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(tass) unit pre-execution checklist

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PART II- ROUTINE PREREQUISITES<br />

TASK REGULATION DATA SOLDIER DATA<br />

CO CL FA GM MM CO CL FA GM MM<br />

MINIMUM APTITUDE SCORE<br />

(ASVAB)<br />

(NOT APPLICABLE)<br />

OF EL SC ST GT OF EL SC ST GT<br />

Color vision requirements<br />

(if applicable)<br />

Physical demand<br />

rating / profile (PULHES)<br />

P<br />

U<br />

L<br />

NA<br />

H<br />

E<br />

S<br />

NA<br />

P U L H E S<br />

*see Part III for P / T profiles<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Prerequisite phase / course<br />

attendance (if applicable)<br />

Military and civilian vehicle<br />

operator license(s) (if applicable)<br />

_________ School code<br />

_________ Date of completion<br />

_________ Course completed<br />

_________ Phase completed<br />

PART III REQUIRED DOCUMENTS<br />

Security clearance (If applicable, attach as required)<br />

NA<br />

Permanent profile attendees (if applicable): AC & AGR must have copy of Medical Retention Board<br />

(MMRB) (P3 / P4) results with completed DA Form 3349 (must include Army doctor-approved alternate<br />

aerobic event). TPU / Traditional Guardsmen must have a copy of completed DA Form 3349 (must include<br />

Army doctor-approved alternate aerobic event).<br />

All required waivers (if applicable): Soldiers 40 and over are no longer<br />

required to hand carry a copy of the Cardiovascular Medical Screening.<br />

Units will place the Soldier’s physical examination date from the SF 88<br />

(Medical Record - Report of Medical Examination) or DD Form 2808<br />

(Report of Medical Examination) Write “Current Physical: DDMMMYY”<br />

in the block to the right.<br />

OTHER REQUIREMENTS OF DA PAM 611-21 NOT PREVIOUSLY LISTED<br />

Commander’s Army Musician Proficiency Assessment (AMPA) Date of Assessment:<br />

(Active Component within 30 days, USAR within 90 days, ARNG<br />

AMPA submitted for Order of Merit List (OML))<br />

Soldier has read the current Student Guide located at:<br />

1 st Line Leader and Soldier Initials<br />

https://abi.army.mil/resources/default.asp?group=257&category=649<br />

Soldier has all required documents as listed in the Required Documents 1 st Line Leader and Soldier Initials<br />

Listing and Uniform and Equipment Checklist located at:<br />

https://abi.army.mil/resources/default.asp?group=257&category=649<br />

“I have been counseled and have read all requirements applicable to 1 st Line Leader and Soldier Initials<br />

the course I’m selected to attend. Attendance at this course and class<br />

will not pose any known hardship on me and/or my family that<br />

would detract from or <strong>pre</strong>vent my successful completion of course<br />

requirements.”<br />

NA<br />

Student’s printed name and signature

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