subject_line
ARMY/AIR
PERSONNEL ONLY
Volunteer for Joint Task Force - Rattlesnake
Last Name
*
First Name
*
M
Branch
*
Army
Air
CSG
Pay Grade
*
O-3
O-2
O-1
E-7
E-6
E-5
E-4
E-3
E-2
E-1
Clearance
*
Unknown
Secret
Top Secret
MOS/AFSC
*
Rank
*
PV1
PV2
PFC
SPC
CPL
SGT
SSG
SFC
AB
Amn
A1C
SrA
SSgt
TSgt
MSgt
WO1
CW2
CW3
2LT
1LT
CPT
Unit (Squadron)
*
Battalion (Group)
*
Brigade (Wing)
*
DoD ID (EDIPI)
*
Last 6 of SSN
*
Contact Email Address
*
Phone Number
*
Date of last Fitness Test
*
+
Fitness Test Score
*
Date of last PHA
*
+
Street Address
*
City
*
Zip
*
Date moved in
*
+
I certify that I am medically qualified to deploy.
*
Yes
No
I was previously on JTF-R orders.
*
Yes
No
Dates previously on JTF-R orders:
Have you received the COVID Vaccine?
*
Yes
No
1st shot?
*
Yes
No
2nd shot?
*
Yes
No
Availability for Employment:
*
+
Upcoming MOB?
*
Yes
No
Date of Upcoming MOB?
*
+
Do you have a GTC?
*
Yes
No