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Block 12 - TRAFFIC VIOLATIONS FOR WHICH
A FINE OR FORFEITURE OF $50 OR LESS WAS
IMPOSED: List the date(s) and place(s) of traffic
violations or incidents that resulted in a fine or forfeiture
of $50 or lesser penalty was imposed and the disposition
of each case.
Block 13 - SWIMMING ABILITY: Check either
yes or no.
Block 14 - ATHLETICS: List all organizations or
types of activities (membership on athletic teams,
personal fitness programs, outdoor activities, and so
forth), dates, and the number of days per month for the
past 6 years.
Block 15 - SCHOLARSHIPS, HONORS AND
AWARDS: ACADEMIC AND ATHLETIC: List all
awards in the above areas by title and the date received.
Block 16 - EMPLOYMENT: List any employment
of 2 months or more after your 16th birthday. For each
employment give the employer’s name, kind of business
or organization, your position title to include the amount
of hours worked per week, number of people
supervised, the month and year employment started and
ended, starting and ending annual salary, reason for
leaving employment, and a clear description of your
position and your duties and responsibilities. Start with
present job. Include information relating to military
service.
Block 17 - EXTRA CURRICULAR ACTIVITIES:
List all membership in clubs, societies, and
organizations-professional, religious, or social. Give
the name of the organization, office held (if any), and
the dates for past 10 years.
Block 18 - Check either yes or no for each question.
Block 19 - DRUG STATEMENT: Check either yes
or no for each question. If yes is answered to any of the
questions, provide the following information in block
20 or attach a separate sheet of paper. Describe the
circumstances regarding drug use. Identify the
particular substance used, number of times used, dates
of use, whether ever arrested for use or possession, and
whether future use is rejected.
Block 20 - REMARKS: Use this space for
continuation of any block. For additional space, use a
blank piece of paper. Each blank piece of paper used
must contain your name and social security number at
the top of the page.
Block 21 - CERTIFICATION: Before completing
this block the applicant is encouraged to review all
answers to blocks 1 through 20 to make sure the form is
complete and accurate. In block 21 the applicant must
date and sign in ink certifying that all the information is
true and complete, acknowledging that failure to answer
any correspondence promptly or to accept any
appointment tendered will subject application or
appointment to cancellation without further notice.
INTERVIEWER’S APPRAISAL SHEET
Selection of the best qualified applicants for officer
training is a matter of vital importance to the U.S. Navy.
The problem of selection is to find those measurements
presently available that will predict future performance
of the applicant. One such tool is the interview, the
primary objective of which is to determine if the
applicant possesses those personal characteristics
desired in a naval officer. In addition to its use as a
selection technique, the interview has secondary
functions that should be kept in mind. It provides an
opportunity to inform the applicant of the details of the
program for which he or she is applying, the training he
or she will receive, and the opportunity to answer
questions, all of which enable the interviewer to make
judgments based upon the applicant’s reaction. In
addition, it serves to establish a friendly relationship;
that is, to instill a favorable Navy image that can, and
often does, pay dividends at a later date, regardless of
whether the applicant is selected.
Information for completing the Interviewer's
Appraisal Sheet, NAVCRUIT 1100/13, is located on the
reverse side of the form (figs. 7-4A and 7-4B). The form
is pretty much self-explanatory. Written interview
results should not be recorded during the course of the
interview. However, each interviewer must evaluate
carefully and impartially the characteristics of the
applicant before he or she leaves the room and while the
details of the interview are still fresh in his or her mind.
If the candidate’s second language is English, the
comments must include a statement as to the applicant’s
ability to communicate in English.
Appraisal forms that are legibly handwritten in ink
are acceptable.
7-13
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