PRE-ARRIVAL CHECKLIST

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					PRE-ARRIVAL CHECKLIST - Save the document using the following filename format: Last name_First Name_Class XX-XX.doc -Attach your document to an email addressed to: Carol.Thornburgh@usafa.af.mil and Heath.Bolin@usafa.af.mil. Note 1: Commercial Air travel itinerary must be submitted to dossshuttle@dossifs.com and Carol.Thornburgh@usafa.af.mil 14 days prior to the date of travel. Note 2: To confirm shuttle reservation, please call 719-423-8600 and “0” for an operator. ---------------------------------------------------------------------------------------1. Rank/Name: 2Lt, 1Lt Yeager, Chuck M. 2. Gender: Male/Female 3. Height & Sitting Height: In Inches 4. Cell Phone Number (if available): Area code and # 5. 6. Commissioning Source (Pick one): USAFA, ROTC, OTS, GUARD, AMS Are you Active Duty, Guard, Reserve or International? Active Duty Are you CSO, WSO or pilot? CSO

7. Follow-on UPT/UNT location & Class Start Date (not PCS date): Laughlin AFB, 1 Jan 2007 8. Current Unit / Location / Supervisor Name/Email & Sq/CC Name/Email/Phone # (No DSN Please): 306 Flying Training Squadron Offutt AFB, Nebraska Capt Bill Jones bill.jones@offutt.af.mil … Commercial (612) 544-7568 9. RNLT Date OR Date Completed Aerospace Basic Course at Maxwell AFB: 10. What is the date of exam on your FAA Class III medical certificate? Is a Student Pilot Certificate on the reverse side of the medical? 15 June 2006 /Yes 11. Are you in possession of a military Class I medical clearance? Yes Note: ALL USAFA graduates must contact 10 MDG at (719) 333-0533 to obtain a copy of their Class I medical clearance. 12. What is your current height & weight? 5”10 / 180 lbs 13. Do you have two green nomex flight suits with rank sewn on? No / Size 42R 14. Do you have a nomex flight jacket with rank sewn on? No / Size 42R 15. Do you have one pair of green nomex flight gloves? No / Size 42R 16. Do you have AF PT Gear? (Shirt, shorts, running shoes…) Yes
Privacy Act - 1974 as amended applies. This contains information which must be protected IAW DoD 5400.11R and is FOR OFFICIAL USE ONLY (FOUO).

17. Do you have previous flying experience (to include glider sorties) / civilian license? (Describe) Yes/No 18. What mode of travel do you intend to use to get to Pueblo? Private vehicle or Commercial Air

In order to be in compliance with AETC mandated demographic information, please check one of the following blocks below. RACE: Black: White: Hispanic: Other:

Privacy Act - 1974 as amended applies. This contains information which must be protected IAW DoD 5400.11R and is FOR OFFICIAL USE ONLY (FOUO).


				
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posted:11/29/2009
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