EP 1110-3-8
9 Apr 04
5. Are you willing to serve as a volunteer on the RAB?
Yes, I am willing to serve as a volunteer.
_____No, I am not willing to serve as a volunteer.
6. By submitting this form, you are indicating that you are aware of the time commitment which
this appointment will require of you.
Privacy Act Statement
Authority: 10 U.S. Code (USC) 2705.
Principal Purpose: To identify members of the local community who are interested in serving on
the RAB. The requested information will be used to develop a list of interested persons from
which the community members of the RAB will be selected. The information will also be used
by the Army to contact the individuals who are selected. Disclosure of the requested information
is voluntary. Failure to provide all the requested information may prevent selection to serve on
the RAB.
____________________
___________
Applicant Signature
Date
D-2
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