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General Administration. Cadet Service Record Strength Report Orders & Permanent Orders. Service Record. Form 13. Last Name. Filling in the information (Personal Information). SERVICE RECORD (TO BE RETAINED IN SCHOOL FILES FOR FIVE YEARS FROM DATE OF DISCHARGE). Dett. First Name.

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General Administration

Cadet Service Record

Strength Report

Orders & Permanent Orders



Last Name

Filling in the information

(Personal Information)

SERVICE RECORD

(TO BE RETAINED IN SCHOOL FILES FOR FIVE YEARS FROM DATE OF DISCHARGE)

Dett


First Name

Filling in the information

(Personal Information)

SERVICE RECORD

(TO BE RETAINED IN SCHOOL FILES FOR FIVE YEARS FROM DATE OF DISCHARGE)

Dett

Johnny


Middle Initial (If they have one)

Filling in the information

(Personal Information)

SERVICE RECORD

(TO BE RETAINED IN SCHOOL FILES FOR FIVE YEARS FROM DATE OF DISCHARGE)

Dett

Johnny

K.


School First Attended Cadets

Filling in the information

(Personal Information)

SERVICE RECORD

(TO BE RETAINED IN SCHOOL FILES FOR FIVE YEARS FROM DATE OF DISCHARGE)

Pacoima MS, 7th BDE

Dett

Johnny

K.


First Day enrolled in Cadets

Filling in the information

(Personal Information)

SERVICE RECORD

(TO BE RETAINED IN SCHOOL FILES FOR FIVE YEARS FROM DATE OF DISCHARGE)

Pacoima MS, 7th BDE

12September2007

Dett

Johnny

K.


High School Enrolled In

(or second middle school attended)

Filling in the information

(Personal Information)

SERVICE RECORD

(TO BE RETAINED IN SCHOOL FILES FOR FIVE YEARS FROM DATE OF DISCHARGE)

Pacoima MS, 7th BDE

12September2007

San Grogonio HS, 11th BDE

Dett

Johnny

K.


Date Enrolled in Cadets

Filling in the information

(Personal Information)

SERVICE RECORD

(TO BE RETAINED IN SCHOOL FILES FOR FIVE YEARS FROM DATE OF DISCHARGE)

Pacoima MS, 7th BDE

12September2007

San Grogonio HS, 11th BDE

Dett

Johnny

K.

12September2008


Date Born

(Birthday)

Filling in the information

(Personal Information)

30June1996


Born Gender

(Male / Female)

Filling in the information

(Personal Information)

Male

30June1996


Where You Live

Filling in the information

(Personal Information)

Male

30June1996

1234 Wonder St. Imagination, CA 90705


Where you get your mail

Filling in the information

(Personal Information)

Male

30June1996

1234 Wonder St. Imagination, CA 90705

4321 Fake Ave. Imagination, CA 90705


Home Phone

(Day Time Number)

Filling in the information

(Personal Information)

Male

30June1996

1234 Wonder St. Imagination, CA 90705

1 (881) 555 - 2455

4321 Fake Ave. Imagination, CA 90705


Cell Number

(Emergency Number)

Filling in the information

(Personal Information)

Male

30June1996

1234 Wonder St. Imagination, CA 90705

1 (881) 555 - 2455

4321 Fake Ave. Imagination, CA 90705

1 (881) 555 - 3554


Rank Earned

Rank Withdrawn

(Abbreviation)

Promotion and Demotion

APPOINTMENTS AND REDUCTIONS

CDT


Order Number

Promotion and Demotion

APPOINTMENTS AND REDUCTIONS

CDT

OR007-0708-025


Issued Date

Promotion and Demotion

APPOINTMENTS AND REDUCTIONS

CDT

OR007-0708-025

22November2007


Promotion and Demotion

APPOINTMENTS AND REDUCTIONS

CDT

OR007-0708-025

22November2007

Remember to use every section on the left before moving to the right side


AWARDS AND DECORATIONS

All Ribbons and Medals awarded are

Permanent Orders


Ribbon/Medal Awarded

AWARDS AND DECORATIONS

Bivouac

All Ribbons and Medals awarded are

Permanent Orders


Permanent Order Number

AWARDS AND DECORATIONS

Bivouac

PO011-0708-056

All Ribbons and Medals awarded are

Permanent Orders


Date of Award

AWARDS AND DECORATIONS

Bivouac

PO011-0708-056

23November2007

All Ribbons and Medals awarded are

Permanent Orders


AWARDS AND DECORATIONS

Bivouac

PO011-0708-056

23November2007

Remember to use every section on the left before moving to the right side

All Ribbons and Medals awarded are

Permanent Orders


Date Fitness Exam Completed

PHYSICAL FITNESS QUALIFICATION

12December2007

Follow CR3-12 to fill in qualification


Mile Run Time

(Min:Sec Format)

PHYSICAL FITNESS QUALIFICATION

9:25

12December2007

Follow CR3-12 to fill in qualification


How many Push Ups

PHYSICAL FITNESS QUALIFICATION

9:25

35

12December2007

Follow CR3-12 to fill in qualification


Completed Curl Ups

PHYSICAL FITNESS QUALIFICATION

9:25

35

50

12December2007

Follow CR3-12 to fill in qualification


Fail

Pass

Shoulder Stretch

(Left / Right)

PHYSICAL FITNESS QUALIFICATION

9:25

35

50

12December2007

Follow CR3-12 to fill in qualification


Trunk Lift

(Inches)

PHYSICAL FITNESS QUALIFICATION

9:25

35

50

Fail

Pass

4

12December2007

Follow CR3-12 to fill in qualification


5

6

Sit and Reach

(Left / Right)

PHYSICAL FITNESS QUALIFICATION

9:25

35

50

Fail

Pass

4

12December2007

Follow CR3-12 to fill in qualification


Met Requirements

(Pass/Fail)

PHYSICAL FITNESS QUALIFICATION

9:25

35

50

Fail

Pass

4

5

6

Yes

12December2007

Follow CR3-12 to fill in qualification


The day You took the qualification test

RIFLE QUALIFICATION

22March2008

Follow CR 3-17, 3-18, 3-19 for qualification


Score that you received

RIFLE QUALIFICATION

320/400

22March2008

Follow CR 3-17, 3-18, 3-19 for qualification


Title Obtained

RIFLE QUALIFICATION

Marksman

320/400

22March2008

Follow CR 3-17, 3-18, 3-19 for qualification


RIFLE QUALIFICATION

Marksman

320/400

22March2008

Make sure to use the Rows from Left to Right

Follow CR 3-17, 3-18, 3-19 for qualification


The day you obtained a position

(squad leader and higher)

Jobs Obtained in the CACC

DUTY ASSIGNMENTS

25April2008


The position you obtained

(squad leader and higher)

Jobs Obtained in the CACC

DUTY ASSIGNMENTS

Squad Leader

25April2008


How well you performed your duty

(squad leader and higher)

Jobs Obtained in the CACC

DUTY ASSIGNMENTS

Squad Leader

25April2008

A : AP : 4


Date a copy of the service record was created

(A need for: Promotion Boards, Scholarships, Individual Record)

TRUE COPY STATEMENT

This is to certify that this a True Copy of the Service Record for the above cadet. This True Copy was provided on ________

____________________________

COMMANDANT OF CADETS

STATEMENT OF SERVICE

This is to certify that ___________________________________

RANK NAME

performed honorable service as a member of the California Cadet Corps from ___________ to __________.

Discharge certificate was issued on ______________.

________________________

COMMANDANT OF CADETS

16January2008


This requires the school Commandant’s Signiture

TRUE COPY STATEMENT

This is to certify that this a True Copy of the Service Record for the above cadet. This True Copy was provided on ________

____________________________

COMMANDANT OF CADETS

STATEMENT OF SERVICE

This is to certify that ___________________________________

RANK NAME

performed honorable service as a member of the California Cadet Corps from ___________ to __________.

Discharge certificate was issued on ______________.

________________________

COMMANDANT OF CADETS

MAJ John Smith

16January2008


This section is used when a Cadet is discharged from the CACC

TRUE COPY STATEMENT

This is to certify that this a True Copy of the Service Record for the above cadet. This True Copy was provided on ________

____________________________

COMMANDANT OF CADETS

STATEMENT OF SERVICE

This is to certify that ___________________________________

RANK NAME

performed honorable service as a member of the California Cadet Corps from ___________ to __________.

Discharge certificate was issued on ______________.

________________________

COMMANDANT OF CADETS


Requires Rank last obtained and name of Cadet CACC

TRUE COPY STATEMENT

This is to certify that this a True Copy of the Service Record for the above cadet. This True Copy was provided on ________

____________________________

COMMANDANT OF CADETS

STATEMENT OF SERVICE

This is to certify that ___________________________________

RANK NAME

performed honorable service as a member of the California Cadet Corps from ___________ to __________.

Discharge certificate was issued on ______________.

________________________

COMMANDANT OF CADETS

CDT Johnny K. Dett


12September2007 CACC

14June2009

First day and last day in the Cadet corps

TRUE COPY STATEMENT

This is to certify that this a True Copy of the Service Record for the above cadet. This True Copy was provided on ________

____________________________

COMMANDANT OF CADETS

STATEMENT OF SERVICE

This is to certify that ___________________________________

RANK NAME

performed honorable service as a member of the California Cadet Corps from ___________ to __________.

Discharge certificate was issued on ______________.

________________________

COMMANDANT OF CADETS

CDT Johnny K. Dett


12September2007 CACC

14June2009

Date certificate was writen

(Honorable, Dishonorable)

TRUE COPY STATEMENT

This is to certify that this a True Copy of the Service Record for the above cadet. This True Copy was provided on ________

____________________________

COMMANDANT OF CADETS

STATEMENT OF SERVICE

This is to certify that ___________________________________

RANK NAME

performed honorable service as a member of the California Cadet Corps from ___________ to __________.

Discharge certificate was issued on ______________.

________________________

COMMANDANT OF CADETS

CDT Johnny K. Dett

15June2009


12September2007 CACC

14June2009

Requires a signature of the schools Commandant

TRUE COPY STATEMENT

This is to certify that this a True Copy of the Service Record for the above cadet. This True Copy was provided on ________

____________________________

COMMANDANT OF CADETS

STATEMENT OF SERVICE

This is to certify that ___________________________________

RANK NAME

performed honorable service as a member of the California Cadet Corps from ___________ to __________.

Discharge certificate was issued on ______________.

________________________

COMMANDANT OF CADETS

CDT Johnny K. Dett

15June2009

MAJ John Smith


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