International Fellows Program
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United States Army War College International Fellows Program Registration Form
Section 1  Biographical Data
Personal Information
1. Last Name
First Name
Middle Name
2. Official Manner of Being Addressed
3. Country
4. Official Mailing Address
5. Rank
6. Date of Rank
(dd/mm/yyyy)
7. Basic Branch of Service
8. Years of Commissioned Service
 9. Date of Birth
(dd/mm/yyyy)
10. Place of Birth
11. Social Nickname Officer/Spouse
Officer's Religion (Optional: leave blank if you prefer) Marital Status (married or single) Email Address:
Family Information
12. Physical Descriptions for Privilege ID Card (not required for dependents who will not travel to the US)
Family members will accompany officer
Yes No		Number of Family Members Accompanying Officer
Name Sex Date of Birth
(dd/mm/yyyy)		 Height (Feet & Inches) Weight (Pounds) Color of eyes Color of Hair Date of US Arrival
Officer
Spouse
Child or Other Family Member
Child or Other Family Member
Child or Other Family Member
Child or Other Family Member
Civilian Education
13. Secondary Civilian Education (Gymmaseum, Lysee, etc.)
From (mm/yyyy)
To (mm/yyyy)
Completed:
Yes No
14. College or University
School Name Location From (mm/yyyy) To (mm/yyyy) Degree Area of Study
15. Other Civilian Schooling
School Name Location From (mm/yyyy) To (mm/yyyy) Degree Area of Study
16. Military School and Location
School Name
 Location From (mm/yyyy) To (mm/yyyy) Completed
Military Academy Yes No
Branch School
Yes No
Staff College
Yes No
Other School (school name, location, and course taken)

Yes No
Other School (school name, location, and course taken)

Yes No
17. United States Service Schools
School Name Location From (mm/yyyy) To (mm/yyyy) Completed
Advanced Course

Yes No
Command and General Staff College

 Yes No
Armed Forces Staff College

 Yes No
Other School (school name, location, and course taken)


Yes No
Other School (school name, location, and course taken)


Yes No
18. Special Qualifications
(Check all that apply) 		Other Special Qualifications
Airborne Arctic
Aviator Desert
Amphibious Jungle
Paratrooper Mountain
19. Most Recent Duty Assignment

20. Date of Commission (dd, mm, yyyy)
21. Military Service
From (mm/yyyy) To (mm/yyyy) Duty Assignment Organization
22. Battle Campaigns
From (mm/yyyy) To (mm/yyyy) Place Assignment




23. Instructor Experience
From (mm/yyyy) To (mm/yyyy) Name of School Subjects
24. Highest Level Staff Assignment(s)
a. Military Department/Command
b. Office/Agency Title
c. Directorate Title
d.Division Title
e. Rank at time and brief description of duties
a. Military Department/Command
b. Office/Agency Title
c. Directorate Title
d.Division Title
e. Rank at time and brief description of duties
25. Visits to the United States
Date (mm/yyyy) Place Visited Purpose of Visit




26. Languages and Fluency (FL = Fluent; F = Fair; P = Poor) (TRANS = TRANSLATE)
a. Officer's Native Language
 b. Spouse's Native Language
c. Officer's other languages Speak Write Translate d. Spouse's other languages Speak Write Translate
Yes No Yes No
Yes No Yes No
Yes No Yes No
e. English Comprehension Level Test (ECL) Score        
27. Decorations Received (List in order to highest to lowest)
28. Membership in professional socities
Society Name: Type:   
Society Name: Type:   
Society Name: Type:   
Society Name: Type:   
Society Name: Type:   
Society Name: Type:   
Society Name: Type:   
Society Name: Type:   
Society Name: Type:   
29. Published Writings
Title Publisher Year
Dietary Restrictions
Food:

 Drink:
Extracurricular Activities
Sports:
 Hobbies:

 
 
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