PART II - ROUTINE PREREQUISITES
TASK
REGULATION DATA
SOLDIER DATA
Minimum Aptitude Score
(if applicable)
CL
CO EL FA GM
CL
CO
EL
FA GM
GT MM OF SC ST GT
MM
OF SC ST
Key: CL-Clerical/ADMIN; CO-Combat/CMBT; EL-Electronic/ELEC; FA-Field Artillery/FA; GM-General Maintenance/MAINT; GT-General
Technical/GT; MM-Mechanical Maintenance/MECH; OF-Operators & Food/FOOD; SC-Surveillance & Communication/COMM; ST-Skilled
Technical/TECH
Physical demand rating/profile
(PULHES)
*See Part Ill for PT profiles
P U L H E
S
P U L H E
S
Key: P- Physical capacity/stamina; U- Upper extremities; L- Lower extremities; H- Hearing/ear; E- Eyes; S- Psychiatric
Military and civilian vehicleoperator license(s) (ifapplicable):
Expiration date:
Military license number:
Expiration date:
Civilian license number:
State:
PART Ill- REQUIRED DOCUMENTS
Security clearance (if applicable, attach as required)
*Permanent profile attendees must have a signed copy of completed DA Form 3349; must include Army doctor-
approved alternate aerobic event for APFT. Provide results of medical retention board (if applicable).
All required waivers (if applicable)
Other requirements (if applicable)
Other requirements of DA PAM 611-21 not previously listed
:
Other requirements (if applicable)
Other requirements (if applicable)
Other requirements (if applicable)
Other requirements (if applicable)
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Previous editions are obsolete
Commanding Officer's Signature:
TRADOC Form 350-18-2-R-E, APR 2018
I have been counseled and have read all requirements applicable to the course I'm selected to attend. Attendance at this course
and class will not pose any known hardship on me and/or my family that would detract from or prevent my successful
completion of course requirements.
Student's Signature:
I have reviewed the above Soldier's qualifications and potential to successfully complete this course, counseled them on these
requirements, and hereby verify their readiness to attend.
Commanding Officer (typed name):
click to sign
signature
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signature
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