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Get IMPC-HI-PLT-001 2009

SEE PRIVACY ACT STATEMENT ON REVERSE MILITARY TRAINING REQUEST The proponent of this form is the Directorate of Plans Training Mobililization and Security SECTION 1. Sections 4101-4118 and E.O. 9397. PRINCIPAL PURPOSE To request training by military and civilian personnel and to document the authorization of such training by their chain of command. ROUTINE USE The information provided on this form will be used to register military and civilian personnel for formal military training through the Army Training Requirements and Resources System ATRRS. STATUS OF TRAINING REQUEST STUDENT HAS BEEN CONFIRMED FOR COURSE DATES TRAINING IS DISAPPROVED FOR THE FOLLOWING REASON S FORM IMPC-HI-PLT-001 JULY 2009 PREVIOUS FORMS ARE OBSOLETE PRIVACY ACT STATEMENT AUTHORITY 5 U.S.C. Sections 4101-4118 and E.O. 9397. PRINCIPAL PURPOSE To request training by military and civilian personnel and to document the authorization of such training by their chain of command. STUDENT DATA NAME RANK/GRADE UNIT SSN DUTY POSITION SECURITY CLEARANCE DATE OF RANK PHONE GENDER CIVILIAN JOB SERIES/PAY PLAN PROM PTS BOARD DATE PLDC GT YY/MM/DD PMOS STAR MOS UIC PROFILE ATTACH COPY YES NO Please Circle DEROS ETS AUTH MTOE/TDA PARA/LN REQUIRED FOR ASI/SQI PRODUCING COURSES EMAIL ADDRESS REQUIRED HOME MAILING ADDRESS REQUIRED FOR BATTLESTAFF COURSES SECTION 2. COURSE INFORMATION COURSE TITLE COURSE NUMBER CODE SCHOOL PURPOSE/JUSTIFICATION REQUIRED PRIMARY CLS NO. DATES ALTERNATE CLS NO. SECTION 3. COMMAND APPROVAL FOR REQUEST COMPANY COMMANDER CONCUR / NONCONCUR BATTALION COMMANDER CONCUR / NONCONCUR BRIGADE COMMANDER CONCUR / NONCONCUR S3/G3 REPRESENTATIVE CONCUR / NONCONCUR CIVILIAN SUPERVISOR CONCUR / NONCONCUR SECTION 4. STATUS OF TRAINING REQUEST STUDENT HAS BEEN CONFIRMED FOR COURSE DATES TRAINING IS DISAPPROVED FOR THE FOLLOWING REASON S FORM IMPC-HI-PLT-001 JULY 2009 PREVIOUS FORMS ARE OBSOLETE PRIVACY ACT STATEMENT AUTHORITY 5 U*S*C. Sections 4101-4118 and E*O. 9397. PRINCIPAL PURPOSE To request training by military and civilian personnel and to document the authorization of such training by their chain of command. ROUTINE USE The information provided on this form will be used to register military and civilian personnel for formal military training through the Army Training Requirements and Resources System ATRRS. DISCLOSURE Voluntary however failure to furnish the requested information may result in your ineligibility for participating in this training. STUDENT DATA NAME RANK/GRADE UNIT SSN DUTY POSITION SECURITY CLEARANCE DATE OF RANK PHONE GENDER CIVILIAN JOB SERIES/PAY PLAN PROM PTS BOARD DATE PLDC GT YY/MM/DD PMOS STAR MOS UIC PROFILE ATTACH COPY YES NO Please Circle DEROS ETS AUTH MTOE/TDA PARA/LN REQUIRED FOR ASI/SQI PRODUCING COURSES EMAIL ADDRESS REQUIRED HOME MAILING ADDRESS REQUIRED FOR BATTLESTAFF COURSES SECTION 2. COURSE INFORMATION COURSE TITLE COURSE NUMBER CODE SCHOOL PURPOSE/JUSTIFICATION REQUIRED PRIMARY CLS NO. COURSE INFORMATION COURSE TITLE COURSE NUMBER CODE SCHOOL PURPOSE/JUSTIFICATION REQUIRED PRIMARY CLS NO. DATES ALTERNATE CLS NO. SECTION 3. COMMAND APPROVAL FOR REQUEST COMPANY COMMANDER CONCUR / NONCONCUR BATTALION COMMANDER CONCUR / NONCONCUR BRIGADE COMMANDER CONCUR / NONCONCUR S3/G3 REPRESENTATIVE CONCUR / NONCONCUR CIVILIAN SUPERVISOR CONCUR / NONCONCUR SECTION 4. .

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