CAP FORM 23, Oct 84 Previous editions will be used.
CIVIL AIR PATROL GENERAL PURPOSE ANSWER SHEET
INSTRUCTIONS: Use a number 2 pencil only. Do not go outside the oval spaces when
you mark your answer. If you change an answer, erase your original answer completely.
On True/False items, use the first two columns only.
1. Last Name First Initial
2. Grade
3. CAP Serial No.
7. Passed
9. CERTIFICATION: I certify that the test named above has been administered
properly (TESTING OFFICER’S SIGNATURE/GRADE):
10. PRIVACY ACT STATEMENT: Statutory Authority 10-USC-8012; 10-UCS-210; EO
9397, 22 Nov 43 Principal Purposes: Student Evaluation and Document Control. Routine
Uses; Test Scoring, Statistical Analysis, Social Security Account Number is used for
Document Control, Disclosure: Voluntary. Omission of Social Security may prevent posting
answer sheet scores which are required for course completion.