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  • 39 Candidate Application And Medical Release Form

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Candidate Application Form South Central Emmaus XXXIX April 20 22, 2018First United Methodist Church, 188 Rocky Rest Road, Shelton, CT 06484Name: Male / Female (circle one) Address:Nickname: Age:.

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How to fill out the 39 Candidate Application And Medical Release Form online

Filling out the 39 Candidate Application And Medical Release Form online can be a straightforward process when guided properly. This user-friendly guide aims to assist you in completing each section of the form with clarity and confidence.

Follow the steps to complete your application effectively.

  1. Click ‘Get Form’ button to access the Candidate Application And Medical Release Form and open it in your preferred browser.
  2. Begin by providing your name where indicated. Ensure to write clearly to avoid any confusion during the registration process.
  3. Indicate your gender by circling either 'Male' or 'Female' as per your preference.
  4. Fill in your address, ensuring that it is your current residence to facilitate any necessary communication.
  5. In the 'Nickname' field, write the name you prefer to be called during the weekend event.
  6. Enter your age and grade in the corresponding spaces to provide age-related context for the event.
  7. Provide your date of birth in the specified format (MM/DD/YYYY) to confirm your eligibility.
  8. Fill in the city, state, and zip code of your residence for geographical reference.
  9. Input your home phone number and candidate's cell phone number for emergency contact.
  10. Provide your email address for communication purposes and important updates.
  11. Complete the 'High School' field with the name of your school to confirm your educational status.
  12. If applicable, provide the name of your place of worship. Indicate whether you have been baptized by marking the appropriate box.
  13. Provide the name(s) of your parent or guardian and their contact details to ensure responsible adults can be reached if necessary.
  14. Write a brief statement explaining your reasons for wanting to participate in the Emmaus Weekend. This personal touch helps in understanding your motivation.
  15. Specify the method of payment by circling either 'check' or 'cash' for the weekend fee of $50.00.
  16. Sign the application as the applicant and have your parent or guardian do the same, providing necessary consent and acknowledgment.
  17. Enter the dates of signature to document the completion of the form.
  18. Fill in the sponsor's name and contact details to establish a connection with a responsible adult during the event.
  19. Complete the medical information section, including any conditions, allergies, and medications, ensuring all the information remains confidential.
  20. Confirm whether your youth can administer their own medications and provide any dietary restrictions.
  21. Sign the medical release section as a parent or guardian, indicating permission for treatment in case of emergencies.
  22. Finalize the form by reviewing all entries for accuracy before saving the changes, downloading, or printing the completed form for submission.

Complete your documentation online to ensure a smooth and efficient application process.

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PRINCIPAL PURPOSE(S): To obtain medical data for determination of medical fitness for enlistment, induction, appointment and retention for applicants and members of the Armed Forces. The information will also be used for medical boards and separation of Service members from the Armed Forces.

A complete physical examination is required every five years. Each five-year periodic physical exam is valid through the end of the month from the date signed by the examiner.

Yes, the Military Entrance Processing Station (MEPS) will check your medical history and records as part of the enlistment process.

PURPOSE: To obtain medical data for determination of medical fitness for enlistment, induction, appointment and retention for applicants and members of the Armed Forces. The information will also be used for medical boards and separation of Service members from the Armed Forces.

Report of Medical History The information collected on this form is used to assist DOD physicians in making determinations as to acceptability of applicants for military service and verifies disqualifying medical condition(s) noted on the prescreening form (DD Form 2807-2).

A DD Form 2807-2 is valid for 90 days from the date applicant signed in Section V. For overseas processors, the prescreen is valid for 120 calendar days from the date applicant signed in Section V. Re-emphasize: The Applicant, parent/guardian (if a minor applicant), and the Recruiting Representative all sign and date.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232