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PRIVACY ACT STATEMENT
AUTHORITY: Collection of this information is authorized by 10 USC, sections 503 and 3013.
PRINCIPAL PURPOSE: Information collected will be used to expedite the selection process of
recruiter applicants.
ROUTINE USES: Used by Recruiter Selection Teams when interviewing recruiter applicants.
EFFECTS OF NOT PROVIDING INFORMATION: Disclosure of this information is voluntary;
however, failure to provide the requested information may delay or suspend the application.
RCRO-SM-RT
MEMORANDUM FOR Commander, USAREC, ATTN: RCPER-PM-RTR, 1307 3d Ave,
Fort Knox, KY 40121-2726
SUBJECT: Recruiting Duty Volunteer Statement
1. I hereby volunteer for recruiting duty under the provisions of AR 601-1, chapter 2.
2. I understand that I will be on recruiting duty for a minimum of 36 months, provided I successfully
complete the New Recruiter Program.
3. I am aware that TAPERSCOM will request a complete Background Investigation on me and my
approval for recruiting duty is tentative until the information received is boarded and evaluated.
4. I understand that if I am married to another soldier, my spouse must also volunteer for recruiting
duty.
5. Have you ever applied for or been nominated for recruiting duty and were disapproved?
___ YES ___ NO If YES, explain:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
6. I provide the following information:
NAME (LAST, FIRST, MI) ___________________________________GRADE_______SSN____________________
CURRENT UNIT(BN and CO)___________________________________INSTALLATION_____________________
EMAIL ADDRESS: ______________________________________________________________________
WORK PHONE #: DSN: _____________________COMM: ________________________
HOME or CELL ________________________
SIGNATURE: _______________________________________ DATE______________________
MAILING ADDRESS ______________________________________ADDRESS LINE 2__________________
CITY _____________________________STATE________ZIP _______________

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Privacy act statement website

  • 1. PRIVACY ACT STATEMENT AUTHORITY: Collection of this information is authorized by 10 USC, sections 503 and 3013. PRINCIPAL PURPOSE: Information collected will be used to expedite the selection process of recruiter applicants. ROUTINE USES: Used by Recruiter Selection Teams when interviewing recruiter applicants. EFFECTS OF NOT PROVIDING INFORMATION: Disclosure of this information is voluntary; however, failure to provide the requested information may delay or suspend the application. RCRO-SM-RT MEMORANDUM FOR Commander, USAREC, ATTN: RCPER-PM-RTR, 1307 3d Ave, Fort Knox, KY 40121-2726 SUBJECT: Recruiting Duty Volunteer Statement 1. I hereby volunteer for recruiting duty under the provisions of AR 601-1, chapter 2. 2. I understand that I will be on recruiting duty for a minimum of 36 months, provided I successfully complete the New Recruiter Program. 3. I am aware that TAPERSCOM will request a complete Background Investigation on me and my approval for recruiting duty is tentative until the information received is boarded and evaluated. 4. I understand that if I am married to another soldier, my spouse must also volunteer for recruiting duty. 5. Have you ever applied for or been nominated for recruiting duty and were disapproved? ___ YES ___ NO If YES, explain: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 6. I provide the following information: NAME (LAST, FIRST, MI) ___________________________________GRADE_______SSN____________________ CURRENT UNIT(BN and CO)___________________________________INSTALLATION_____________________ EMAIL ADDRESS: ______________________________________________________________________ WORK PHONE #: DSN: _____________________COMM: ________________________ HOME or CELL ________________________ SIGNATURE: _______________________________________ DATE______________________ MAILING ADDRESS ______________________________________ADDRESS LINE 2__________________ CITY _____________________________STATE________ZIP _______________