF CREDIT:

Phone:

USAR

FORM

136-R

Previous edition is obsolete and will not be used.

1 JAN 06