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SUPERVISOR SIGNATURE 17. COMMANDER/FIRST SERGEANT 18. CDR/1SG SIGNATURE FC FORM 4137 AUG 2007 FC FORM 4137 SEP 2006 IS OBSOLETE Page 1 of 1 v1. CLASS ENROLLMENT - AIR ASSAULT SCHOOL COURSES For use of this form see CAM Circular 351-1. The proponent of this form is G3/DPTMS/TAAS CLASS REQUESTED circle one BASIC AIR ASSAULT RAPPEL MASTER IRT PATHFINDER FRIES/SPIES MASTER PRE-RANGER SECTION I - PERSONNEL INFORMATION 1. NAME Last First MI 2. RANK 3. SEX circle one MALE 4. SSN 5. MOS 6. AGE 7. DUTY POSITION FEMALE 8. UIC 9. UNIT Co Bn BCT Installation and Zip 10. CLASS 11. MUST HAVE TWO TELEPHONE NUMBERS FOR EMERGENCIES UNIT SUPERVISOR SECTION II - PRE-REQUISITES 12. The above mentioned Soldier meets the folowing pre-requisites DATE YYYYMMDD INITIALS TL / SL SOLDIER a* MEET HEIGHT/WEIGHT STANDARDS IAW AR 600-9 Attach DA Form 5500/5501 if needed. b. SUCCESSFULLY COMPLETE THE APFT IAW FM 21-20 within 30 days. c* COMPLETE 12 MILE FOOT MARCH within 90 days. d. COMPLETE OBSTACLE COURSE within 60 days. e. EQUIPMENT INSPECTION within 30 days. f* 12 MONTH RETAINABILITY. g. SOLDIER HAS ASSIGNED WEAPON IRT only. circle one M16 M4 M9 h. ROPER QUALIFIED IAW USASOC 350-6 for SPIES/FRIES Master only. i. AIR ASSAULT QUALIFIED for Pathfinder Rappel Master SPIES/FRIES Master only. j. CURRENT PHYSICAL Pathfinder Pre-Ranger Soldiers over 40 only. k. PRE-RANGER MODIFIED APFT PU-49 SU-59 5MR-40 mins or less Pre-Ranger only. CHIN UPS l* CWST 15m SWIM 3m DROP EQUIPMENT REMOVAL Pre-Ranger only. m* LAND NAVIGATION COURSE Pre-Ranger only. SECTION III - REMARKS SECTION IV - APPROVAL/SIGNATURES 15. CLASS ENROLLMENT - AIR ASSAULT SCHOOL COURSES For use of this form see CAM Circular 351-1. The proponent of this form is G3/DPTMS/TAAS CLASS REQUESTED circle one BASIC AIR ASSAULT RAPPEL MASTER IRT PATHFINDER FRIES/SPIES MASTER PRE-RANGER SECTION I - PERSONNEL INFORMATION 1. NAME Last First MI 2. RANK 3. SEX circle one MALE 4. SSN 5. MOS 6. AGE 7. DUTY POSITION FEMALE 8. UIC 9. NAME Last First MI 2. RANK 3. SEX circle one MALE 4. SSN 5. MOS 6. AGE 7. DUTY POSITION FEMALE 8. UIC 9. UNIT Co Bn BCT Installation and Zip 10. CLASS 11. MUST HAVE TWO TELEPHONE NUMBERS FOR EMERGENCIES UNIT SUPERVISOR SECTION II - PRE-REQUISITES 12. UNIT Co Bn BCT Installation and Zip 10. CLASS 11. MUST HAVE TWO TELEPHONE NUMBERS FOR EMERGENCIES UNIT SUPERVISOR SECTION II - PRE-REQUISITES 12. The above mentioned Soldier meets the folowing pre-requisites DATE YYYYMMDD INITIALS TL / SL SOLDIER a* MEET HEIGHT/WEIGHT STANDARDS IAW AR 600-9 Attach DA Form 5500/5501 if needed. The above mentioned Soldier meets the folowing pre-requisites DATE YYYYMMDD INITIALS TL / SL SOLDIER a* MEET HEIGHT/WEIGHT STANDARDS IAW AR 600-9 Attach DA Form 5500/5501 if needed. b. SUCCESSFULLY COMPLETE THE APFT IAW FM 21-20 within 30 days. c* COMPLETE 12 MILE FOOT MARCH within 90 days. b. SUCCESSFULLY COMPLETE THE APFT IAW FM 21-20 within 30 days. c* COMPLETE 12 MILE FOOT MARCH within 90 days. d. COMPLETE OBSTACLE COURSE within 60 days. e. EQUIPMENT INSPECTION within 30 days. f* 12 MONTH RETAINABILITY. .

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