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Get Da Form 7424 2009

RANK 5. SOLDIER S SIGNATURE 7. COMMANDER Signature 4. SSN 6. DATE 8. RANK/GRADE FOR HRC USE ONLY EBSS DA FORM 7424 JUL 2009 DATE PREVIOUS EDITIONS ARE OBSOLETE. APD LC v1.00ES. SENSITIVE DUTY ASSIGNMENT ELIGIBILITY QUESTIONNAIRE For use of this form see AR 614-200 the proponent agency is DCS G-1. PRIVACY ACT STATEMENT AUTHORITY 5 U*S*C. 301 Departmental Regulation 10 U*S*C. 3013 Secretary of the Army Army Regulation 614-200 Enlisted Assignments and Utilization Management and E*O. 9397 SSN. PRINCIPAL PURPOSE S To obtain the necessary information to ensure a Soldier is eligible for sensitive duty. ROUTINE USES None. The Blanket Routine Uses set forth at the beginning of the Army s Compilations of System Records Notices apply to this system* DISCLOSURE Voluntary. However failure to provide all the requested information may result in ineligibility for this type of assignment. 1. Have you been arrested apprehended investigated or had police involvement for any of the below listed reports of unfavorable information within the last 12 months If you checked YES indicate by annotating the date/dates of the incident next to the NO YES report/reports of unfavorable information* TYPE I REPORTS OF UNFAVORABLE INFORMATION DISQUALIFIERS 1 Sexual harassment assault of a subordinate spouse child moderate to severe rape or indecent acts with minors. 2 Incest bestiality adultery sexual activity with subordinate soldiers or fraternization* 3 Conduct in violation of the Army s policy on participation in extremist organizations or activities. 4 Court-martial conviction provided it has not been reversed by a higher court or other appropriate authority. 1 Driving under the influence DUI. 2 Assault other than subordinate spouse or child or report of mild spouse/child abuse. 3 Any drug offense. 4 Larceny/theft. 5 A traffic violation with 6 points or more assessed does not include parking violations. UNFAVORABLE INFORMATION any unfavorable incident within the last 12 months 2. PRINT SOLDIER S NAME 3. SENSITIVE DUTY ASSIGNMENT ELIGIBILITY QUESTIONNAIRE For use of this form see AR 614-200 the proponent agency is DCS G-1. PRIVACY ACT STATEMENT AUTHORITY 5 U*S*C. 301 Departmental Regulation 10 U*S*C. 3013 Secretary of the Army Army Regulation 614-200 Enlisted Assignments and Utilization Management and E*O. PRIVACY ACT STATEMENT AUTHORITY 5 U*S*C. 301 Departmental Regulation 10 U*S*C. 3013 Secretary of the Army Army Regulation 614-200 Enlisted Assignments and Utilization Management and E*O. 9397 SSN. PRINCIPAL PURPOSE S To obtain the necessary information to ensure a Soldier is eligible for sensitive duty. 9397 SSN. PRINCIPAL PURPOSE S To obtain the necessary information to ensure a Soldier is eligible for sensitive duty. ROUTINE USES None. The Blanket Routine Uses set forth at the beginning of the Army s Compilations of System Records Notices apply to this system* DISCLOSURE Voluntary. ROUTINE USES None. The Blanket Routine Uses set forth at the beginning of the Army s Compilations of System Records Notices apply to this system* DISCLOSURE Voluntary. However failure to provide all the requested information may result in ineligibility for this type of assignment.

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