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.
4. Unit Charter No.
5. Date
6. Score
7. Passed
Failed
8. Test Title and Code
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.
RESPONSE AREA