Registration/Application Request

Fields marked with a red * are required. Use the TAB Key to navigate from field to field.

Incomplete applications will not be processed.

*Name(Last, First, MI)     *Job Series/AOC/MOS:     *Grade/Rank

*Job Title

* Are you a US citizen?    Yes    No

Gender:    Male    Female

Emergency Contact Information:

Name:                Phone number:

Component [Army, Navy, Civ(Non-Gon't) Contractor, etc]

*Office Mailing Address

*Commercial Phone Number:

(Enter N/A if you do not have a DSN number)

DSN Phone               **Office E-mail Address

*AKO E-mail Address:

If you do not have an AKO account, please go to https://www.us.army.mil to create one. An AKO account is required for course participation.

The applicant must have verbal supervisory approval before submission of this form.

Supervisor's Name       Supervisor's Title      Supervisor's E-Mail     Supervisor's Phone