Screen Reader Mode Icon
**Only the Training/Readiness NCO or the Unit Training Manager should fill out this form. If you are not the Training/Readiness NCO or Unit Training Manager but are interested in CHW, please contact your supervisor and do not continue filling out this form**

Question Title

* 1. Training or Readiness NCO Name.

Question Title

* 2. Training/Readiness NCO or Unit Training Manager email.

Question Title

* 3. Training/Readiness NCO or Unit Training Manager cell number (XXX-XXX-XXXX).

Question Title

* 4. Course selection:

Question Title

* 5. Student Rank

Question Title

* 6. Student Last and First Name

Question Title

* 7. Student Email  (non-military)

Question Title

* 8. Student Cell Phone number (XXX-XXX-XXXX).

Question Title

* 9. Student Unit

Question Title

* 10. Student State

Question Title

* 11. Student Status

Question Title

* 12. Student Arrival Date (verify with MOI)

Date

Question Title

* 13. Student Departure Date (verify with MOI)

Date

Question Title

* 14. Lodging:

Question Title

* 15. Meals:

0 of 15 answered
 

T