Fact Sheet - United States Air Force Academy

Instructions to 

United States Air Force Academy 

Preparatory School 

Selectees 

Class of 2013

Table of Contents 

Welcome Letter from the Commander Page 2 

Required Forms Letter Page 3 

Information for Cadet Candidate Selects Page 4 

Legal Forms Letter Page 10 

Academy Admissions Statement of Understanding Page 12 

Prep School Statement of Understanding Page 14 

Release of Liability (Direct Entry) Page 16 

Registrar Letter Page 18 

In-Processing Letter Page 20 

In-Processing Worksheet Page 22 

In-Processing Worksheet Code List Page 23 

Uniform Size Letter Page 24 

Prep School Athletic Questionnaire Page 25 

Finance In-Processing Letter Page 26 

Direct Deposit Form (FMS 2231) Page 30 

State of Legal Residence Certificate (DD 2058) Page 32 

Medical Insurance Information Page 34 

Immunization Clinic Letter Page 36 

Immunization Record Form Page 38 

Dental Letter Page 40 

Security Clearance Letter (Direct Entry only) Page 41 

Security Worksheet (Direct Entry only) Page 42 

Request for Personnel Security Action (AF IMT 2583) (Direct Entry only) Page 170 

Prior Service Instruction Letter (Priors Only) Page 172 

Request for Conditional Release (DD Form 368) Page 174 

Sample DD Form 368 Page 176 

Application for Ready Reserve Assignment (AF IMT 1288) Page 178 

Sample AF IMT 1288 Page 180 

Community Center Chapel Letter Page 182 

Parents’ Welcome from Students Services Page 183 

Basic Military Training (BMT) Information Fact Sheet Page 184 

Parents’ Weekend Letter Page 185 

Parents’ Weekend Information Fact Sheet Page 186 

Library Registration Form Page 188 

Required Forms Checklist (Direct Entry) Page 190 

Required Forms Checklist (Priors) Page 192 

Map of Preparatory School and Community Center Area Page 196

DEPARTMENT OF THE AIR FORCE 

UNITED STATES AIR FORCE ACADEMY PREPARATORY SCHOOL 

USAF ACADEMY, COLORADO 

Colonel Bartholomew W. Weiss 

Commander 

5220 Cedar Dive, Suite 117 

USAF Academy CO 80840-3100 

Dear Cadet Candidate Select, 

Congratulations on your selection to attend the United States Air Force Academy Preparatory School. 

This July you will be taking on a challenging program that will test you mentally and physically. Not all 

students complete it, but those who do will not only be prepared for the rigors of the Air Force Academy, 

but also have a firm foundation for serving the United States Air Force as officers of character. 

As you prepare to attend the Preparatory School, you should know a few things. This is a military unit 

and you will be required to adhere to all military standards. We have an outstanding 1 to 4 staff-tostudent 

ratio. In comparison to other collegiate or preparatory programs our classes are exceptionally 

small allowing our dedicated and professional staff to provide individual attention. The physical portion 

of our curriculum is demanding, even more so because of the Academy’s location at 7,258 feet altitude. I 

strongly urge you to begin a daily routine of jogging ½ to 1 hour a day and doing as many push-ups, situps, 

and pull-ups as you can. 

A few prohibitions: as required, you have signed a form listing any prior drug use and pledged not to use 

illegal drugs. Shortly after you arrive, you will be tested for illegal drug use. Should you test “positive,” 

you will be disenrolled. Additionally, underage drinking and providing alcohol to minors are treated as 

very serious offenses and will be dealt with harshly. Finally, you may not have any dependents while 

attending the Preparatory School. 

Must do: please complete the information contained in this package accurately and immediately. See the 

Required Items Checklist in this package for a complete list of documents we need you to return 

promptly. The form letters are for information only and designed to familiarize you with our program. 

Parents and family are encouraged (but not required) to accompany you to in-processing. While here, they 

will be briefed in detail about the program. Those unable to attend in-processing may hear a similar 

briefing during Parent’s Weekend. 

If you or your family have any questions concerning this package or the Preparatory School in general, 

please do not hesitate to contact our Director of Student Services at (719) 333-2583. 

Again, congratulations on your Preparatory School Selection. We look forward to helping you become 

the nucleus of the United States Air Force Academy Class of 2017. Go Huskies! 

2 

Sincerely, 

//SIGNED// 

BARTHOLOMEW W. WEISS, Colonel, USAF 

Commander




MEMORANDUM FOR CADET CANDIDATE SELECTS 

FROM: HQ USAFA/PL-DSS 

5220 Cedar Drive 

USAF Academy CO 80840 

SUBJECT: Completing the Required Forms in the Packet 

1. Please follow the guidelines below as you fill out the forms in this packet. 

• Determine whether you need to complete the form based on your selection category 

(outlined in paragraph 2). 

• Read the instruction letter and the form completely before completing the form 

• Determine what method of return applies. You will need to mail most of the forms to the 

Prep School within 10 days of receiving this booklet. Make copies of those forms before 

mailing them and bring the copies to in-processing with those forms you were not 

required to mail. In most cases, directions for return are in bold letters at the bottom of 

the form you are completing. 

• Check off each item on the Direct Entry or Priors Checklist found at the back of this 

booklet to ensure you have completed all required forms, mailed or emailed the correct 

forms, and have packed only those items on the packing list. 

2. You fall into one of two categories of selectee: 

Prior: those selectees currently in the United States military service, to include Active, 

Reserve and National Guard forces. 

Direct Entry: those selectees who are not currently in the military (i.e. recent high school 

graduates who are entering the military for the first time). 

3. Please follow the return directions precisely. Mailed forms must be received at the 

Preparatory School WITHIN 10 DAYS OF RECEIPT. Mail forms to: 

HQ USAFA/PL-DSS 



4. If you have any questions on the enclosed paperwork, please call Student Services at (719) 

333-2583 or DSN 333-2583. 

3 

//signed// 

Director, Student Services

INFORMATION FOR CADET CANDIDATE SELECTEES 

WELCOME 

TO THE UNITED STATES AIR FORCE ACADEMY PREPARATORY SCHOOL 

THIS DOCUMENT CONTAINS IMPORTANT INFORMATION ON A VARIOUS ASPECTS OF 

THE PREP SCHOOL PROGRAM. PLEASE READ IT CAREFULLY! 

STATUS 

Direct Entry 

a. While attending the Preparatory School you will be an Air Force Reserve airmen called to active 

duty for the period of time necessary to complete the Preparatory School program and enter the 

USAF Academy. 

b. Cadet Candidates who disenroll from the Preparatory School are discharged from the United 

States Air Force with no further obligations. Upon disenrollment, 18-year old males are required 

to register for Selective Service just as all other 18-year old male US citizens. 

Priors 

a. Regular Air Force Airmen will remain in regular airmen status. All other service members will be 

transferred to the Air Force Reserves and maintain the paygrade earned/effective prior to 11 July 

2012. If you are selected for promotion but have not “pinned on” before 11 Jul 2012 you will not 

move to the next paygrade. 

b. You be will addressed as Cadet Candidate and not by your previous rank. 

c. If you disenroll from the Preparatory School you are required to fulfill the rest of your enlistment 

contract (as determined by AFPC) and will be assigned after disenrollment is completed. 

PREPARATORY SCHOOL COMPLETION REQUIREMENTS 

a. To complete the Preparatory School successfully, each Cadet Candidate must have demonstrated 

an aptitude for commissioned service and leadership, been satisfactory in conduct and personal 

integrity, and have successfully met the physical, academic, and military requirements. 

b. Successful completion of the Preparatory School usually, but not always, results in an 

appointment to the USAF Academy. 

c. The Preparatory School commander will provide a recommendation to the Academy Board who 

is the final authority concerning appointments to the US Air Force Academy. 

DORMITORY AND DINING FACILITIES 

a. You will live in the Preparatory School dorms from arrival until graduation at no cost. The Priors 

will arrive at the Preparatory School on 11 July 2012 and the Direct Entry on 18 July 2012. This 

lodging is available to you only, not to friends or family. 

b. All dorms are co-ed; however, females will reside on the 1 st floor within each dorm. Males will 

fill the rest of the 1 st floor and then the 2 nd and 3 rd floors. 

4

c. You and your fellow cadet candidates will eat in the High Country Inn dining facility at no cost. 

CIVILIAN CLOTHING 

a. You will NOT be authorized to wear any civilian clothing until Parents’ Weekend (which is Labor 

Day weekend). After Parents’ Weekend, you may be authorized to wear civilian clothing on 

weekends. 

b. You may bring civilian clothing, but minimal storage space is provided. All civilian clothing and 

luggage must fit into one standard size airline footlocker you will purchase at in-processing. 

Civilian clothing must be non-offensive and tasteful. You may want to plan to have civilian 

clothing sent to you after it is authorized. Please arrive at in-processing in comfortable clothing, 

walking shoes (high heels, microminis, visible underwear, skirts, etc are inappropriate) and with 

minimal baggage. 

c. Bring a ski jacket or warm coat or plan to have one sent to you after Basic Military Training 

(BMT). We are located about 2½ hours from local ski resorts. Colder weather starts in 

September. 

d. All clothing must fit properly and be in good condition and free of tears, etc. 

Priors 

DO NOT have your household goods (HHGs) shipped to the USAFA Preparatory School. There 

is NO space available to store it in the dormitories. Non-temporary storage is authorized at your 

losing base. Contact your TMO to arrange pick up and storage of your HHGs. If you must ship 

your goods to this location, you will need to arrange for a storage facility off base, which is not 

reimbursable. Shipment of HHGs to Home of Record is authorized, however this authorization 

must be included in your PCS orders. Contact your servicing Military Personnel Center to ensure 

this clause is included in your orders. 

ATHLETIC CLOTHING 

HAIR 

All Cadet Candidates will receive one pair of running shoes and physical conditioning clothing 

(shorts, socks, shirts, sweats, etc.) when they arrive. If your shoe size is 6 or smaller, 13 or greater, 

wide or narrow bring a pair of running shoes (with non-marking soles) with you for use until 

you are issued all of your footwear. 

a. All male Cadet Candidates will receive a military haircut upon arrival if hair is not within Air 

Force standards. Students must NOT arrive with hair worn in extreme or fad styles, i.e., unnatural 

dyed hair, hair extensions, pig tails, dog ears, bleached hair, etc. Failure to comply will result in 

added expenses. If needed, have hair relaxers applied before arriving. All females must be 

capable of pulling hair up into a hairstyle within regulatory standards (must be conservative (bun, 

French braid, etc) and shorter than a parallel line drawn along the bottom of the collar of the 

military uniform) in less than 5 minutes. If an incoming student cannot accomplish this, hair will 

be cut to within Air force standards on in-processing day. 

b. While assigned to the Preparatory School, hair styles will conform to Air Force standards. Air 

Force Standards are as follows (taken from AFI 36-2903): 

5

1) Men’s hairstyle will: 

a) Be clean, well-groomed and neat. If dyed, it must look natural. 

b) Have a tapered appearance on both sides and back, both with and without headgear. A 

tapered appearance is one that when viewed from any angle outlines the individual’s 

hair so that it conforms to the shape of the head, curving inward to the natural 

termination point. Block cut is permitted with tapered appearance. 

2) Men’s hairstyle will NOT: 

a) Contain excessive amounts of grooming aids, touch eyebrows when groomed or 

protrude below the front band of properly worn headgear. 

b) Be worn in an extreme or fad style or in such a way that exceeds length or bulk 

standards or violates safety requirements. 

c) Touch the ears or collar (only closely cut or shaved hair on the back of neck may touch 

the collar). 

d) Exceed 1 ¼ inches in bulk, regardless of length and not exceed the ¼ inch of natural 

termination point. 

e) Contain or have any visible foreign items attached to it. 

3) Women’s hairstyle will: 

a) Be clean, well-groomed and neat. If dyed, it must look natural. 

b) Styled to a professional appearance. Plain and conservative pins, combs, headbands, 

elastic bands, and barrettes similar to the individual’s hair color are permitted and 

highly encouraged to keep hair in place (acceptable styles are French braids (

e. Do NOT bring large radios, tape recorders, stereos, etc. because very little storage space is 

available. 

CELL PHONES 

MAIL 

a. Cadet Candidates will turn in their cell phones upon arrival for BMT and are NOT allowed to 

make or receive personal phone calls except during scheduled times during BMT. Therefore, any 

calls to family/friends must be made prior to arrival at the Preparatory School. 

b. Cell phones will be returned to Cadet Candidates once the academic year begins at the discretion 

of the Prep School Commander. 

c. If a bona fide emergency should arise at home, have your family contact the Preparatory School 

Duty Officer at (719) 338-5648. 

a. You will receive your mailing address during in-processing. Family and friends should NOT send 

mail to you in care of the Preparatory School and should wait until you have provided them with 

your PO Box address. You may not receive boxes until the end of BMT. 

b. During in-processing you will complete and mail home an "arrival" postcard. This card will let 

your family know you have arrived safely and provide them with your new PO Box mailing 

address. The arrival postcard will be mailed to the person of your choice shortly after arrival. 

c. It is advisable that you bring a supply of stamps and stationery to correspond with family and 

friends during BMT since e-mail is not accessible until after BMT. 

d. First Class mail (letters, cards, and boxes) delivered by the United States Postal System (USPS) 

should be addressed to your PO Box address. 

e. United Postal Service (UPS) or Federal Express (FEDEX) delivered mail cannot be addressed to 

your PO Box address. Address these packages to: 

C/C (your name) 


USAF Academy, CO 80840 

WEAPONS 

a. Weapons are NOT permitted at the Preparatory School. Weapons include but are not limited to all 

projectile and thrown weapons regardless of type of propellent, knives of any type or size, 

edged/blunt weapons or tools, and training weapons to include non-fuctioning “dummy” mockups. 

b. These items will be confiscated and may be destroyed. 

PRESCRIPTION DRUGS 

7

a. We recommend that you do NOT bring large supplies of prescription drugs with you. Bring a 3week 

supply of any necessary prescription drug(s). 

b. If you are on medication for any reason, Air Force medical personnel will review the prescription 

with you during in-processing and validate its necessity. Any applicable refills or new 

prescriptions will come from military medical personnel. 

PERISHABLE ITEMS 

a. Do NOT bring any perishables or foods with you such as candy, cookies, fruit, cakes, etc. You 

will not have a place to store them and you will not be allowed to receive/keep these items during 

BMT. 

b. These items will be confiscated during BMT and will NOT be returned unless in factory sealed 

packaging. 

VACATION 

a. Each student will accrue 25 days of leave (vacation) each year. Three periods during the year are 

set aside for leave: Thanksgiving, Winter, and Spring Break. 

b. If a student takes more than 25 days, he/she will be required to pay back the government prior to 

graduation. The student's last paycheck will reflect the deduction for any unearned leave. 

c. The dates listed below reflect tentative vacation periods until more detailed information or release 

and return times are provided to Cadet Candidates. DO NOT make non-refundable plane 

reservations that conflict with these dates. When scheduling airline reservations, you must allow 

for travel time to the airport--plan 3 hours to the Colorado Springs Airport (COS) and 5 hours to 

the Denver Airport (DIA) due to potential weather, traffic and airport security delays. 

d. Both parents and Cadet Candidates must be aware of the Preparatory School schedule when 

making flight reservations during Thanksgiving, Winter, and Spring Break periods. 

EXCURSIONS OR DECREASED AIR FARES WILL NOT BE CONSIDERED JUST 

CAUSE FOR EARLY DEPARTURE OR LATE RETURN. 

e. TENTATIVE Break Periods. Students will be provided actual leave dates soon after arrival. 

− Thanksgiving Break 20 November (after Noon) - 26 Nov (no later than 6 PM) 

− Winter Break 21 December (after noon) – 3 Jan (no later than 6 PM) 

− Spring Break 22 March (after 6 AM) – 31 Mar (no later than 6 PM) 

Priors 

a. You are NOT required to bring your leave balance to zero prior to arrival. 

b. You will earn 25 days while at the Preparatory School and are required to take 25 days of leave. 

c. If you receive an appointment to the Air Force Academy, any leave balance remaining will be 

used during the time period between Preparatory School graduation and the first day of Basic 

Cadet Training (BCT) which is approximately 5 weeks. 

d. Excess days beyond the time period before BCT will be lost. 

8

e. If you do not have any leave remaining after graduation from the Prep School, you will not be paid 

during your 5 week break prior to BCT. 

ACADEMICS OVERVIEW 

a. Grading 

1. You will take 4 or 5 courses per 9-week quarter with 4 quarters per year. 

2. We use a ½-letter grading system (A, A-, B+, etc.), with course grades for each class and 

subjective instructor comments given at the mid-quarter (Prog) and the end of each quarter. 

3. Your instructors will provide extra instruction (EI) as needed. Be prepared for a demanding 

program based on excellence. 

b. Classes 

1. During each grading period, you will take two mathematics courses (algebra/math applications 

and trigonometry/calculus), one English course, and one science course (chemistry). You will 

also have a life/study skills class first quarter and a reading course during one of the final three 

quarters. 

2. Additionally, you will have mandatory study time each evening, Sunday through Thursday. 

Expect 4 hours of homework each day and as many as six quizzes per week. It is critical that 

you study on weekends. Most successful students put in 8-12 hours per weekend. 

3. All students are required to have their own graphing calculator. Students may own any 

brand of graphing calculator, but the Mathematics Department teaches with Texas 

Instruments calculators. If you already own a graphing calculator, bring its manual with 

you. If you do not currently own a graphing calculator, we recommend you purchase 

one before coming to the Prep School. A TI83/83+/84 or other brand of calculator with 

comparable capability will meet all math requirements. We do not recommend highordered 

(higher cost) calculators such as the TI-89 or 92, since their capabilities are 

beyond the requirements of our courses. 

4. You will not be allowed to use the TI-89 or equivalent calculator for some assignments or 

exams. If you arrive without a graphing calculator, expect to spend $120 to purchase a 

calculator immediately following the end of BMT and before classes start. If you have 

any questions contact Dr. Schooff at (719) 333-7162. 

5. Courses taken at the Preparatory School are solely to prepare you for success at the Air Force 

Academy. Therefore, they are non-accredited and college credits are not awarded. Students 

will receive a copy of their student grade transcript upon request. 

9




MEMORANDUM FOR CADET CANDIDATE SELECTS (Priors and Direct Entries) 




SUBJECT: Legal Forms for Selectees 

1. Please complete and sign each of the following three forms (next three pages), as 

applicable: 

• Academy Admissions Statement of Understanding 

• Prep School Statement of Understanding 

• Release of Liability (for those UNDER 18 YEARS OLD) 

2. Note that the Release of Liability form is for those selectees under the age of 18 only 

AND their parents or legal guardians. This form must be signed and dated or selectee will 

not be admitted to the program. 

3. Mail completed forms to 




4. If you have any questions on your legal paperwork, please contact Student Services 

immediately at (719) 333-2583. 

//signed// 

Director, Student Services 

10

MEMORANDUM FOR CADET CANDIDATES SELECTS (Priors and Direct Entries) 

FROM: HQ USAFA/RR 

SUBJECT: Admissions Statement of Understanding 

RETURN COMPLETED FORM VIA MAIL TO THE PREPARATORY SCHOOL 

1 April 2012 

I ________________________________________ understand that the USAFA Preparatory School and the 

Directorate of Admissions evaluates each candidate holistically and carefully considers all attributes to determine a 

candidate’s potential for success in the cadet wing. I also understand that they will use the following objective 

guidelines as part of their holistic review. 

1. NOMINATION 


HEADQUARTERS UNITED STATES AIR FORCE ACADEMY 

DIRECTORATE OF ADMISSIONS 


1.1. Did the candidate obtain a new nomination? Nominations are only valid for one year. All candidates 

must obtain a new nomination that is valid for the year that they will enter USAFA to be considered for an 

appointment. 

1.2. Did the candidate apply to all available nominating sources (apply to both Senators, the Representative 

from their Congressional district, the Vice-President, and any military affiliated sources for which they are 

eligible)? 

2. ACADEMICS 

2.1. Did the candidate maintain an overall cumulative Grade Point Average (GPA) of 2.2 or better? 

2.2. Did the candidate maintain a cumulative GPA of 2.0 or better in all academic disciplines (English, 

math, and science)? 

3. CANDIDATE PHYSICAL FITNESS 

3.1. Did the candidate demonstrate continued improvement on the physical fitness test and maintain good 

physical fitness? 

4. CONDUCT / CHARACTER / ATTITUDE / BEHAVIOR 

4.1. Did the candidate maintain conduct that supports the Air Force core values: Integrity First… Service 

Before Self…Excellence in All We Do? 

4.2. Did the candidate maintain a Military Performance Average (MPA) of 2.0 or better? 

4.3. Did the candidate maintain outstanding team/character centered values and a positive attitude toward 

USAFA and the military? 

I understand that the USAFA Preparatory School and Directorate of Admissions will conduct a whole-person review 

of my performance and potential and that failure to meet ANY of the above MAY negatively impact my ability to 

receive an appointment. If I have already been appointed and fall below these levels, my appointment may be 

withdrawn. 

______________________________________________ _________ 

Student Signature Date 

_______________________________________________ _________ 

Parent/Guardian Signature (Active Duty do not require parent’s signature) Date 

12

PREP SCHOOL STATEMENT OF UNDERSTANDING 

(Priors and Direct Entries) 

Congratulations on your acceptance to the USAF Academy Preparatory School. You should find your 

assignment here very rewarding. It is imperative you understand that the USAF Academy Preparatory 

School has several requirements and rules that you must abide by while attending the Prep School. We’ve 

included the following requirements that you must understand before you agree to enroll in the Preparatory 

School. 

You must read and sign the following: 

1. I, (Last Name, First Name, MI) _____________________________________________, understand that: 

(Please print neatly) 

a. I may not own, maintain or possess an automobile, motorcycle, motorbike, or motor scooter at the 

Academy or within a 150-mile radius of the Academy grounds in accordance with the Preparatory 

School Instruction 36-1 (PLI 36-1). 

b. I will wear Air Force uniforms and be subordinate to the cadet candidate rank system of the 

Preparatory School. In addition, I may be given Letters of Counseling, Admonishment or 

Reprimand, and/or an appropriate probation due to substandard performance. Any of these may 

result in extra duties and/or loss of privileges (PLI 36-1). Additionally, I am subject to discipline and 

punishment under the Uniform Code of Military Justice (UCMJ) for infractions of military laws. 

c. I will be paid at a monthly rate of 35 percent of the basic pay of a commissioned officer in the pay 

grade of O-1 with less than 2 years of service if I am currently a civilian or member of any other 

branch of service than the United States Air Force. If I am currently a member of any component of 

the Air Force, I will be paid the equivalent to my respective pay grade as of �� July 2011, as long as I 

have had no break in service. 

d. I will take the Air Force Oath of Enlistment upon arrival at the Prep School if I am a civilian or 

member of any other branch of service then the United States Air Force. This oath means I am a 

member of the Air Force Reserve in the rank of Airman Basic (E-1). Failure to take the oath 

will result in immediate disenrollment from the Prep School. 

e. I will have to complete an 18-day Basic Military Training (BMT) program when I arrive at the Prep 

School. 

f. I will have to participate in unit and random drug testing as well as dorm inspections throughout the 

year. 

g. I understand that I may not have nor acquire dependents while attending the Preparatory School. 

2. I, (Last Name, First Name, MI) _______________________________________, understand I will be 

responsible for paying any damages to government or personal property I cause as well as, but not 

limited to, the items listed in the Information for Cadet Candidate Selectees document. 

_______________________________________________ ______________________ 

Student’s Signature Date 

14

RELEASE OF LIABILITY 

(ONLY FOR SELECTEES UNDER 18 YEARS OF AGE) 

Prior to my dependent's enlistment in the United States Air Force Reserve, I hereby release from 

liability the Air Force and its employees for any injury to my son/daughter or his/her property 

occurring during my son/daughter's residency at the USAFA Preparatory School dormitories, 

facilities, and grounds. This release also extends to any claim in my son/daughter's name, or my 

son/daughter's behalf, or related to me, my son/daughter, or my son/daughter's property brought 

by others against the Air Force or its employees. 

___________________________________________ ________________________ 

Student's Printed Name (Last Name, First Name, MI) Age 

___________________________________________ ________________________ 

Student's Signature Date 

___________________________________________ ________________________ 

Parent/Guardian's Signature Date 

___________________________________________ ________________________ 

Parent/Guardian's Signature Date 

16



USAF ACADEMY COLORADO 


FROM: HQ USAFA/PL REGISTRAR 

SUBJECT: Personal and Contact Information 

1. Welcome to the Prep School! In order to expedite your check-in on Inprocessing Day, please go online and 

follow the sequence below to provide us with the requested information. 

a. Go to the USAFA home page (www.usafa.edu) 

b. Click on the Prep School link at the top of the page. 

c. From the Prep School’s home page, click on the Incoming Student Info link. 

d. On that page, go to the Registrar Questionnaires link. 

e. Fill in all the requested information 

2. We look forward to meeting you this July. 

18 

//Signed// 

VANESSA L. DYKSTRA 

PL Registrar


10TH FORCE SUPPORT SQUADRON 



FROM: 10 FSS/FSM 

5136 Eagle Dr, Suite K-102 


SUBJECT: Preparatory School In-Processing Worksheet 

1. Congratulations on your selection to attend the US Air Force Academy Preparatory School. The 10 th Military 

Personnel Section developed a worksheet to build your computerized military record. Please complete all areas 

accurately and legibly. You will find a list of codes at Attachment 2 in this handout. If the code that you need is 

not listed, then please spell out specific information. 

2. Please pay special attention to the areas that require a special format, such as your date of birth and any special 

codes. Your personnel record and your pay record will be built using the information you provide on this form. 

3. Forms must already be filled out when you arrive at in-processing. Mail a completed copy of this form as 

soon as possible but at least within 10 days of receipt. Failure to fill out the attached worksheet entirely and 

accurately could result in pay problems. After you mail your documents, please call (719) 333-2583 to ensure 

receipt of your documents. 

4. This information is also used to issue you an active duty military ID card and will be provided to the Defense 

EligibilityEnrollment Reporting System (DEERS). You will be asked to provide proof of your birth date. The 

following documents must be provided upon your arrival: 

a. Birth Certificate (Certified copy) Photocopies will not be accepted. 

b. Social Security Card 

c. Military Dependent ID cards (if applicable) 

d. State or Federal government-issued photo ID (i.e., Driver’s License) 

5. Any questions regarding this worksheet can be directed to the Military Personnel Section Customer Service at 

(719) 333-2508. 

//signed// 

MICHAEL D. BEESON, DAFC 

Personnel Services Flight Chief 

20

USAFA PREPARATORY SCHOOL IN-PROCESSING WORKSHEET- PLEASE TYPE or PRINT LEGIBLY 

First Name 

Full Middle Name (If applicable) 

Last Name 

Social Security Number 

Home of Record - Street Address 

City, State, ZIP 

Country (See attachment for code) Country Code 

Place of Birth (See attachment for codes) City State Country 

Country Code Country Code 

Citizenship (see attachment for code) Code 

Ethnic Group (see attachment for code) Code 

Religious Preference (see attachment for code) Code 

Race (see attachment for code) Code 

Date of Birth Year Month Day 

Gender Male Female (Circle one) 

Eye Color 

Hair Color 

Blood Type A+ A- B+ B- AB+ AB- O+ O- Unknown (Circle one) 

Height (in inches please) 

Weight 

Current Rank (if active duty) 

Military status prior to arrival Guard/Reserve/Active Duty (Circle one) 

Academy P.O. Box number 

Sport 

Programs CAP/ROTC/Billy Mitchell-Amelia Earhart Award (Circle one) 

Year and Month of high school graduation Year Month 

Education level/completion date 

Permission to release personal data Yes/No (Circle one) 

Is your father living? Yes/No (Circle one) 

Father's Name 

Father’s Phone Number 

Father's Street Address 

Father's City, Sate, ZIP Code 

Father's military status and rank Active Duty/Retired/Not applicable (Circle one) 

If retired military - year retired 

Permission to release father's personal data Yes/No (Circle one) 

Is your mother living? Yes/No (Circle one) 

Mother's Name 

Mother’s Phone Number 

Mother's Street Address 

Mother's City, State, ZIP Code 

Mother's military status and rank Active Duty/Retired/Not applicable (Circle one) 

If retired military - year retired 

Permission to release mother's personal data Yes/No (Circle one) 

Do your parents reside together Yes/No (Circle one) 

Are your parents married to each other Yes/No (Circle one) 

STOP HERE! 

MILITARY PERSONNEL FLIGHT (MPF) USE ONLY 

Date Departed Last Duty Station (DDLDS) ________________________________ 

Date Arrived Station (DAS) ________________________________ 

Time Arrived Station ________________________________ 

Privacy Act - 1974 - as amended applies. This memo may contain information which must be protected IAW DOD 

5400.11R and it is For Official Use Only (FOUO). 

22

RACE CODES CITIZENSHIP CODES 

American Indian A Registered Immigrant Alien O 

Asian B Birth in the US 1 

Black/African American C Naturalization 2 

Native Hawaiian/ 

D Birth of US Parents O/S or in US 

Pacific Islander 

Territory 

3 

White E US National (American Samoa, 

Swain Island) 

4 

Declined to Respond F Unknown 9 

ETHNIC GROUP CODES 

Spanish Descent 1 Guamanian H 

American Indian 2 Japanese J 

Asian American 3 Korean K 

Puerto Rican 4 Polynesian L 

Filipino 5 Other-Pacific Islander Q 

Mexican American 6 Latin American S 

Eskimo 7 Vietnamese V 

Aleutian 8 Micronesian W 

Cuban Descent 9 Other X 

Indian D None Y 

Melanesian E Unknown Z 

Chinese G 

RELIGIOUS PREFERENCE 

Assemblies of God 04 Greek Orthodox 54 

Baptist Churches 10 Roman Catholic 62 

Christian-No Denom 13 Methodist Protestant AK 

Protestant Episcopal 26 Presbyterian LG 

Ch of Jesus Christ LDS 38 Protestant 72 

Jewish 36 Pentecostal 56 

Church of Christ 18 United Methodist NF 

Church of God 20 No Preference 01 

These are the most common codes, if your preference is not listed, please list it and upon in processing we will do our best to find a code 

that matches your situation. 

PLACE OF BIRTH 

ALABAMA 01 ALASKA 02 

ARIZONA 04 ARKANSAS 05 

CALIFORNIA 06 COLORADO 08 

CONNECTICUT 09 DELAWARE 10 

D.C. 11 FLORIDA 12 

GEORGIA 13 HAWAII 15 

IDAHO 16 ILLINOIS 17 

INDIANA 18 IOWA 19 

KANSAS 20 KENTUCKY 21 

LOUISIANA 22 MAINE 23 

MICHIGAN 26 MINNESOTA 27 

MISSISSIPPI 28 MISSOURI 29 

MONTANA 30 NEBRASKA 31 

NEVADA 32 NEW HAMPSHIRE 33 

NEW JERSEY 34 NEW MEXICO 35 

NEW YORK 36 NORTH CAROLINA 37 

NORTH DAKOTA 38 OHIO 39 

OKLAHOMA 40 OREGON 41 

PENNSYLVANIA 42 RHODE ISLAND 44 

SOUTH CAROLINA 45 SOUTH DAKOTA 46 

TENNESSEE 47 TEXAS 48 

UTAH 49 VERMONT 50 

WASHINGTON 53 WEST VIRGINIA 54 

WISCONSIN 55 WYOMING 56 

CANADA CA GERMANY GE 

GUAM GQ MEXICO MX 

UNITED KINGDOM UK PUERTO RICO RQ 

UNKNOWN UN CONUS 10 

These are the most common codes, if your preference is not listed, please list it and upon in processing we will do our best to find a code 

that matches your situation. 

23








SUBJECT: Preparatory School Uniforms 

1. As a member of the U.S. Air Force, you will be required to wear a military uniform while at 

the Prep School. Students will be issued Air Force uniforms with modified rank insignia 

during Basic Military Training (BMT). To ensure we have your sizes in stock, please fill out 

the information below and return it with the rest of the required forms. 

2. Priors. 

a. You will be issued some uniforms specific to the Prep School during BMT at your 

expense. The STAR Card (AAFES charge card) is required for all uniform purchases. 

b. AF personnel must bring serviceable blue uniforms (no holes, patch shadows, etc.) with 

all stripes and unit patches removed. If the blue uniforms are not serviceable, you must 

purchase serviceable uniforms prior to or at arrival. 

c. AF Service Dress Coats should not be brought to the Prep School. The Air Force Officer 

Service Coat will be issued to you at the Prep School. 

d. If you entered Air Force BMT at Lackland AFB after 1 October 2007, you are required to 

bring a serviceable APEX jacket and three sets of ABUs (stripes and patches removed) 

with you. You will be required to replace any unserviceable uniform items at your own 

expense. High-gloss or patent leather (Corfams) uniform dress shoes are not authorized 

and females are not authorized princess-cut uniform blouses. 

//signed// 


RETURN COMPLETED FORM VIA MAIL WITH THE REST OF THE REQUIRED FORMS 

24

PREPARATORY SCHOOL ATHLETIC QUESTIONNAIRE 

(Priors and Direct Entries) 

Please print clearly. 

Last Name, First Name, MI: _____________________________________________________________ 

Name you prefer to be called: ____________________________________________________________ 

Address: _________________________________________________ 

__________________________________________________ 

__________________________________________________ 

Parents’ Names & Phone Number(s): 

( ) - 

( ) - 

Recruited Athlete: Yes/No (Circle One) If Yes, What Sport? 

Height: ________________ Weight: _______________ 

Name of High School & Location: 

_________________________________________________________ 

Name of High School Coach & Telephone number: 

____________________________________________ 

Graduating Class Size (1000, 300, 500, etc.): ________Division/Classification (2AAA, 5A, etc.): ______ 

High School Varsity Letters: 

Sport Number of Letters Honors Team Captain 

Circle any varsity sport that you would like try out for at the Preparatory School, if you are a not a 

recruited athlete in the sport: 

Fall Winter 

Football (Men’s) Basketball (Men’s) 

Volleyball (Women’s) Basketball (Women’s) 

Soccer (Men’s) Wrestling (Men’s) 

Soccer (Women’s) Spring 

Cheerleading (Co-ed) Baseball (Men’s) 

Swimming (Co-ed) Lacrosse (Men’s) 

25





FROM: HQ USAFA/FMF 

2304 Cadet Dr Ste 2200 


SUBJECT: Preparatory School Finance In-Processing 

1. Congratulations on your selection to attend the US Air Force Academy Preparatory School. Our office requires 

your Declaration of State of Legal Residence (DD 2058) and Fast Start Direct Deposit form (FMS 2231) with your 

bank account information in order to build your computerized travel pay record. These forms must be filled out and 

mailed with your completed forms package and a copy hand carried by you to in-processing. 

2. The Declaration of State of Legal Residence is used to determine your state tax payments as well as some 

veterans’ benefits. For Direct Entries this will be the state you entered the military service in and are registered to 

vote in, i.e., your home state. Every state sets their residence requirements, so check with your state agencies to 

determine if you are eligible to claim legal residency in that state. 

3. The Direct Deposit form is required for all military personnel by federal law. It is used to pay you so it is very 

important it be completed accurately and legibly. Please fill out blocks 1, 2, 3 & 5. Check the “Net Pay” box in the 

“Type of Payment” block. This form must be a personal bank account with your name on it or it will be rejected by 

the finance system. 

4. During your move from home or old duty station to USAFA you are entitled to a Permanent Change Station 

(PCS) travel allowance. 

a. You are not authorized Privately Owned Vehicle (POV) travel payment within 150 miles of the USAF 

Academy in accordance with POV restrictions in PLI 36-1. 

b. If you travel by air you will be sent an airline ticket by USAFA Admissions and only be entitled to 1 

travel day and per diem for that travel day. Keep your airfare receipt and any documentation of airline 

rescheduling. 

c. PCS travel vouchers will be filed during the finance in-processing briefing at the USAFA Preparatory 

School for reimbursable expenses authorized by federal law. 

5. The following information is required to compute and process your PCS travel voucher. The following 

documents must be hand carried and presented upon your arrival at the Finance in-processing station: 

a. PCS Orders or Reporting Instructions Letter depending on which you received from the Academy 

Admissions Office. 

b. Fast Start Direct Deposit (FMS 2231) and State of Legal Residence (DD 2058) forms. 

c. Airfare, Taxi, Shuttle, Toll and Excess Baggage receipts for expenses over $75. 

6. Any questions regarding these forms should be directed to the USAFA Finance Customer Service Section at 

(719) 333-4298. 

26 

//signed// 

JUSTIN W. MICKELSON, SSgt, USAFA 

Section Chief, Financial Service Office

EXPENSES 

a. On in-processing day you will be required to get a Military Star card (application included in this packet). 

The MILSTAR card is only accepted at on-line and in-store service exchanges, such as Army Air Force 

Exchanges (AAFES), Marines Corp, Navy and Coast Guard Exchanges. It offers the same benefits as a bank 

card or credit card and has no annual fees, a low interest rate and a 25-day grace period before being charged a 

finance charge. Please note the MILSTAR card cannot be used in other retail, commercial venues or stores. 

Return the MILSTAR application NO LATER THAN 10 days from receipt. 

1. Why the MILSTAR? 

You are required to pay for your Quarters 1 and 2 textbooks and supplies, such as notebooks, pen, 

pencils, paper on the day of in-processing. This amount can total more than $2,000. These materials 

will be purchased through AAFES with the MILSTAR card used in lieu of personal checks, cash, and 

other forms of payment (see scholarship information below). 

2. How to fill out the form: 

i. – NAME (last, first, middle initial): Self-explanatory. 

ii. – SOCIAL SECURITY NUMBER: Self-explanatory. 

iii. – ADDRESS: Only use the address listed below to the Preparatory School. DO NOT use 

another address such as your home address. 

5220 CEDAR DRIVE 

USAFA CO 80840 

b. Scholarship information: Scholarships can be used instead of the MILSTAR card for uniforms, textbooks and 

supplies in accordance with the terms of the scholarship; however scholarship recipients are still required to apply 

for and maintain a MILSTAR card for later use. 

1. The USAFA Preparatory School is unable to process checks made payable to the Air Force Academy or 

the Air Force Academy Preparatory School. If a student receives a scholarship from a company or local 

organization, the scholarship check must be made payable directly to the student or the Army and Air 

Forces Exchange Service (AAFES). 

2. Checks made out to AAFES that exceed $1500 will be reimbursed to the student for the remainder of the 

check by AAFES. All questions regarding scholarship awards can be directed to Student Services at 

(719) 333-2583. 

c. Additionally, you will need to bring approximately $60 cash. This cash will be used to purchase personal items 

during Basic Military Training. 

d. There will be other expenses students incur during the school year that can be paid for out of the individual’s 

monthly paycheck. These expenses include but are not limited to: 

� Spring semester textbooks and supplies (significantly less than book costs for the first semester) 

� Graduation expenses 

� Military social functions 

� Legacy gift 

� Morale trips 

� Replacement uniforms 

� Travel during breaks (You are obligated to pay for all leisure travel within your total five years at the 

Academy) 

Priors 

a. Your monthly base Air Force pay will continue to be paid twice per month and is sufficient to cover all of your 

expenses at the Preparatory School. However, upon arrival you will be required to make several purchases. 

b. If you already have a MILSTAR card, ensure you have approximately $1300 of credit available. If you require 

financial assistance please call (719) 333-2583 or DSN 333-2583. 

PAY 

a. It is your responsibility to manage and budget your money. The Air Force, the Air Force Academy and the Prep 

School comply with federal law concerning military personnel who write checks/make withdrawals without 

sufficient funds. 

27

. You are required to have direct deposit for your paycheck as paper paychecks will not be issued. Students are not 

required to have an account at a banking institution on USAFA grounds. You may stay with your current banking 

institution or there are two banking institutions within walking distance of the Preparatory School if you wish to 

open an account locally. If you opt to stay with your current banking institution you must hand carry with you all 

your banking information (bank name, account number, and routing number) to in-processing. You will be given 

the opportunity to open an account with one of the local banking institutions if you so desire. 

c. If you have any loans or creditors, you are highly encouraged to pay them off prior to arrival. If you cannot pay 

them off, it is your responsibility to let your Academy Military Training NCO (AMT) know after your arrival. 

Your Academy Military Training NCO (AMT) will see that you receive prompt financial management training. 

Direct Entry 

a. You will be paid on the 1st of each month. Reserve Airmen are paid at the equivalent rate of 35% of the pay 

grade O-1 with less than 2 years (approximately $900.00/month). This is sufficient to cover all of your expenses 

at the Preparatory School. 

b. Please do not consider a lack of funds to cover initial expenses a reason to decline admittance. Payment 

arrangements will be made for those who need financial assistance. Contact Student Services at (719) 333-2583 

for questions regarding financial assistance. 

Priors 

a. You will be paid on the 1st and the 15th of each month at the pay grade equivalent to what you have earned by 6 

Jul 2011. 

b. All in-processing Air Force Reserve Component personnel must fill out AF Form 1288 and route it through your 

Personnel section. 

c. All in-processing service members (regardless of branch of service) must fill out DD FM 368 and route it through 

your Personnel section. 

28

INSTRUCTIONS FOR PROCESSING FEDERAL EMPLOYEE PAYMENTS 

Use: For processing Federal employee net salary, allotments, and other agency - approved payments associated with Federal employment (i.e. 

travel reimbursement, uniform allowance, etc). Employee must complete items 1,2,3 and 5. Complete item 4 only if you want to start, cancel 

or change the amount of a savings or discretionary allotment - see instructions on back of form. 

1. EMPLOYEE INFORMATION 

(SSN) EMPLOYEE PAYROLL IDENTIFICATION NUMBER 

TELEPHONE NUMBER (WORK) 

2. TYPE OF ACCOUNT 

Checking 

Savings 

Net Pay 

Travel 

Other Federal 

employment related 

payments 

(Last, First, Initials) 

ROUTING TRANSIT 

NUMBER 

ACCOUNT NUMBER 

ACCOUNT TITLE ________________________________________________________________ 

(Account Holder’s Name) 

FINANCIAL INSTITUTION NAME ____________________________________________________ 

4. ALLOTMENT INFORMATION 

Complete this section only if you want to start, cancel or change the amount of a savings or discretionary allotment - see instructions on back of form. 

5. AUTHORIZATION 

6. AGENCY USE: 

FMS 

TYPE OF PAYMENT 

EMPLOYEE NAME 

(as on payroll records) 

TYPE OF ALLOTMENT 

(Check One) 

3. DIRECT DEPOSIT ACCOUNT INFORMATION - NET PAY/TRAVEL/OTHER (Use Sec. 4 for allotments) 

A voided personal check/sharedraft may be attached in lieu of completing this section. 

See instructions on back of this form. 

TYPE OF ACCOUNT 

(Check One) 

Savings (whole dollar amounts only) SAVINGS 

Discretionary or Third Party CHECKING 

ALLOTTEE NAME 

(person/company who 

will receive allotment) 

ALLOTTEE’S ROUTING NUMBER 

ALLOTTEE’S ACCOUNT NUMBER 

ALLOTTEE’S ACCOUNT TITLE 

(Account Holder’s Name) 

FINANCIAL INSTITUTION NAME 

FASTSTART 

DIRECT DEPOSIT 

Check Digit 

(HOME) 

Check Digit 

ACTION 

(Check One) 

EMPLOYEE’S SIGNATURE DATE 

FORM 

11-92 2231 30 

EDITION OF 4-90 IS OBSOLETE 

AMOUNT 

(Check One) 

START INCREASE TO: 

CANCEL 

DECREASE TO: 

CHANGE New Total $____________ 

DEPARTMENT OF THE TREASURY 

FINANCIAL MANAGEMENT SERVICE

PRIVACY ACT STATEMENT 

The collection of the information you are requested to provide on this form is authorized under 31 CFR 209 and/or 210. The information is confidential 

and is needed to prove entitlement to payments. The information will be used to process payment data from the Federal agency to the financial 

institution and/or its agent. 

INSTRUCTIONS FOR PROCESSING FASTSTART AUTHORIZATION 

PURPOSE 

You may use this form to provide instructions for processing your net salary. You may also use this for to provide instructions for processing 

allotments and other agency - approved payments associated with your Federal employment. 

1. EMPLOYEE INFORMATION (always complete this section) 

2. TYPE OF ACCOUNT/PAYMENT (Put an “X” in the appropriate space to indicate a checking or savings account and type of payment.) 

3. DIRECT DEPOSIT ACCOUNT INFORMATION 

ROUTING TRANSIT NUMBER (your financial institution’s 9-digit routing transit number) 

ACCOUNT NUMBER (your account number at your financial institution) 

ACCOUNT TITLE (the depositor’s name on the account to which payments are to be directed) 

FINANCIAL INSTITUTION NAME (the name of the institution to which payments are to be directed) 

The Routing Transit Number (RTN) can be obtained from the financial institution or found on the bottom of a check. 

4 

5 

4. ALLOTMENT INFORMATION 

NAME OF DEPOSITOR 

STREET ADDRESS 

CITY, STATE 

___________ 

19 

PAY TO THE 

ORDER OF: _______________________________________________$ 

NAME OF YOUR BANK 

Payable Through Another Bank 

ROUTING NUMBER 

1 

5. AUTHORIZATION 

Sign and date the request form after you have carefully read the instructions and Privacy Act Statement. 

6. AGENCY USE (This space is reserved for agency use.) 

CHANGES AND CANCELLATIONS - Contact your agency for instructions. 

3 

ACCOUNT NUMBER 

2 

CHECK NUMBER 

1. ROUTING TRANSIT NUMBER - Here you 

would put “021001082” 

2. ACCOUNT NUMBER - Here you would put 

“123-456-789”. Note the use of the dash symbol. 

(Include dashes where the symbol 

appears on the check or card. 

3. ACCOUNT TITLE (must include employee 

name) 

4. FINANCIAL INSTITUTION NAME 

5. If your check or sharedraft includes “payable 

through“ under the bank name, contact the financial 

institution to help obtain the correct Routing 

Transit Number for Direct Deposit processing. 

ALLOTMENT TYPE 

SAVINGS (If this option is checked, this will allow the specified allotment to be credited to an account owned by the payee.) 

Savings allotments are limited to two. 

Savings allotments must be in whole dollar amounts (no cents). The dollar amount of allotments may not 

exceed the pay due an employee per pay period. 

DISCRETIONARY OR THIRD PARTY (If this option is checked, this will allow the specified allotment to be credited to an account not owned 

by the payee.) Certain restrictions may apply as to the kind of allotments your agency will allow. Check with your agency to determine what kinds 

of allotments it will allow. ANY CHANGES TO THE ALLOTMENT INFORMATION FURNISHED ON THIS REQUEST MUST BE MADE USING 

A NEW FASTSTART FORM. 

TYPE OF ACCOUNT (Put an “X” in the appropriate space to indicate a checking or savings account.) 

ACTION (Put an “X” in the appropriate space to indicate start/cancel/change.) 

AMOUNT (Put an “X” in the appropriate space to indicate if an allotment is an increase, decrease and always indicate $ amount.) 

ALLOTTEE’S ROUTING NUMBER: Enter person’s/company financial institution 9-digit routing transit number. 

ALLOTTEE’S ACCOUNT NUMBER: Enter the account number to which the allotment payment will be deposited. 

ALLOTTEE’S ACCOUNT NUMBER: Enter account holder’s name on the account at the financial institution. 

FINANCIAL INSTITUTION NAME: Enter the name of the financial institution to which the payment should be sent. 

101 

_______ 

___________________________________________________________DOLLARS 

For _____________________________ ____________________________ 

31

For Priors and Direct Entries 

The following information is for the United States Air Force Academy Cadet Candidate Selectee 

regarding your Medical Care once you are at the Air Force Academy Preparatory School: 

Once I am in-processed at the United States Air Force Academy Preparatory School 

(Cadet Candidate), do I need to remain on my parents’ health insurance plan? 

Your parents are highly encouraged to maintain you as a beneficiary on their health insurance for 

at least the first year to ensure you are covered in the event you are disenrolled or decide to 

separate on your own. 

How do I enroll for healthcare while at the United States Air Force Academy Preparatory 

School? 

Once you in-process you will be enrolled in TRICARE Prime. TRICARE Prime is similar to a 

civilian HMO. In this program you will be assigned to a Primary Care Manager (PCM) and will 

receive all your primary care/specialty care at the United States Air Force Academy Military 

Treatment Facility (MTF). 

How do I receive primary and specialty care services while at the United States Air Force 

Academy Preparatory School? 

Primary care is received by calling the clinic and making an appointment to see your PCM. If 

you require specialty care services for further diagnosis or treatment, you must first see your 

PCM and the PCM will submit a referral to access services from specialty practitioners and 

coordinate the referral request through TriWest, our region wide Managed Care Support 

Contractor. 

Primary Care definition – Basic or general health care traditionally provided by doctors 

trained in: family practice, pediatrics, internal medicine, and occasionally gynecology. 

Specialty Care definition – Specialized health care provided by physicians whose 

training focused primarily in a specific field such as neurology, cardiology, 

rheumatology, dermatology, oncology, orthopedics, ophthalmology, and other specialized 

fields. 

� 

What happens if I am away from the United States Air Force Academy Preparatory School 

and need emergency Care? 

If you are outside the local area and require emergency care, go to any emergency room and 

identify yourself as an active duty military member under Tri-Care. You must notify your PCM 

as soon as you are physically able and make them aware of your situation. If you require urgent 

care you need to call your PCM and obtain authorization to seek medical care from the local 

urgent care clinic/emergency room. Failure to alert your PCM could result in a Point of Service 

charge where you will be responsible for the bill. If this occurs you could submit the claim 

through your parents’ medical insurance if you are still a covered beneficiary. 

34

Emergency Care definition – Acute symptoms of sufficient severity-including severe 

pain-such that a prudent person could reasonably expect the absence of medical attention 

to result in placing your health in serious jeopardy, serious impairment to bodily 

functions, or serious dysfunction of any bodily organ or part. This is often considered 

loss of life, limb or eyesight. 

Urgent Care definition – Medically necessary treatment that is required for illness or 

injury that would result in further disability or death if not treated immediately. The 

illness or injury requires professional attention and should be treated within 24 hours to 

avoid development of a situation in which further complications could result if treatment 

is not received. The most common form is illness or “the flu”. 

What happens if I disenroll (voluntary/involuntary) from the United States Air Force 

Academy Preparatory School before I am enrolled in the United States Air Force Academy 

4 Year program? 

If you choose to separate, it is in your best interest to ensure all medical treatment is received 

prior to separation. Any continued care post-separation will be authorized only on a case-by-case 

basis (predominantly coordinated prior to separation). If you separate you must understand that 

further medical care is your financial responsibility unless you were previously eligible for VA 

medical benefits. 

Do I need to turn in my medical records? 

Medical records criteria will differ depending on your status. 

Current Active Duty member (Priors), you will hand carry your original medical records 

to the USAF Academy and turn it in during the medical portion of inprocessing. 

Current Military Dependant or Civilian (Direct Entry), your medical records must 

remain at the last base or clinic you were treated. It is highly encouraged you obtain a 

copy of those records. You may turn in that copy during the medical portion of your 

inprocessing, or you can keep them. You are not required to turn them over to the DoD 

medical system. 

35

MEMORANDUM FOR USAFA PREP STUDENT SELECTS (Priors and Direct Entries) 

FROM: 10TH MEDICAL GROUP 

USAF ACADEMY CO 80840 

SUBJECT: Immunization Record Form Instructions 

1. In order to ensure the health of our Airmen, immunizations are required for entrance into the 

Academy Preparatory School. All students are required to get the necessary immunizations 

PRIOR to arrival at the Academy. To avoid unnecessary immunizations, the Immunizations 

form must be filled out and faxed or e-mailed. 

2. Follow these steps when filling out this questionnaire: 

a. Use a ballpoint pen only (no felt tip pens or pencils) DO NOT slash your O’s, 7’s, or Z’s. 

b. Part I: to be completed by selectee: 

i. Fill in Part I completely. Please write legibly 

ii. For all dates, use six digits – month/day/year. 

iii. If an error is made, completely cross out the entry and re-write it. 

iv. DO NOT attach original records to this form, as they will not be returned. 

c. Part II: To be completed by licensed primary care physician, nurse or technician 

ONLY. 

i. Fill in Part II completely. 

ii. For all dates, use six digits – month/day/year. 

iii. Ensure each dose is filled in with the date it was accomplished. 

3. Once the record is completed, make two (2) photocopies of it. 

a. Keep one for personal records. 

b. Fax the original to (719) 333-5448; or mail a copy to: Immunizations Clinic, 

10MDOS/SGOMA, 4102 Pinion Drive, Suite 100, USAF Academy, CO 80840 

c. Hand carry a copy with you on in-processing day. 

4. Please note that ALL immunizations and the Tuberculosis test listed on the form are required 

for admission. The recommendation is to receive ALL immunizations AT LEAST TWO 

WEEKS PRIOR to in-processing day. 

5. Any missing vaccines that are not recorded will be administered upon entrance into the 

Academy. Immunizations have a risk of side effects, and some result in sore arms, fatigue, 

headaches, and other flu-like symptoms. It takes 4-6 weeks for an immunization to produce an 

immune response and protect you from disease. Please keep that in mind when scheduling your 

immunization appointments. 

6. If you have any questions regarding these immunizations please contact the Academy 

Immunization Clinic staff by email at 10MDG.SGOMA@usafa.af.mil. Please be aware that due 

to patient privacy laws, we may not be able to discuss some information over e-mail and may 

need to be able to call you to discuss any private information. 

CHARLES N. WEBB, Lt Col, USAF, MC 

USAFA Allergy and Immunizations Clinic 

36

Last Name Gender 

First Name MI 

Home Phone Number Social Security Number 

Email address: _________________________________________________________ 

Please initial in the box below: 

Immunization Record for USAFA Prep Selectees 

Part I- To be completed by appointee: 

Completion of all listed immunizations is required for full medical qualification and admission into the USAF Academy. Any 

vaccinations not received prior to arrival at the Academy will be given on inprocessing day. 

Please address any questions regarding this form to the Academy Immunization Clinic by email at 

10MDG.SGOMA@usafa.af.mil. 

I understand that all immunizations are required for admission. 

Optional: 

"I authorize the USAF Academy Immunization Clinic to discuss my immunization record with my parent/guardian." 

Signature of Cadet-Candidate appointee:___________________________________________________ 

Part II- To be completed by a licensed primary care physician, nurse or immunization technician ONLY: 

Please ensure each dose is filled in with the date it was accomplished. 

Any missing vaccines that are not recorded will be re-administered upon entrance to the U SAF Academy Preparatory School. 

A. Diphtheria, Pertussis and Tetanus Vaccine: Please circle the type and fill in the date of all doses. 

#1 #2 #3 

(DTaP \ DTP \ DT) (DTaP \ DTP \ DT) (DTaP \ DTP \ DT) 

#4 #5 

(DTaP \ DTP \ DT) (DTaP \ DTP \ DT) (DTaP \ DTP \ DT) 

Tetanus and Diphtheria and/or Tetanus, Diphtheria and Pertussis Vaccine: 

(Td \ Tdap) (Td \ Tdap) 

If only Td was given, Tdap is required if it has been more than two years since the last Td vaccination. 

------------------------------------------------------------------------------------------------------------------------------------------------------------ 

B. Polio Vaccine: Please circle the type and fill in the date of all doses 

Must be given within six months of admission (if not a prior active duty military member). 

#1 #2 #3 

(OPV \ IPV) (OPV \ IPV) (OPV \ IPV) 

#4 #5 

(OPV \ IPV) (OPV \ IPV) (OPV \ IPV) 

*NOTE: AIR FORCE REQUIRES ALL MEMBERS TO BE GIVEN AN ADULT DOSE OF POLIO WITHIN 6 

MONTHS OF ADMISSION 

------------------------------------------------------------------------------------------------------------------------------------------------------------ 

C. Measles, Mumps, Rubella Vaccine (MMR): Must have at least two doses. 

#1 #2 

------------------------------------------------------------------------------------------------------------------------------------------------------------ 

D. Hepatitis A Vaccine (Hep-A): Dose #2 must be at least six months from dose #1. 

38

E. Hepatitis B Vaccine (Hep-B): 

Dose #2 must be at least one month from dose #1. Dose #3 must be at least five months from dose #2. 

#1 #2 #3 

------------------------------------------------------------------------------------------------------------------------------------------------------------ 

F. Twinrix Vaccine: (Hep-A and Hep-B Combination). Not necessary if you have received the Hep-A and/or Hep-B series 

separately. 

See section D & E for vaccination schedule. 

#1 #2 #3 

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 

G. Meningococcal Vaccine (Menomune, Menactra, Menveo): Please circle type and fill in the date. 

(Menomune \ Menactra\Menveo) 

------------------------------------------------------------------------------------------------------------------------------------------------------------ 

H. Tuberculosis Test (TB Test, IPPD, PPD): Required within six months of entrance. 

NOTE: if you have ever had a positive TB test, please answer the following questions. 

Date Placed: Date Read: 

Results: _________millimeters Circle: Negative / Positive 

Have you ever had a positive TB test? YES____ NO____ 

If “YES” 

1. What was the reaction size? _________millimeters. 

2. Was a chest x-ray performed? YES____ NO____ 

2a. Date: ___________ (Attach Results) 

3. Date prophylactic therapy completed (if applicable) ________________. 

------------------------------------------------------------------------------------------------------------------------------------------------------------ 

Varicella Vaccine: (Chicken Pox). #1 #2 

*Varicella titers will be drawn on everyone at admission – no need to draw at this time. Please annotate previous 

vaccination with Varicella 

OPTIONAL VACCINATION: 

Human Papillomavirus Vaccine (HPV):. 

Dose #2 must be at least two months from dose #1. Dose #3 must be at least four months from dose #2. 

#1 #2 #3 

----------------------------------------------------------------------------------------------------------------------------------------------------------- 

Signature of Physician/Provider or Nurse:_____________________________________________________ 

Printed/Stamped Name of Physician/Provider or Nurse:____________________________________ 

Health Care Providers’ Address and Telephone Number:___________________________________ 

Once record is completed, make two (2) photocopies of it. 

� Keep one for personal records. 

� FAX the original to 719-333-5448 . 

� Hand carry one copy with you on in-processing day. 

This information is protected by the privacy act of 1974 (PL-93-579). Unauthorized access to this information is a violation of federal law. 

Violators will be prosecuted. 

39


FROM: 10th DS/SGD 

2355B Faculty Drive 

USAF Academy, CO 80840-8200 

SUBJECT: Dental Requirements for In-Processing 

1. Congratulations on your acceptance to the USAF Academy Preparatory School. On behalf of the 

10th Dental Squadron, I welcome you to the USAF Academy and Colorado. 

2. It is our desire to ensure that dental concerns do not interfere with your success as an Air Force 

Preparatory School student. The Preparatory School staff expects that you will arrive here with no 

potentially disqualifying medical or dental conditions; mentally, physically and emotionally ready to 

begin a vigorous physical and academic Preparatory Class year. Examples of dental conditions that may 

prevent you from performing optimally include (1) the presence of wisdom teeth, either erupted or 

impacted, that cannot be maintained in a state of health, (2) cavities that may become emergent problems 

if not restored immediately, (3) active orthodontic appliances (braces). 

3. Active orthodontic appliances are a disqualifying condition for USAFA Preparatory School 

admission. Braces must be removed prior to your arrival at the Air Force Academy Preparatory 

School or you will not be admitted into the program. All orthodontic treatment must be completed 

and retainers (if indicated) in place prior to entering the Preparatory School. Don’t forget to bring your 

retainers with you! 

4. Interestingly, wisdom teeth are the leading cause of lost academic time. I highly encourage you to 

visit your family dentist for a thorough dental examination, paying particular attention to the abovementioned 

concerns. Correction of all dental defects and removal of wisdom teeth, when indicated, 

before arriving at the Academy will maximize your dental readiness, minimize lost academic time and go 

a long way toward ensuring your success as an USAFA Preparatory School student. 

5. Upon arrival at the Academy, you will commence with a myriad of in-processing actions including a 

dental examination. The USAFA Dental Clinic has recently converted to digital dental radiology. Thus, 

unlike in past years, there is no need for you to bring x-rays or a dental record from your civilian 

dentist. 

6. Again, welcome to the United States Air Force Academy Preparatory School. Be assured that my 

dental staff is eager to serve you and will strive to provide the highest level of dental health for you. If 

you have questions, my point of contact is Master Sergeant Kelly Links. She can be reached at 

kelly.links@usafa.af.mil or (719) 333-5192. Thank you for your attention to these matters. 

//signed// 

Douglas C. Wilson, Col, USAF, DC 

Commander, 10th Dental Squadron 

40


HEADQUARTERS UNITED STATES AIR FORCE ACADEMY PREPARATORY SCHOOL 


MEMORANDUM FOR CADET CANDIDATE SELECTS (Direct Entries only) 

FROM: USAFA Preparatory Security Manager 

5220 Cedar Dr 


SUBJECT: Security Clearance Submittal 

28 February 2012 

1. Congratulations on your selection to the United States Air Force Academy Preparatory 

School! I am TSgt Jose H Cano, your USAFA Preparatory School Security Manager. Prior to 

your arrival you will need to complete a Standard Form 86 (Questionnaire for National Security 

Positions) and gather information from your family, employers and schools. During Prep School 

Basic Military Training, you will be applying for a Security Clearance. The clearance is needed 

to gain access to the USAFA computer network, attend certain briefings, attend certain trips, etc. 

a. Please complete the Standard Form 86 questionnaire (2010 Version) located online at: 

http://www.opm.gov/forms/pdf_fill/SF86.pdf Once you have completed the SF 86, print it 

and bring it to Prep School In-processing. A hard copy is also included if you don’t have 

internet/printer access. 

b. To verify citizenship, all selectees except Prior Service members and Reserve members must 

provide the following documents in order to submit a security clearance: bring an original of one 

of the following: birth certificate (with birth abroad certificate if born overseas), passport, 

certificate of citizenship, or naturalization certificate. These documents will be returned to 

you after verification. 

Note: Previously enrolled, Prior Service members and Reserve members who have previously 

received a security clearance are not required to complete the Questionnaire. Also, if you now 

hold or if you have ever held multiple/foreign citizenship, bring your current or expired foreign 

passport. Do not fax or or email this package back. PLEASE ENSURE YOU HAVE IT ON 

HAND DURING THE FIRST DAY OF INPROCESSING. 

2. If you have any questions or concerns please call me at (719) 333-2176 or email 

Jose.cano@usafa.edu. 

//SIGNED// 

JOSE H. CANO, TSgt, USAF 

USAFA Preparatory School Security Manager 

41

100

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125

126

127

128

129

130

131

132

133

134

135

136

137

138

139

140

141

142

143

144

145

146

147

148

149

150

151

152

153

154

155

156

157

158

159

160

161

162

163

164

165

166

167

168

169

REQUEST FOR PERSONNEL SECURITY ACTION 

AUTHORITY: 10 U.S.C. 8012; 44 U.S.C. 301; and EO 9397. 

PRINCIPAL PURPOSES: To identify investigation, security clearance, unescorted entry requirements, and special access program authorizations. 

ROUTINE USES: To request personnel security investigations, Record emergency or limited access authorization, entry to restricted areas, and to record special 

access program authorizations. SSN is used for positive identification of the individual and records. 

DISCLOSURE IS VOLUNTARY: Failure to information and SSN could result in assignment to less sensitive duties. 

I. IDENTIFYING INFORMATION 

1. NAME (Last, First, Middle, Maiden) 

2. ORGANIZATION OR FIRM SPONSOR 

3. GRADE 

4. SSAN 

5. CITIZENSHIP 

PHONE: US CITIZEN IMMIGRANT ALIEN NON US-NATIONAL 

6. DATE OF BIRTH 

7. PLACE OF BIRTH (City, State, Country) CURRENT ADDRESS 

II. INVESTIGATION, CLEARANCE, ELIGIBILITY, ENTRY ACCESS 

REQUIREMENTS 

8. INVESTIGATION REQUIREMENT 9. INVESTIGATION CLEARANCE ENTRY AND ACCESS REQUIREMENTS 

NATIONAL AGENCY CHECK (NAC) or (NACLC) or (NACLC-PR) ONE TIME ACCESS LIMITED ACCESS 

NATIONAL AGENCY CHECK WRITTEN INQUIRES (ANACI) or (ANACI-PR) INTERIM CLEARANCE SPECIAL ACCESS SCI/SAP 

BACKGROUND INVESTIGATION (BI) FINAL CLEARANCE UNESCORTED ENTRY 

SPECIAL BACKGROUND INVESTIGATION (SBI) or (SSBI) TOP SECRET PRIORITY “A” 

BI PERIODIC REINVESTIGATION SECRET PRIORITY “B” 

SBI PERIODIC REINVESTIGATION (SBPR) (PPR) CONFIDENTIAL PRIORITY “C” 

III. LOCAL FILES CHECK 

10. TO: 

11. FROM: 

12. DATE 

13. TYPED NAME, GRADE, TITLE OF REQUESTER 

14. SIGNATURE 

IV. MEDICAL RECORDS CHECK 

15. I CERTIFY a medical records check required by DOD 5200.2R/AFR 205-32, has been completed and no information exists, unless shown Section VII, which would preclude the 

granting of a security clearance, unescorted entry to restricted areas, or access to special program classified information. 

16. DATE 

17. TYPED NAME AND GRADE OF BASE DIRECTOR, MEDICAL SERVICES 18. SIGNATURE 

V. SECURITY FORCES RECORDS CHECK 

19. I CERTIFY a security forces records check required by DOD 5200.2R/AFR 205-32, has been completed and no information exists, unless shown Section VII, which would 

preclude the granting of a security clearance, unescorted entry to restricted areas, or access to special program classified information. 

20. DATE 

21. TYPED NAME AND GRADE OF SECURITY FORCES OFFICIAL 22. SIGNATURE 

VI. ACCESS AUTHORIZATION 

ONE TIME ACCESS LIMITED ACCESS CNWIDI NATO SIEOP 

CONTINUING ONE TIME 

23. I CERTIFY the named individual requires access to the above special program(s), meets all investigative and clearance requirements, and has been briefed on program 

responsibilities as outlined in the governing directive. If applicable, emergency or limited access is necessary and will not endanger the national security 

24. DATE 25. TYPED NAME, GRADE AND TITLE OF APPROVING AUTHORITY 26. SIGNATURE 

27. DATE 28. TYPED NAME, GRADE AND TITLE OF SPECIAL ACCESS PROGRAM 

CERTIFYING OFFICIAL 

VII. REMARKS 

AF FORM 2583, 198770301 (EF-V3) PREVIOUS EDITION WILL BE USED 

170 

29. SIGNATURE

Section I 

Section II 

AF FORM 2583 GUIDE 

1. Name (Last, First, Middle, Maiden) 

a. Example- “Doe, Jon Gifford” 

2. Organization or Firm Sponsor 

a. “USAFA PLT” 

3. Grade 

a. “E-1” 

4. SSAN 

a. “xxx-xx-xxx” 

5. Citizenship 

a. “U.S” 

Phone 

b. Use this number� “719-333-2583” 

Click the following box: 

c. “US CITIZEN” 

6. Date of Birth 

a. Example- “1 Jan 1980” 

7. Place of Birth (City, State, Country) 

a. PLACE OF BIRTH AS LISTED ON YOUR BIRTH CERTIFICATE -> ”Cincinnati, OH” 

Current Address 

a. Leave Blank 

8. Investigation Requirement 

a. Place an “X” next to “National Agency Check (NAC) or (NACLC-PR)” 

9. Investigation Clearance Entry And Access Requirements 

a. Place an “X” next to “Secret” 

171




MEMORANDUM FOR CADET CANDIDATE SELECTS (Priors--Guard & Reservists) 




SUBJECT: Prior Service Selectee Forms 

1. Some prior service selectees will have additional forms to complete before reporting for 

in-processing. If you are coming from a Guard or Reserve unit, you must complete the forms 

listed below and mail them with your completed package. Mail the forms to: 




2. Guard and Reserve personnel of any branch - Complete block 1 and sign block 3d of 

the Conditional Release DD Form 368, then submit to your Commander for processing. 

a. Instructions for Unit Commanders: This memorandum waives the Recruiter’s 

Signature and Date requirements in blocks 4c through 4d. Refer to your 

Service Component guidance for processing the Authorizing Official and 

Certifying Official requirements. 

b. Instructions for Unit Personnel Action Centers: Personnel position numbers 

will not be assigned until after the member in-processes the USAF Academy. 

3. Air Force Reserve and Air National Guard personnel only - In addition to the DD 368 

you must complete an Application for Ready Reserve Assignment AF 1288. Complete the 

form and initial blocks 21-26 in the space indicated, then sign and date the form. Do not 

check block 13. In addition, Air National Guard members may be required to complete 

additional paperwork required by your state. Consult your squadron Orderly Room or 

Military Personnel Flight for state Guard requirements. 

4. If you have any questions on the enclosed paperwork, please call Student Services at (719) 

333-2583 or DSN 333-2583. 

//signed// 


172

173

174

175

176

177

APPLICATION FOR READY RESERVE ASSIGNMENT 

PRIVACY ACT STATEMENT 

AUTHORITY: Title 10 U.S.C., Section 275 and Executive Order 9397. 

PRINCIPAL PURPOSES: Request for Ready Reserve assignment must contain current personal information to complete processing. Use of the 

member's social security number is necessary to make positive identification of the individual and his or her records. 

ROUTINE USE: This information may be disclosed, upon request, to Federal, State, and local agencies for law enforcement purposes or in pursuit of 

their official duties and to the Department of Justice for litigation. 

DISCLOSURE IS VOLUNTARY: An individual who chooses not to submit necessary documentation will not be eligible for Ready Reserve assignment. 

INSTRUCTIONS: Complete the application in duplicate. If you need additional space for any item, attach another sheet which indicates the applicable 

item number(s). 

1. NAME (Last Name, First, Middle Name) 

2. RANK 

3. DATE OF RANK 4. SSN 

5. HOME ADDRESS 

E-MAIL ADDRESS 

8. DATE OF BIRTH 

13. OFFICER 

REGULAR RESERVE 

DATE OF ORIGINAL COMMISSION ______________________ 

15. PRESENT ASSIGNMENT AND ATTACHMENT (Indicate military branch, unit 

address, training, and retirement category, MPF street address, and phone.) 

AF IMT 1288, 20040803, V1 

(If different than permanent address, indicate both.) 

9. HEIGHT (Inches) (Mandatory) 10. WEIGHT (Mandatory) 11. % DISABILITY COMP 

RECEIVED 

12. AIRMAN (ETS) 

HQ USAFA Preparatory School 

17. MILITARY SCHOOLS ATTENDED (Indicate date, course number, title, and 18. MILITARY EXPERIENCE (Indicate DAFSC, position title, level of command, 

location.) 

highest grade, and duration. List only experience that directly substantiates your 

qualifications for assignment requested.) 

19. CIVILIAN EDUCATION (Indicate years completed, major subject, and 

degree, if any.) 

6. PHONE (Include prefix) 

(office) (Primary) 

(home) 

21. I have been counseled concerning the Air Force direct deposit/electronic funds transfer. 

16. ASSIGNMENT DESIRED (Indicate unit preferred, specific program training, 

and retirement category or description of type of training desired.) 

PREVIOUS EDITIONS ARE OBSOLETE 

7. AFSC 

(Additional) 

14. REMARKS/AERONAUTICAL RATING (Indicate if on flying status. If 

requested assignment will authorize flying duty, indicate flying experience by 

type of aircraft and hours in each, date and type of instrument card now held, and 

date of last physical examination.) 

20. CIVILIAN EXPERIENCE (In chronological order showing latest experience 

first, indicate pertinent experience to include employers, positions held, and 

duration.) 

22. I certify I have/have not (circle one) misused any government travel charge card (used for other than official government travel), or been 

seriously delinquent (payments not received by card issuer within 60 days from the billing date). I understand if I make a fraudulent statement, I 

am subject to immediate discharge action. 

23. For individuals requesting assignment to a training site beyond 100 miles or 3 hours one-way driving time (AFI 36-2115). I acknowledge 

my responsibility for any hardships, including financial, incurred in performing the duties of the assignment. I understand I will not be 

reimbursed for travel expenses incurred for inactive duty training. 

24. For all individuals requesting assignment to the Ready Reserve (Cat A Unit, IMA position, Cat E Points Only Program, Individual Ready 

Reserve.) I certify that I have/have not (circle one) had a UIF established (or similar derogatory information file which may include an Article 15, 

Captain's Mast, or Court Martial action) within the last 2 (enlisted) or 5 (officer) years. I understand that if I make a fraudulent statement I am 

subject to immediate discharge action. 

25. I have been briefed on the Anthrax vaccine immunization program. I understand I will be immunized against anthrax if required under the 

new Air Force Anthrax Implementation Plan, dated, 11 October 2002, and its successor guidance. 

26. If this assignment requires retraining, I agree to attend the applicable technical school. 

SIGNATURE OF APPLICANT DATE (YYYYMMDD) 

Applicant's Initials 






27. I certify that the data contained herein are true and correct to the best of my knowledge. I also acknowledge that upon my assignment to the Ready Reserve, I 

am responsible to notify my employer of my Ready Reserve status and that as a Ready Reservist, I shall be subject to involuntary order to active duty in time of war 

or national emergency declared by the Congress, a national emergency declared by the President, or when otherwise authorized by law. 

178

TO 

HQ USAFA/PL 

REMARKS 

Member was released to attend the US Air Force Academy Preparatory School 

Losing Unit 

AF IMT 1288, 20040803, V1 

(REVERSE) 

FIRST ENDORSEMENT 

MEMBER HAS/HAS NOT COMPLETED THE FITNESS PROGRAM (DATE LAST TEST IF APPLICABLE) AND DOES/DOES NOT MEET THE 

PHYSICAL QUALIFICATIONS FOR CONTINUING SERVICE. MEMBER MEETS/DOES NOT MEET OTHER QUALITY FORCE STANDARDS FOR 

CONTINUING SERVICE. 

NAME AND TITLE (Please type) 

TO 

AUTHORIZED GRADE 

USAFA Preparatory School 

UNIT OR TYPE OF ASSIGNMENT 

UNIT IMA OTHER (Specify) 

RESERVE SECTION CODE DUTY POSITION NUMBER ASSIGNMENT LOCATION 

UNIT OF ATTACHMENT 

PAS 

RECOMMEND 

EDCSA RECRUITER ID CODE 

SIGNATURE DATE (YYYYMMDD) 

RECOMMEND APPROVAL (Furnish assignment data) 

DISAPPROVAL (State reason(s) in the "REMARKS" section.) 

GRADE WAIVER 

REMARKS 

FROM 

APPROVAL DISAPPROVAL (State reason(s) in the "REMARKS" section.) UIF 

YES NO 

SECOND ENDORSEMENT 

FROM 

AUTHORIZED AFSC FUNCTIONAL CODE TRAINING & RETIREMENT CATEGORY 

MC N/A USAF Academy CO 

USAF Academy Preparatory School 

US0BFNP9 

In-processing Day 11/07/2012 N/A 

Duty Title: Precadet Assignnee 

YES NO AUTH 

B/B 

USAF Academy Preparatory School 

REPORTING OFFICIAL 

UNIT OF ATTACHMENT PAS 

RECRUITER DUTY PHONE 

(Name and SSN) 

USAFA Preparatory School 

(DSN and Commercial) 

NAME AND TITLE (Please type) SIGNATURE DATE (YYYYMMDD) 

LEEANN N. ROBERTS, MAJ, USAF 

Commander, 1st Preparatory Group 

THIRD ENDORSEMENT (Do not include assignment data except to correct original data) 

TO FROM 

RECOMMEND 

REMARKS 

APPROVAL DISAPPROVAL (State reason(s) in the "REMARKS" section.) 

Forward to assignments branch at Buckley (DSN 926-6423 Assignments Branch) 

Then losing unit will push to the Prep School PAS Code Must be done 6 weeks prior to entry 

NAME AND TITLE (Please type) SIGNATURE DATE (YYYYMMDD) 

BARTHOLOMEW W. WEISS, Colonel, USAF 

Commander, USAF Academy Preparatory School 

179 

N/A

180

181


FROM: The Community Center Chapel 

SUBJECT: Welcome from the Community Center Chapel Chaplains 

1. Congratulations on your selection to the United States Air Force Academy Preparatory School. As your future 

chaplains, we want to ensure you are supported and cared for and that you have an opportunity to practice your 

faith. 

2. As chaplains we offer individual counseling, which may involve homesickness, coping with the challenges of 

Preparatory School life, learning about spirituality and much more. Your Preparatory School chaplains are 

Chaplain Marshall MacClellan (Protestant) and Chaplain Laserian Nwoga (Catholic). Students may visit any 

chaplain during personal time or by making an appointment through their Academy Military Trainer or other faculty 

member. 

3. In addition to our regular chapel programs, the Community Center Chapel offers Special Programs In Religious 

Education (SPIRE). SPIRE is a unique voluntary ministry specifically designed for Cadet Candidate Selectees. 

SPIRE meets on Wednesdays from 6:00 – 7:15 PM at the Community Center Chapel and includes a free dinner and 

relevant discussions and teachings on a variety of religious topics. Other aspects of Preparatory School chapel 

ministry include religious formation classes, scripture studies, fellowships and retreats throughout the year. 

4. Regular Service times at the Community Center Chapel are: 

Catholic 

Saturday, Sacrament of Reconciliation, 3:00 PM 

Saturday, Mass, 4:00 PM 

Sunday, Mass, 9:00 AM 

Sunday, Religious Formation, 10:15 AM 

Protestant 

Sunday, Evangelical Service, 10:15 AM 

Sunday, Gospel Service, 11:30 AM 

Wednesday, Religious Education, 6:00 PM 

5. Every effort is made to meet your spiritual needs. Your chapel staff is ready to provide you with information on 

other religious services available in the local community. For more information or to speak with a chaplain, contact 

the Community Center Chapel Office at 719-333-3300. 

//signed// 

RANDALL W. ERWIN, Ch, Lt Col, USAF 

Wing Chaplain 

182




MEMORANDUM FOR PARENTS 




SUBJECT: Student Services 

1. Hello and welcome to the Prep School Family! I would like to take a moment to speak to 

you, the parent, and introduce you to Student Services. As the parent of a cadet candidate you 

are now embarking on a long and sometimes confusing journey. Student Services is here to help 

you navigate the next 10 months. Many of you may be unfamiliar with the military and all of 

our acronyms. For those with a military background, you may have other questions regarding 

holiday breaks or Parents’ Weekend information. Regardless of what questions you might have, 

Students Services is here for you. 

2. The main charter of this office is to serve the cadet candidates and their parents. Among other 

things, Student Services oversees Parents’ Weekend, In-processing, Graduation, Student Mail 

and Holiday Break Info. We are also the Prep School’s Parent Liaison. If you have questions 

about programs or life at the Prep School in general I encourage you to contact my office at 719- 

333-2583. Student Services is your one stop information office. 

3. One point we would like to stress is that you refrain from sending your son or daughter any 

gift packages, cakes, candies, t-shirts, etc. until the day after Basic Military Training is complete 

(05 August). Please note that no gift baskets will be delivered to the cadet candidates during this 

training period. Once they are done, however, we are sure they would appreciate a gift from 

home! 

4. Please remind your son/daughter that they will not be authorized to have privately owned 

vehicles (POVs) while attending the Prep School. Additionally, if they have dual citizenship in 

another country, they will have to renounce that country’s citizenship in our presence and have 

that foreign passport officially destroyed by our security manager here at USAFA. 

5. Again, I extend to you a hearty welcome to the Prep School family and look forward to 

meeting and working with you over the next 10 months. Remember your one-stop destination 

for Prep School information … Student Services. 

183 

//signed// 


Developing Officers of Character in Service to Our Nation 

Fact Sheet: Basic Military Training (BMT) 

Mission of the USAF Academy Preparatory School: 

The mission of the USAFA Academy Preparatory School is to motivate, prepare, 

and evaluate selected candidates in an academic, military, moral, and physical 

environment to perform successfully and enhance diversity at USAFA. 

Mission of Basic Military Training: 

Basic Military Training (BMT) is an intensive 18-day program designed to 

produce disciplined, physically fit and professionally motivated cadet candidates 

through a challenging and motivating introduction to the military profession and 

the Preparatory School environment. We equip each basic cadet candidate with 

the essential military skills and knowledge expected of a cadet candidate. 

During inprocessing, each basic cadet candidate takes the Oath of Enlistment and 

is enlisted into the United States Air Force. After the Oath, basic cadet 

candidates are escorted to their dorm rooms by Academy Military Trainers 

(AMTs) who will be their cadre, or primary trainers, for Basic Military Training. 

BMT initially focuses on the transition from civilian to military life. AMTs will 

instruct basic cadet candidates in military topics including customs, courtesies, 

the Honor Code, Air Force heritage, marching, personal appearance, and room 

order. Their daily physical conditioning includes strenuous exercises, running, 

and competitive sports. 

A typical day begins with a 4:30 am wake-up, followed by physical conditioning 

and then military training. Three hearty meals are served each day in the Dining 

Facility. Intramural sports take place in the afternoon. “Intercollegiate” athletic 

teams will begin practicing during the last few days of BMT. Afternoon sports 

are followed by briefings on Air Force Core Values, the Honor Code, and other 

military topics. Taps occurs at 9:00 pm, ensuring the Basic Cadet Candidates get 

plenty of rest for the next day’s challenging events. All of these activities will 

condition the Basic Cadet Candidates to meet the physical and mental demands 

of the Prep School and prepare them for the academic portion of the program. 

BMT culminates in a ceremony where the BMT cadre hand over leadership of 

the Preparatory School squadrons to the new cadet candidates. 

BMT is not an easy program. It will challenge basic cadet candidates physically, 

mentally, and emotionally. But once completed, cadet candidates will have 

expanded their limits and will emerge with a deep sense of pride and confidence 

in their accomplishments and abilities. They will have taken a first step in their 

journey to becoming officers of character in service to their nation. 

184







Dear Parents of Cadet Candidate Selects, 

Attending the USAF Academy Preparatory School is a unique experience. This experience, 

in small measure, is shared with you through Parents’ Weekend. 

Parents Weekend will take place during the Labor Day Weekend, 31 Aug – 03 Sep. This is 

an annual event not only for the Preparatory School but also for the USAFA Academy’s nearly 

4,000 cadets. For this reason it is important to make reservations for transportation and lodging 

as early as possible. As you can imagine, with the onslaught of so many proud parents and 

friends visiting the Colorado Springs area, the availability of airline tickets, hotels, and rental 

cars is limited. For local information on hotels, rental cars and local attractions, contact Colorado 

R & R. Their phone number is (719) 333-7367 or 1-877-517-3381 (toll free) or 

www.coloradorandr.com. Another option available is the Colorado Springs Chamber of 

Commerce at www.coloradospringschamber.org. 

Several activities are planned for this exciting weekend. Some of these activities include a 

Preparatory School campus and classroom visit, a Preparatory School military parade, a 

Preparatory School football game, and an Air Force Academy football game. In addition to 

events specifically provided by the Air Force Academy, there are also many tourist attractions in 

Colorado Springs to visit and explore. 

Although the schedule is not yet fixed, there are several factors that you might want to 

consider when making your plans. Parents and family have the opportunity to accompany their 

cadet candidate to class on Friday morning…classes begin at 0735 and end at 1130. Cadet 

candidates are required to attend our football game on Friday afternoon, the parade on Saturday 

morning, and the USAF Academy Football game on Saturday afternoon. They will be allowed 

to spend the remainder of the weekend with their family and friends until Monday evening. You 

may call Student Services for updated information at (719) 333-2583. As stated above, the 

schedule is not yet fixed. For this reason the cadet candidates will be briefed after classes begin 

in August regarding Parents’ Weekend events. After that briefing, your cadet candidate will 

have more information for you concerning specific events. 

185 

Sincerely, 

//signed// 


Fact Sheet: Parents Weekend 

Developing Officers of Character in Service to Our Nation 

Welcome to your United States Air Force Academy Preparatory School Parents 

Weekend. Parents’ Weekend begins on Friday, August 31 st 2012, and ends Labor 

Day September 3 rd 2012. The following information is provided to assist you in 

planning for the various Parents’ Weekend Events. Please read the information 

carefully so that you can closely plan your Parents’ Weekend with your cadet 

candidate. 

The students have progressed since you last saw them from being cadet 

candidate selects to full-fledged cadet candidates. Basic Military Training has 

given them new confidence in a strength many did not know they had. We 

believe you will be impressed with the changes you see in them as they display 

their military precision during the Parents’ Appreciation Parade and their 

academic growth during the Classroom Open house. Then of course there is the 

Preparatory School Homecoming Game at Husky Stadium. 

Arrival at the Prep School: 

Parents arriving from outside the Colorado Springs area are encouraged to arrive 

on Thursday, August 30 th 2012, as several of the scheduled events begin the 

next morning. Please note that due to military training requirements you will not 

be able to visit the Preparatory School or your cadet candidate until the morning 

of August 31 st . 

Parking and Gate Access: 

To get to the Preparatory School Parking Lot, you will want to enter through the 

Academy South Gate on North Academy Blvd. You will be able to enter the 

base with your driver’s license. 

Weather: 

Due to our location on the Rocky Mountain front range and our high elevation, 

weather at the Academy can be highly unpredictable and change rapidly. The 

temperature can vary form the high 80s to the low 40s. We recommend that you 

come prepared for both extremes as well as rain or fog and that you bring 

sunscreen, clear and unopened liquid bottles (to facilitate security screening), 

hats for good weather during the scheduled events, and raincoats/hats for bad 

weather. To better plan your visit, visit the Academy weather website frequently 

prior to your departure at www.usafa.edu/tu/306ftg/oss/weather/sevenday.cfm 

for the seven-day forecast trends. 

For questions about Parents Weekend, please contact the Director of Student 

Services at pl.dss@usafa.edu or (719) 333-2583. 

186

187

USAFA BASE LIBRARY REGISTRATION FORM 

Please complete the form below and bring this page to in-processing with you. All students are 

required to open a Base Library account while at the Prep School. 

At in-processing, have the completed form and your Social Security card ready to give to one of the 

Librarians. 

ONLY complete *starred/bolded* areas. Library staff will complete all other areas. 

Print all information. 

Write ABOVE the line. 

PREP CARDHOLDER EXP. DATE: 

* * 

*PREP SSN* *PREP NAME (LAST, FIRST, MI)* (Please write on line above) 

THIS FORM COMES UNDER THE PURVIEW OF THE PRIVACY ACT OF 1974 AUTHORITY: 10 USC, CHAP 903 and E.O. 9397 

PRINCIPAL PURPOSES: To fully identify patrons of the library and analyze library use. Use of social security number is necessary to make positive 

identification of the individual and records 

ROUNTINE USES: Used as input data to create and maintain the library’s automated circulation control system. This system is used to verify patron eligibility, 

issue library cards, identify and follow-up delinquent borrowers, and control circulation. 

DISCLOSURE IS VOLUNTARY: Failure to supply the requested information will result in individual not being authorized to check out library materials. 

A B C Box USAFA, CO 80840 

SQUADRON ACADEMY POST OFFICE BOX CITY, ST ZIP 

* * 

*CELL PHONE * *EMAIL ADDRESS* 

CARD #__________________________________________________ DATE__________________________________ STAFF__________________________ 

188

189

Checklist for Forms 

(Direct Entry Selectees) 

A. Mail the following forms within 10 days of receipt! 

Form Name: Check-off 

Academy Admissions Statement of Understanding ________ 

Prep School Statement of Understanding ________ 

Release of Liability ________ 

Prep School In-Processing Worksheet (Printed and Legible) ________ 

Uniform Size Information ________ 

Athletic Questionnaire ________ 

Fast Start Direct Deposit Form (FMS 2231) ________ 

State of Legal Residence Certificate (DD 2058) ________ 

Request for Personnel Security Action (AF IMT 2583) ________ 

USAFA Base Library Registration Form ________ 

Military Star (MILSTAR) card application ________ 

Armed Forces Bank account application ________ 

B. Complete on-line or fax these documents 


Registrar Letter (Complete on-line questionnaire) ________ 

Immunization Record (Fax to 719-333-5448 or mail to Immunizations Clinic) ________ 

C. Bring the following forms/information with you to in-processing day (1� July) 


Copy of all the forms you mailed and faxed (forms in sections A & B) ________ 

Certified Copy of Birth Certificate ________ 

Social Security Card ________ 

Dependent ID card (If applicable) ________ 

Government Issued Photo ID (Driver’s License, etc) ________ 

Reporting Instructions Letter from the Academy Admissions Office ________ 

Airfare, Taxi, Shuttle, Toll and Excess Baggage receipts for expenses over $75 ________ 

Security Questionnaire ________ 

Dental Records (Only record of treatments since DoDMERB Physical) ________ 

Medical Records (Only record of treatments since DoDMERB Physical) ________ 

Passport (US and Foreign) (If applicable) ________ 

190

D. Packing List 

Each Selectee MUST have the items listed below in his/her possession upon arrival at the 

Preparatory School. If traveling by air ensure items comply with TSA and airline standards 

or place items in checked baggage. 

ITEMS TO BRING QUANTITY 

Combination padlock (for security drawer) 1 

Plain White Athletic Crew Socks 3 

Underwear 5-6 

Plain White bras (Women) 5-6 

Plain White athletic support bras (Women) 5-6 

Plain White Wash Cloths 2-4 

Shower shoes 1 

Soap dish with lid (mandatory for bar soap users) 1 

Soap 2 bars or liquid 

Toothbrush 1 

Toothbrush case 1 

Toothpaste 1 tube 

Razor (blade or electric) (Men) 1 

Blades (if safety razor) (Men) 1 pkg 

Shaving cream (Men) 1 can 

Deodorant 1 container 

Shampoo 1 container 

Sunblock with at least SPF 15 1 container 

Lip balm with SPF 1 container 

Sanitary napkins/tampons (Women) 1 pkg 

Cotton balls (Large) 1 pkg 

Hand/body lotion (the climate is extremely dry) 1 

Prescription glasses (as required) and black strap 1 pair 

Solid black backpack (conservative logo) 1 

Khaki pants (full length, no cargo pants, light color) 1 

Brown leather belt (plain, no ornamentation or designs) 1 

Brown leather shoes (plain, slip on or laced) 1 pair 

Bath Towels, Medium (White Display Towels issued) 2 

OPTIONAL ITEMS 

Graphing Calculator (Highly Recommended –See Below**) 1 

Athletic Supporters (Men) 

Aftershave lotion 

Iron 

Athletic Shoes- See Below* (if above size 13, below size 6, 

Narrow or Wide) [ plain, no bright colors or excessive 

ornamentation ] 

Stationery, stamps, etc. (optional, but highly encouraged) 

Blues skirt (Women) 

Other essential personal hygiene items 

* You will be issued 1 pairs of running shoes. If your shoe size is 6 or smaller or 13 or greater you are required to bring your own athletic shoes 

with you - as availability in these sizes is limited and it may take awhile to get them in. 

** Graphing calculator for use in math courses. TI-83 Plus or TI-84 Plus are recommended and used by the math faculty but any graphing 

calculator will do. Bring the manual with you. If you do not own a graphing calculator, you will be required to purchase one at a cost of $90 - 

$160. 

191

Required Items Checklist 

(Prior Enlisted Selectees) 

A. Mail the following forms ASAP! 


Academy Admissions Statement of Understanding ________ 

Prep School Statement of Understanding ________ 

Prep School In-processing Worksheet (Printed and Legible) ________ 

Athletic Questionnaire ________ 

DD 368 (Guard & Reserve Only) ________ 

AF IMT 1288 (AFRES & ANG Only) ________ 

USAFA Base Library Registration Form ________ 

Military Star (MILSTAR) card application ________ 

Armed Forces Bank account application ________ 

B. Complete the following document on-line 


Registrar Letter (Complete on-line questionnaire) ________ 

C. Bring the following forms/information with you to in-processing day (�� July) 


Copy of all the forms you mailed (forms in section A) ________ 

Certified Copy of Birth Certificate ________ 

Social Security Card ________ 

Common Access Card (CAC)/Military ID card ________ 

PCS Orders ________ 

Airfare, Taxi, Shuttle, Toll and Excess Baggage receipts for expenses over $75 ________ 

Immunization Record (form 2766C) (bring a copy) ________ 

DoD Dental Records ________ 

DoD Medical Records ________ 

UPRG (if available) ________ 

192

D. Packing List 

Each Selectee MUST have the items listed below in his/her possession upon arrival at the 

Preparatory School. If traveling by air ensure items comply with TSA and airline standards 

or place items in checked baggage. Uniform items are for Air Force service members only. 

All other services will be issued AF uniform items. 

ITEMS TO BRING QUANTITY 

Combination padlock (for security drawer) 1 

Plain White Athletic Crew Socks 3 

Underwear 5-6 

Plain White bras (Women) 5-6 

Plain White athletic support bras (Women) 5-6 

Plain White Wash Cloths 2-4 

Shower shoes 1 

Soap dish with lid (mandatory for bar soap users) 1 

Soap 2 bars or liquid 

Toothbrush 1 

Toothbrush case 1 

Toothpaste 1 tube 

Razor (blade or electric) (Men) 1 

Blades (if safety razor) (Men) 1 pkg 

Shaving cream (Men) 1 can 

Deodorant 1 container 

Shampoo 1 container 

Sunblock with at least SPF 15 1 container 

Lip balm with SPF 1 container 

Sanitary napkins/tampons (Women) 1 pkg 

Cotton balls (Large) 1 pkg 

Hand/body lotion (the climate is extremely dry) 1 

Prescription glasses (as required) and black strap 1 pair 

Folder for personal papers 1 

Airman Battle Uniform (Stripes removed, Function badges 

required) 

3 sets 

Tan ABU short sleeve T-shirts 3 

Sage green cushion sole socks 6 pairs 

ABU Utility Cap 2 

APEX Jacket (if you were issued) 1 

ABU Fleece (if you own one) 1 

Sage green AF issue combat boots 1 pair 

Blues short sleeve shirt (No Stripes) 2 

Blues long sleeve shirt (No Stripes) 2 

Blues trousers 2 

AF Enlisted Blues Service Cap 1 

Necktie / Necktab 1 

Black nylon socks 3 pair 

Black leather service shoes (NO patent leather or Corofram) 

Uniform Accoutrements (Ribbon racks, badges, name tags, 

etc.) 

2 pair 

Bath Towels, (White Display Towels issued July 18) 2 

AF Light Weight Jacket 1 

193

Khaki pants (full length, no cargo pants, light color) 1 

Brown leather belt (plain, no ornamentation or designs) 1 

Brown leather shoes (plain, slip on or laced) 1 pair 

OPTIONAL ITEMS 

Graphing Calculator (Highly Recommended –See Below**) 1 

Athletic Supporters (Men) 

Aftershave lotion 

Iron 

Athletic Shoes- See Below* (if above size 13, below size 6, 

Narrow or Wide) [Conform with AFI 36-2903] 

Stationery, stamps, etc. (optional, but highly encouraged) 

Blues skirt (Women) 

Other essential personal hygiene items 

* You will be issued 1 pairs of running shoes. If your shoe size is 6 or smaller or 13 or greater you are required to bring your own athletic shoes 

with you - as availability in these sizes is limited and it may take awhile to get them in. 

** Graphing calculator for use in math courses. TI-83 Plus or TI-84 Plus are recommended and used by the math faculty but any graphing 

calculator will do. Bring the manual with you. If you do not own a graphing calculator, you will be required to purchase one at a cost of $90 - 

$160. 

194

195

196

NOTES 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

197

Fact Sheet - United States Air Force Academy

Create successful ePaper yourself

Delete template?

Save as template?