Get DA 5690 (Formerly DA 5690-R) 2019-2024

UNIT PHONE Incl area code 47. REMARKS DA FORM 5690-R DEC 94 48b. DATE EDITION OF AUG 90 IS OBSOLETE USAPPC V1. U.S. DOD Form dod-da-5690-r RESERVE COMPONENTS CAREER COUNSELOR INTERVIEW RECORD For use of this form see AR 601-280 the proponent agency is ODCSPER AUTHORITY PRINCIPAL PURPOSE ROUTINE USES Title 5 USC Section 301. Explain obligation and participation requirements. Confirmation of obligation and participation requirements as a basis for contracts and requests for personnel actions. DISCLOSURE Disclosure of any information on this form is voluntary failure to answer all questions may result in denial of enlistment or transfer to a Reserve Component unit. 1. NAME SECTION A - TO BE COMPLETED BY SEPARATING SOLDIER 3. SEX 4. BIRTHDAY YYMMDD MALE Last first middle Jr. Sr. 2. SSN 5. HEIGHT 6. WEIGHT 7. PULHES ITEM Check appropriate block for each item Are you a U*S* citizen Do you have a military driver s license 10. Do you have a normal color vision 11. Is your spouse on active duty 12. Do you have a bar to enlistment 13. Any Article 15s 14. Any AWOL or bad time 15. Is this a regular ETS 22. CURRENT UNIT DESIGNATION FEMALE NO R/G YES 16. EDUCATION COMPLETED GED HS GRAD COL DEGREE 17. RACE 18. DATE OF LAST PHYSICAL 19. DATE OF HIV SCREEN 20. HOME PHONE NO. 23. ADDRESS AFTER SEPARATION 21. DUTY PHONE NO. Street city state ZIP Code 24. PHONE NO. AFTER SEPARATION 25. MAJOR COMMAND 26. PMOS 27. SMOS 28. RANK/GRADE 30. MARITAL STATUS 32. DATE OF ETS 31. NO. DEPENDENTS 29. YRS OF SERVICE 33. TERMINAL LEAVE YYMMDD 34. TYPE OF DISCHARGE Chapter 35a* SIGNATURE OF SOLDIER MATH SCI GT 36. CHECK ONE ARNG GM 35b. DATE EL CL MM SC CO FA OF ST AFQT DLAB 37. GAINING UNIT USAR 38. NUMBER OF YRS IRR 41. UIC 39. BONUS 42. CONTROL NO. 43. POC 44. ASGT DMOS 40. ADDRESS/LOCATION City state ZIP Code 45. APPOINTMENT DATE 46. Explain obligation and participation requirements. Confirmation of obligation and participation requirements as a basis for contracts and requests for personnel actions. DISCLOSURE Disclosure of any information on this form is voluntary failure to answer all questions may result in denial of enlistment or transfer to a Reserve Component unit. DISCLOSURE Disclosure of any information on this form is voluntary failure to answer all questions may result in denial of enlistment or transfer to a Reserve Component unit. 1. NAME SECTION A - TO BE COMPLETED BY SEPARATING SOLDIER 3. SEX 4. BIRTHDAY YYMMDD MALE Last first middle Jr. 1. NAME SECTION A - TO BE COMPLETED BY SEPARATING SOLDIER 3. SEX 4. BIRTHDAY YYMMDD MALE Last first middle Jr. Sr. 2. SSN 5. HEIGHT 6. WEIGHT 7. PULHES ITEM Check appropriate block for each item Are you a U*S* citizen Do you have a military driver s license 10. Sr. 2. SSN 5. HEIGHT 6. WEIGHT 7. PULHES ITEM Check appropriate block for each item Are you a U*S* citizen Do you have a military driver s license 10. Do you have a normal color vision 11. Is your spouse on active duty 12. Do you have a bar to enlistment 13. Do you have a normal color vision 11. Is your spouse on active duty 12. Do you have a bar to enlistment 13. Any Article 15s 14. Any AWOL or bad time 15. Is this a regular ETS 22. CURRENT UNIT DESIGNATION FEMALE NO R/G YES 16.