Usarec Form 1241 PDF Details

Are you looking for information about the USAREC Form 1241? You've come to the right place! This form is used by recruiters from the United States Army Recruiting Command (USAREC). It is an essential document in order to begin enlistment with the Army, and it helps recruiters ensure that recruits get matched up with their desired military career. Here, we'll provide all of the information you need to know about this important document.

QuestionAnswer
Form NameUsarec Form 1241
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesform branding screening print, form 1241 gauging screening, usarec screening, 1241 form

Form Preview Example

Tattoo/Branding/Earlobe Gauging Screening

(For use of this form see USAREC Reg 601-96)

PRIVACY ACT STATEMENT

AUTHORITY: Collection of this information is authorized by 10 USC, sections 503, 505, 532, 12101 and Executive Order 9397.

PRINCIPAL PURPOSE: Information collected will be used to assist in the prequalification process.

ROUTINE USES: Blanket routine use disclosures as described in AR 340-21, paragraph 3-2.

DISCLOSURE: Voluntary; however, failure to provide the information may delay or terminate the enlistment process.

Mark tattoo/brand/earlobe gauging on the body with a number.

FRONT

BACK

Describe tattoo/brand/earlobe gauging below by corresponding number marked on the body. Indicate meaning next to corresponding number for all tattoos and brands only. For applicants with earlobe gauging indicate measurements at Dep in and Dep out.

(Example) Tattoo: Heart with name

 

 

 

Meaning: Daughter's name - she is my heart

 

 

 

 

 

 

 

 

 

 

(Example) Right earlobe gauge size .25 inches

 

 

 

Date measured 21 Sep 12

 

 

Right earlobe gauge size .25 inches

 

 

 

Remeasured 19 Oct 2012

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USAREC Form 1241, Rev 1 Oct 12

PREVIOUS EDITIONS ARE OBSOLETE

LFV 2.00

Page 1of3

 

 

 

 

 

 

DEP-IN:

 

I verify that I do

 

 

do not

 

 

have any tattoos, brands or earlobe gauging.

 

 

 

 

Applicant's Typed Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant's Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above tattoos/brands/earlobe gauging are

 

 

 

are not

 

 

may not be

 

in accordance with AR670-1 and current policy.

 

 

 

 

 

 

 

 

 

 

 

Recuriter Typed Name, Grade, RSID

 

 

 

 

 

 

 

 

 

 

 

Recruiter Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above tattoos/brands/earlobe gauging are

 

 

 

are not

 

 

may not be

 

in accordance with AR670-1 and current policy.

 

RS/C Commander Typed Name, Grade, RSID

 

 

 

 

 

 

RS/C Commander Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above tattoos/brands/earlobe gauging are

 

 

 

are not

 

 

may not be

 

in accordance with AR670-1 and current policy.

 

Company Commander or First Sergeant Typed Name

 

 

Company Commander/First Sergeant Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above tattoos/brands/earlobe gauging are

 

 

are not

 

 

may not be

 

in accordance with AR670-1 and current policy.

 

GC Typed name, grade, MEPS ID

 

 

 

 

 

 

 

 

 

 

 

GC Signature

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above tattoos/brands/earlobe gauging are approved

 

 

 

disapproved

 

 

in accordance with AR670-1 and current policy.

 

Battalion Commander or XO Typed Name and Grade

 

 

 

 

 

 

Battalion Commander/XO Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEP-OUT:

 

 

All additional tattoos/brands/earlobe gauging have been added to drawing above.

 

 

 

 

 

The above tattoos/brands/earlobe gauging are

 

are not

 

 

may not be

 

 

 

in accordance with AR670-1 and current policy.

 

 

 

 

 

 

 

 

 

 

I have

 

have not

 

obtained any additional tattoos/brands or earlobe gauging since I entered the DEP/DTP.

 

 

 

 

 

 

 

 

 

 

 

 

Applicant's Typed Name

 

 

 

 

 

 

 

 

Applicant's Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above tattoos/brands/earlobe gauging are

 

are not

 

 

may not be

 

 

 

in accordance with AR670-1 and current policy.

 

 

Recruiter Typed Name, Grade, RSID

 

 

 

 

 

 

 

Recruiter Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above tattoos/brands/earlobe gauging are

 

are not

 

 

may not be

 

 

in accordance with AR670-1 and current policy.

 

 

 

 

 

 

 

 

 

RS/C Commander Typed Name, Grade, RSID

 

 

 

 

 

 

 

RS/C Commander Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above tattoos/brands/earlobe gauging are

 

are not

 

 

may not be

 

 

in accordance with AR670-1 and current policy.

 

 

Company Commander or First Sergeant Typed Name

 

 

Company Commander/First Sergeant Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above tattoos/brands/earlobe gauging are

 

are not

 

 

may not be

 

 

in accordance with AR670-1 and current policy.

 

 

GC Typed name, grade, MEPS ID

 

 

 

 

 

 

 

GC Signature

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above tattoos/brands/earlobe gauging are approved

 

 

 

 

disapproved

 

in accordance with AR670-1 and current policy.

 

 

Battalion Commander or XO Typed Name and Grade

 

 

Battalion Commander/XO Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USAREC Form 1241, Rev 1 Oct 12

PREVIOUS EDITIONS ARE OBSOLETE

LFV 2.00

Page 2of3

 

 

Continuation page:

Describe tattoo/brand/earlobe gauging below by corresponding number marked on the body. Indicate meaning next to corresponding number for all tattoos and brands only. For applicant with earlobe gauging indicate measurements as Dep in and Dep out.

6.

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Additional Information/Comments:

USAREC Form 1241, Rev 1 Oct 12

PREVIOUS EDITIONS ARE OBSOLETE

LFV 2.00

Page 3of3