NAVAL RESERVE JAG CORPS
SELECTION BOARD APPLICATION
(Member or Recorder/Assistant Recorder)
FY-2010 BOARDS
I desire to serve as a member or recorder/assistant recorder of the following selection board(s): |
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CAPT/CDR ___ Member (O6 only) ___ Recorder (O5) ___Assistant Recorder (O4 or O3) Convenes 24 Feb 09 Recorder Prep begins 18 Feb 09 |
LCDR ___ Member (O6/O5 only) ___ Recorder (O5/O4) ___Assistant Recorder (O4 or O3) Convenes 10 Jun 09 Recorder Prep begins 4 Jun 09 |
Apply Art. 6 ___Member (O6 only) ___Recorder (O5) ___Assistant Recorder (O4 or O3) Meets (TBD) Recorder Prep begins (TBD) |
You may make more than one choice. Please indicate 1st and 2nd choices, etc. by placing the appropriate number in the space provided. Please also indicate whether your business address or home address is your official mailing address.
| FULL NAME _______________________________________________________________ | ||
| RANK __________ | DATE OF RANK_____________ | SSN____________________ |
| MALE__________ | FEMALE __________ | MINORITY _____________ (please specify) |
| Do you have a USN/USNR
spouse/relative? ___ If so, is that person up for selection? ___ Are you in the process of Retirement/Separation? ___ YES ___ NO BUSINESS ADDRESS _______________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ |
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| BUSINESS
TELEPHONE________________ HOME
TELEPHONE__________________ FAX (Home or Work) _________________ |
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| HOME
ADDRESS___________________________________________________________ ___________________________________________________________________________ EMAIL ADDRESS:__________________________________________________________ |
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| PAY ENTRY BASE DATE (PEBD) _________________ DEPENDENTS ___YES ___NO | ||
| RESERVE UNIT AFFILIATION ______________________________________________ | ||
| PREVIOUS
BOARD EXPERIENCE
___________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ |
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| PREVIOUS
THREE RESERVE ASSIGNMENTS
_________________________________ ____________________________________________________________________________ ____________________________________________________________________________ |
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| CURRENT
LAW PRACTICE/OCCUPATION
____________________________________ ____________________________________________________________________________ ____________________________________________________________________________ |
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EMAIL, MAIL OR FAX TO: james.t.mills2@navy.mil, LCDR James Mills, USN, Office of the Judge Advocate General (Code60/62), Department of the Navy, 1322 Patterson Avenue SE, Suite 3000, Washington Navy Yard, DC 20374-5066, Phone 202-685-5216, DSN 325-5216, FAX 202-685-5461, DSN FAX 325-5461.
Applications are due NLT:
CAPT/CDR Board -- 22 Oct 08
LCDR Board -- 31 Jan 09
Apply Board -- TBD