Transcription of DD Form 2950, Department of Defense Sexual …
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DD Form 2950, Department of Defense Sexual …
Department of Defense Sexual assault Advocate Certification ProgramAPPLICATION PACKETPRIVACY ACT STATEMENTAUTHORITY: 10 1561, note, Sexual assault Response Coordinators and Sexual assault Victim Advocates; 10 136;DoD Directive ; and DoD Instruction PURPOSE(S): The information provided on this form will be used to review and process applications for Sexual AssaultResponse Coordinator (SARC) and Sexual assault prevention Representative (SAPR) Victim Advocate (VA) USE(S): The DoD "Blanket Routine Uses" found at : Voluntary. However, if you are a SARC or SAPR VA and do not complete this form to become certified, you may bedisqualified from the position. 10 1561, note requires DoD to establish a certification form 2950, OCT 2012 Adobe Professional Page 1 of 10 PagesAPPLICATION INSTRUCTIONSAll SARCs and SAPR VAs must be Military or DoD civilian employees and must hold this certification to be assigned SARC or SAPRVA duties (effective October 1, 2013).
DD FORM 2950, OCT 2012 Page 3 of 10 Pages 1. APPLICANT NAME a. LAST NAME b. FIRST NAME c. MIDDLE INITIAL 2. SERVING IN THE POSITION OF: (X one) Sexual Assault Response Coordinator (SARC) Sexual Assault Prevention and Response Victim Advocate (SAPR VA)
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