Statement of military history




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STATEMENT OF MILITARY HISTORY

To be submitted with Resume, when applying for a vacancy.




Name

     

Vacancy Announcement Number

     


Position Title

     







CHRONOLOGICAL STATEMENT OF ACTIVE FEDERAL SERVICE (TITLE 10 OR 32) (ARMY, NAVY, AIR FORCE, MARINE CORPS,

COAST GUARD, NATIONAL GUARD IN FEDERAL SERVICE, AND RESERVE OFFICER ON ACTIVE DUTY).

Dates (Month -

Year)
















TYPE OF

From

To

BRANCH

GRADE

MOS/AFSC

POSITION TITLE

ORGANIZATION

DISCHARGE

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

MILITARY SERVICE OTHER THAN ABOVE (NATIONAL GUARD, U.S. ARMY RESERVE, NAVY RESERVE, AIR FORCE RESERVE, MARINE RESERVE, COAST GUARD RESERVE, ETC (NOT ON ACTIVE DUTY).

Dates (Month -

Year)
















TYPE OF

From

To

BRANCH

GRADE

MOS/AFSC

POSITION TITLE

ORGANIZATION

DISCHARGE

     

     

     

     

     

     

     

     

     

    

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

SERVICE SCHOOLS
















Name of School & Location







Course

Dates of Attendance

Graduated (Y/N)

     

     

     

     

    

     

     

     

     

     

     

    

     

     

     

    

ARMY EXTENSION/CORRESPONDENCE COURSES










Name of Course










Phase or Series No.

Completed (Y/N)

Date of Completion

     

     

     

     

     

     

     

     

     

     

     

  

SDNG Form 335-1-R (1 March 2009) Page 1 of 2


STATEMENT OF MILITARY HISTORY Continued:


My current unit of assignment is:

     

     




     













(Grade/Rank)




(MOS/AFSC)








































(If you are not currently assigned to a unit of the National Guard, indicate below where you have applied for assignment.)

























     

     




























Have you ever been discharged from the Active or Reserve Forces for physical disqualification, hardship, or reasons other

than honorable?

YES

     




NO

     































(If your answer is YES, explain below.)
















     




























CERTIFICATION OF REGISTRATION STATUS (Only for individuals Born AFTER 31 December 1959)































(       ) I certify that I am registered with the Selective Service System.


































(       ) I certify that I am not required to be registered with the Selective Service System.



























My Drivers License is issued from (state): _________________________.
My Drivers License number is: _________________________________.
DETAILED EXPLANATIONS AND ADDITIONAL INFORMATION:

































































Date Signed:     







Legal Signature:










(Please use ink)







(Please use ink)




























SDNG Form 335-1-R (1 March 2009) Page 2 of 2


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