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Application for Designated Logistician Program - …

Designation Applied For: Demonstrated Logistician (DL) Demonstrated Senior Logistician (DSL) Demonstrated Master Logistician (DML) ID Number Date Awarded Designation (DL, DSL, DML) Evaluator s Name To Be Assigned by SOLE and ALU Last Name First Name middle Initial Suffix Country Service (Army, Navy, etc.) Component (Active, USAR, ARNG, DAC, contractor, other) Rank or Grade, and Branch/MOS/Series ( , MAJ, Ord; or GS-11-0346 Log Mgmt Spec.) Employee Number/SSAN (Only the last 4 digits of Social Security No.) xxx-xx-___ ___ ___ ___ Home Address and Mailing Address for certificate (if other than home address) E-mail Address Phone Numbers (work/cell) Highest Education Level ( x correct Level) (Attach all appropriate transcript verification) High School Associates or 2 years Bachelor s Master s Doctorate ( , , ) Training: (Enter all qualifying courses, and attach applicable transcripts or records) The following Functional and Enabling experiences have been completed.

First Name . Middle Initial : Suffix . Country . Service (Army, Navy, etc.) Component (Active, USAR, ARNG, DAC, contractor, other) Rank or Grade, and

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