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ASSIGNMENTS FOR 2ND AND SUBSEQUENT TOURS

1. INSTRUCTIONS: THIS FORM IS TO BE COMPLETED BY THE INDIVIDUAL NAMED IN ITEM 1 AND IS FOR THE USE OF THE PANEL AND STAFF OFFICERS IN DETERMINING THE NEXT ASSIGNMENT OF THE INDIVIDUAL.

2. NAME (Last, First, Middle):

3. PRESENT STATION:

4. DATE OF ARRIVAL AT PRESENT STATION:

5. DATE OF COMPLETION OF TOUR OF DUTY:

6. INDICATE YOUR CHOICE OF NEXT ASSIGNMENT:

a. RETURN TO HEADQUARTERS FOR A TOUR OF DUTY, WITH RESPECT TO POSSIBLE ASSIGNMENT IN HEADQUARTERS:

FIRST CHOICE: ________________

SECOND CHOICE: ________________

b. RETURN TO HEADQUARTERS FOR A TOUR OF DUTY, WITH RESPECT TO POSSIBLE ASSIGNMENT IN ANOTHER FIELD STATION:

FIRST CHOICE: ________________

SECOND CHOICE: ________________

c. REMAIN IN THE AREA OF PRESENT ASSIGNMENT:

FIRST CHOICE: ________________

SECOND CHOICE: ________________

d. OTHER (Specify): ________________

7. INDICATE THE NUMBER AND AGE OF DEPENDENTS WHO WILL BE TRAVELING OR MOVING WITH YOU:

8. INDICATE ANY CHANGE IN YOUR PERSONAL OR FAMILY SITUATION WHICH SHOULD BE CONSIDERED IN DETERMINING YOUR NEXT ASSIGNMENT:

9. SIGNATURE: ________________

10. TO BE COMPLETED BY SUPERVISOR AT FIELD STATION:

11. TO BE COMPLETED BY APPROPRIATE CAREER SERVICE OFFICER OR PERSONNEL OFFICER AT HEADQUARTERS:

12. NAME OF CAREER SERVICE OFFICER OR PERSONNEL OFFICER: ________________

13. DATE: ________________

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