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(This section should match Block 21 of the DA Form 61) - page 2 / 4

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SECTION IV - MILITARY EXPERIENCE (continued) (List in order from most recent to earliest duty assignment or position. Be sure to mention any accomplishments, special recognition, or achievements that will illustrate to the board your potential for leadership as a warrant officer.)

6.

DATES (YY/MM):

to ORGANIZATION:

POSITION TITLE:

DUTIES (list below to include significant contributions):

Use this side as a continuation from page 1. Be sure to summarize assignments as not to exceed the last 11 duty positions on record. Again, focus on measurements of success NOT just a job description.

7.

DATES (YY/MM):

to

ORGANIZATION:

POSITION TITLE:

DUTIES (list below to include significant contributions):

8.

DATES (YY/MM):

to

ORGANIZATION:

POSITION TITLE:

DUTIES (list below to include significant contributions):

9.

DATES (YY/MM):

to

ORGANIZATION:

POSITION TITLE:

DUTIES (list below to include significant contributions):

10. DATES (YY/MM):

to

ORGANIZATION:

POSITION TITLE:

DUTIES (list below to include significant contributions):

11. DATES (YY/MM):

to

ORGANIZATION:

POSITION TITLE:

DUTIES (list below to include significant contributions):

SECTION V - CIVILIAN EXPERIENCE (List in order any civilian experience that specifically relates to the warrant officer position for which you are applying. Be sure to mention any accomplishments, special recognition, or achievements that will illustrate to the board your potential for leadership as a warrant officer.)

1.

DATES (YY/MM):

Jan 98

to

May 00

ORGANIZATION: Kelly Temporary Services, Grand Rapids MI

POSITION TITLE: ADMINISTRATIVE ASSISTANT

DUTIES (list below to include significant contributions):

List civilian employment experience that uniquely qualifies you for the warrant officer specialty which you are applying. Do not list civilian employment/experience if it is not germane to the warrant officer specialty you are applying for.

2.

DATES (YY/MM):

to

ORGANIZATION:

POSITION TITLE:

DUTIES (list below to include significant contributions):

HQ USAREC Form 1935, Rev 15 Nov 2008

Page 2 of 3

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