NCOA STUDENT PERSONAL DATA XVIII AIRBORNE CORPS AND FORT ...
NCOA STUDENT PERSONAL DATA
XVIII AIRBORNE CORPS AND FORT BRAGG NCO ACADEMY
FORT BRAGG, North Carolina 28310-5000
LAST NAME
Gender
Rank
FIRST NAME
Date of Rank
Home / Cell Phone#:
College Experience:
GT Score:
Field of Study:
M.I. / JR/II
Current promotion Point Cut-off
Current # of promotion points
5 Digit MOS:
SSN
Profile:
Type:
College/University Attended:
CURRENT UNIT ASSIGNED:
CO/BTRY/TRP:
BN/SQD:
BCT/BDE/GRP:
DIVISION and MAJOR COMMAND:
CONTACT INFORMATION: (need rank, name, phone #, and email for everyone)
SPONSOR:
PLATOON SERGEANT:
FIRST SERGEANT:
BRIGADE CSM:
BN STAFF DUTY PHN #:
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Title of Form: Student Personal Data Sheet
Prescribing Directive: 10 USC 3012 Authority: 10 USC 3012
Routine Uses: Any information you provide is disclosable to members of the Department of Defense who have a need for the
information in the performance of their duties. In addition the information may be disclosed to Government agencies outside
the Department of Defense. Mandatory or Voluntary Disclosure and Effect of Individual not providing information: Providing
the information is voluntary. Individuals not providing the requested informaiton will not be admitted into the course.
I fully understand that providing false information on this form is a violation of the NCOA Honor Code and may result in my
dismissal from the NCO Academy. Futhermore, I understand that if I am dismissed for providing false information I could be
subject to the provisions of the UCMJ by my unit.
Student digital signature
21 APR 16 (All previous Versions are Obsolete)
UNIT PRE-EXECUTION CHECKLIST
(For use of this form, see TRADOC Regulation 350-18; Proponent is TRADOC G-3/5/7, TOMA)
Fillable form; may be printed and signed manually.
1. NAME:
2. UNIT:
3. COURSE TITLE:
Supervisor's
Initials
4. REPORT DATE:
Soldier's
Initials
PART I- UNIT PRE-EXECUTION (Day-90 to Day-1)
Coordination between unit and school to identify the Soldier by name and reservation status?
Soldier in receipt of read ahead packet, school/course information, and graduation requirements?
Soldier completed prerequisite course/testing? (DA Form 1059 or other completion document)
All required clothing/equipment in accordance with school/course information packet?
Soldier meets physical readiness standards of AR 350-1? (APFT within 60 days)
Soldier meets height/weight and body composition standards of AR 600-9?
Soldier has Government Travel Card or adequate cash/traveler checks?
Individual orders received (10 copies)?
Soldier has current periodic health assessment (PHA) and dental exam?
Soldier meets physical qualifications for special skills as specified in AR 40-501?
Soldier meets remaining Time in Service (TIS) requirement?
Transportation verified/DTS approved?
Soldier has current/valid identification card?
Soldier has ID tags (1 pair)?
Unit POC List:
Phone Number with Area Code
CDR Office:
Other:
1SG Office:
Other:
FTM Office:
Other:
Unit Fax:
1SG Email:
CSM Email:
TRADOC Form 350-18-2-R-E, APR 2018
Previous editions are obsolete
Page 1 of 2
PART II - ROUTINE PREREQUISITES
TASK
Minimum Aptitude Score
SOLDIER DATA
REGULATION DATA
CL
CO
EL
FA
GM
CL
CO
EL
FA
GM
GT
MM
OF
SC
ST
GT
MM
OF
SC
ST
(if applicable)
Key: CL-Clerical/ADMIN; CO-Combat/CMBT; EL-Electronic/ELEC; FA-Field Artillery/FA; GM-General Maintenance/MAINT; GT-General
Technical/GT; MM-Mechanical Maintenance/MECH; OF-Operators & Food/FOOD; SC-Surveillance & Communication/COMM; ST-Skilled
Technical/TECH
Physical demand rating/profile
(PULHES)
P
U
L
H
E
S
P
U
L
H
E
S
*See Part Ill for PT profiles
Key: P- Physical capacity/stamina; U- Upper extremities; L- Lower extremities; H- Hearing/ear; E- Eyes; S- Psychiatric
Military and civilian vehicle operator license(s) (if applicable):
Military license number:
Expiration date:
Civilian license number:
Expiration date:
State:
PART Ill - REQUIRED DOCUMENTS
Security clearance (if applicable, attach as required)
*Permanent profile attendees must have a signed copy of completed DA Form 3349; must include Army doctorapproved alternate aerobic event for APFT. Provide results of medical retention board (if applicable).
All required waivers (if applicable)
Other requirements (if applicable)
Other requirements of DA PAM 611-21 not previously listed:
Other requirements (if applicable)
Other requirements (if applicable)
Other requirements (if applicable)
Other requirements (if applicable)
I have been counseled and have read all requirements applicable to the course I'm selected to attend. Attendance at this course
and class will not pose any known hardship on me and/or my family that would detract from or prevent my successful
completion of course requirements.
Student's Signature:
I have reviewed the above Soldier's qualifications and potential to successfully complete this course, counseled them on these
requirements, and hereby verify their readiness to attend.
Commanding Officer (typed name):
Commanding Officer's Signature:
TRADOC Form 350-18-2-R-E, APR 2018
Previous editions are obsolete
Page 2 of 2
XVIII Airborne Corps and Fort Bragg NCO Academy
Basic Leader Course (BLC) Packing List
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
MANDATORY, NON-SEASONAL ITEMS
OCP Uniform complete (see notation 3)
Set, Velcro nametag w/US Army (unless sewn on)
Set, Velcro US Flag
Set, Velcro Rank (unless sewn on)
Set, Velcro Unit patch
Cap, Patrol w/nametag and rank
Belt, Rigger, Tan/Coyote
Boots Combat, Tan/Coyote
Socks, Boot (Solid OD or Foliage Green, Brown or Black)
Undershirt (Sand/Tan 499)
Undergarments (if applicable)
Brassieres (if applicable)
Leather Work Gloves Initial Issued (Foliage Green or Black)
Light Weight Wool Glove Liner (Foliage Green, Black, Brown)
APFU Jacket
APFU Trousers
APFU T Shirt Long Sleeved
APFU T Shirt Short Sleeved
APFU Trunks w/liner
Socks, Athletic Calf or Crew Length (white or black)
Running Shoes
Black Cap, Synthetic Micro Fleece
Towel Brown or Neutral Color
Wash Cloth Brown or Neutral Color
Wet/Cold Weather Jacket and Trousers
ASU (jacket/trousers, for male/female)
ASU Shirt/LS
ASU Shirt/SS
All Weather Coat with Rank for male/female
Black Four Hand Tie (male)
Beret, Organizational (w/DUI)
Black Neck Tab (female)
Belt Web w/Brass Tip
Buckle Solid Brass
Shoes, Black Oxford Low Quarters or Jump Boots (unit dependent)
Undershirt, White (male)
Socks, Dress Black
Name Plate
All authorized awards & accoutrements (IAW with SRB)
Civilian attire, casual wear (if TDY)
Dress Gloves, Unisex Military Issue
Duffle Bag
Barracks Bag
Head Lamp or L Shaped Flashlight (red/clear lens w/2 sets of
Identification Card (CAC)
Identification Tags with SM/LG Chain
Personal Hygiene/Shaving Kit Complete
Army Approved Eye Protection
FLC set up complete w/ all issued pouches
Tactical Back Pack or Assault Pack (foliage green, solid
black, OCP pattern, coyote brown)
PT Belt
Military Issued Water Source (Camelback)
MREs
4SET
2EA
2EA
2EA
2EA
1EA
1EA
2PR
7EA
7EA
7EA
7EA
1EA
2EA
1EA
1EA
2EA
2EA
2EA
7EA
1PR
1EA
2EA
2EA
1PR
1EA
1EA
1EA
1EA
1EA
1EA
1EA
1EA
1EA
1PR
2EA
2PR
2EA
1EA
2PR
1PR
1EA
1EA
1EA
1EA
1PR
1EA
1SET
1SET
SEASONAL/COLD WEATHER CLOTHING (1 OCT - 1 APR)
Level I Light Weight Shirt & Drawers (Silk Top/Bottoms)
2PR
Level II Mid Weight Shirt & Drawers (Waffle Top/Bottoms)
1PR
CLASSSROOM ITEMS NEEDED
1 Blank Rewritable CD Media
4EA
2 Composition Note books College or Wide ruled
3EA
3 Protractor, GTA 05-02-012
1EA
4 Pencil, Mechanical .5mm
2EA
5 Pens, Black
2EA
6 Zip Lock Bags M/L
1BX
7 Eye Glasses (if applicable)
2SET
8 Wrist Watch
1EA
9 Military Compass, Lensatic
1EA
10 3X5 Note Cards
1PK
SUGGESTED OR OPTIONAL ITEMS
1 Hangers Plastic or Wire
10EA
2 Highlighter Markers (HI-LITER)
2EA
3 Insect Repellent
1EA
4 Sun Screen
1EA
5 Sewing Kit Complete
1EA
6 Dress Uniform Measurement Tool & Guide Book
1EA
7 Leaders Book Complete
1EA
8 Locks with two keys, or Combination Locks
3EA
9 Laundry Detergent Liquid, Powder or Pods
1PK
10 1-1/2 Inch Binder with Document Protectors
1SET
11 Pocket Note Pad
1EA
1
2
1EA
1EA
1EA
2EA
NOTES:
1. Army Service Uniform (ASU) must include 2 x name plates, branch insignia, all authorized ribbons and decorations, 2 x Unit Crests, special Skill
Badges/Combat Badges (if authorized). All items for Infantry personnel are authorized as well as Foreign Badges and Unit Awards. Marksmanship
and Driver Badges are also authorized. Soldiers will arrive to BLC with their Dress Uniform properly fitted, clean, pressed and presentable, with all
awards, decorations, badges, and name plates affixed.
2. Students will bring the Oxford Low Quarter Dress Shoes for inspection purposes. Unit Authorization footwear will be worn for graduation if
conducted in ASU
3. All students are required to have two complete sets of accoutrements for their OCP uniform; including Velcro unit patches, rank, nametapes and
U.S. Army tapes, along with subdued skill and occupation badges (if applicable). The U.S. embroidered-colored insignia flag is the only authorized
insignia. The U.S. Army & nametapes, rank, and special skill badges MAY be sewn on uniforms as an alternative to Velcro insignias.
4. All uniforms and uniform components brought for wear and layout purposes must be clean and serviceable. At no time will soldiers bring
uniforms or uniform components that are faded or have holes, rips, tears, stains, dirty and/or missing pieces of the component.
5. Cold weather equipment will vary by installation, regional conditions, and availability of ECWCS equipment. Not all installations are
issued the same cold weather gear; seasonal temperattures, the installation andd NCOA policies regulate the appropriate equipment needed
in cold climates during the course.
I acknowledge that the items listed in this packing list have been laid out and inspected prior to arrival at
the BLC. Furthermore, I understand that if any deficiencies are annotated during the initial layout of this
equipment, I will have no more than 72 hours from the time of the initial layout to fix the deficiency, or be
recommended to the Commandant for dismissal from the BLC IAW the approved Course Management
Plan (CMP) dated January 2019. Lastly, I confirm that I have a CAC card with a working pin and am able
to access my military email account.
____________________________________________
Student Signature
____________________________________________
First Line Supervisor
................
................
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