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Get Family Readiness Group Information Sheet

This information will be kept confidential. Soldiers should routinely ensure their DD93 SGLI and the Family Readiness Information Sheet all correspond. Sponsor Name Rank / Grade SSN Address City State Zip Home Cell Phone w/ area code E-mail Unit Unit Address Number of times deployed Family Member Information Marital Status Single Married Dual Military Divorced Date Separated Date Spouse Name Birth Date month / day Native Language The following contact information should be provided if different than the sponsor s info listed above Anniversary Religious Preference of Soldier Children Parent Do you have a clergy member you wish to be on your emergency contacts Y / N Name and Phone Please list all children whether living with you or not. Include those from Soldier s or spouse s previous marriages Phone Name phone of school or Child s Full Name Birth date Address if different if different daycare Please list any medical conditions or special needs for spouse and / or children Family Readiness Group Information Do you have special skills you would like to contribute to the FRG If so what What topics would you like to discuss or hear about at FRG meetings What types of FRG activities would you like to see offered Would you be willing to help with FRG activities Yes / No If yes check the activities you are interested in Fundraising Welcome Committee Treasurer Key Caller Planning events Other please list Yes / Secretary No Do you want to receive updates on available community resources and information Yes / No Signatures Soldier s Signature Date. 428th FIELD ARTILLERY BRIGADE FAMILY READINESS INFORMATION PRIVACY ACT STATEMENT AUTHORITY Title 10 USC Section 3012. PRINCIPLE PURPOSE S To assist Army Command in their mission of providing support and assistance to families of servicemembers. ROUTINE USES 1 To identify Soldiers and their family members. 2 To gather data that will assist in the development of appropriate programs and services. MANDATORY OR VOLUNTARY DISCLOSURE AND EFFECT ON INDIVIDUAL NOT PROVIDING INFORMATION Voluntary information is required to assist the individual and his/her family members. Failure to provide the required information could result in a delay in providing support to the individual and/or family members. This th information will not be shared with agencies outside 428 Field Artillery Brigade. Sponsor / Soldier Information Please complete this form as accurately as possible. During an emergency command teams may need the following information to provide assistance to your family members. This information will be kept confidential* Soldiers should routinely ensure their DD93 SGLI and the Family Readiness Information Sheet all correspond. Sponsor Name Rank / Grade SSN Address City State Zip Home Cell Phone w/ area code E-mail Unit Unit Address Number of times deployed Family Member Information Marital Status Single Married Dual Military Divorced Date Separated Date Spouse Name Birth Date month / day Native Language The following contact information should be provided if different than the sponsor s info listed above Anniversary Religious Preference of Soldier Children Parent Do you have a clergy member you wish to be on your emergency contacts Y / N Name and Phone Please list all children whether living with you or not.

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