TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER€¦ · TRAINING AND PROFICIENCY RECORD -...

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NAME (Last, First, Middle Initial)

TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER For use of this form, see TC 3-04.15; the proponent agency is TRADOC.

RANKASGD INITIAL

This form consists of Sections I through IV. It will be used as an authoritative source of information and reference in regard to the individual's training record as an air traffic controller in the United States Army and as a comprehensive training progress report.

DA FORM 3479, OCT 2019 PREVIOUS EDITIONS ARE OBSOLETE.

FACILITY or SECTION, UNIT OF ASSIGNMENT,

INSTALLATION or LOCATION

APPLICABLE EQUIPMENT, CERTIFICATES or AWARDS,

and REMARKS

CTO NUMBER ATCS NUMBER

DUTIES PERFORMEDFROM TO

DATE ASSIGNED

GENERAL INFORMATION

SECTION I - ASSIGNMENTS

APD AEM v1.00ES

1 -

APD AEM v1.00ES

DA FORM 3479, OCT 2019

NAME (Last, first, middle initial) RANK

FACILITY or SECTION, UNIT OF ASSIGNMENT,

INSTALLATION or LOCATION

APPLICABLE EQUIPMENT, CERTIFICATES or AWARDS,

and REMARKS

CTO NUMBER ATCS NUMBER

DUTIES PERFORMEDFROM TO

DATE ASSIGNED

SECTION I - ASSIGNMENTS (Continued)

1 -

ASGD INITIAL

APD AEM v1.00ES

DA FORM 3479, OCT 2019

NAME (Last, first, middle initial) RANK

FACILITY or SECTION, UNIT OF ASSIGNMENT,

INSTALLATION or LOCATION

APPLICABLE EQUIPMENT CERTIFICATES or AWARDS,

and REMARKS

CTO NUMBER ATCS NUMBER

DUTIES PERFORMEDFROM TO

DATE ASSIGNED

SECTION I - ASSIGNMENTS (Continued)

1 -

ASGD INITIAL

APD AEM v1.00ES

DA FORM 3479, OCT 2019

NAME (Last, first, middle initial) RANK

FACILITY or SECTION, UNIT OF ASSIGNMENT,

INSTALLATION or LOCATION

APPLICABLE EQUIPMENT, CERTIFICATES or AWARDS,

and REMARKS

CTO NUMBER ATCS NUMBER

DUTIES PERFORMEDFROM TO

DATE ASSIGNED

SECTION I - ASSIGNMENTS (Continued)

1 -

ASGD INITIAL

APD AEM v1.00ES

DA FORM 3479, OCT 2019 2 -

SECTION II - TRAINING, TESTING, AND EVALUATIONS

SUBJECT / POSITION / EQUIPMENT TYPE OF TRAINING RESULTSDATE REMARKS

APD AEM v1.00ES

DA FORM 3479, OCT 2019 2 -

SECTION II - TRAINING, TESTING, AND EVALUATIONS (Continued)

SUBJECT / POSITION / EQUIPMENT TYPE OF TRAINING RESULTSDATE REMARKS

APD AEM v1.00ES

DA FORM 3479, OCT 2019 2 -

SECTION II - TRAINING, TESTING, AND EVALUATIONS (Continued)

SUBJECT / POSITION / EQUIPMENT TYPE OF TRAINING RESULTSDATE REMARKS

APD AEM v1.00ES

DA FORM 3479, OCT 2019 2 -

SECTION II - TRAINING, TESTING, AND EVALUATIONS (Continued)

REMARKSRESULTSDATETYPE OF TRAININGSUBJECT / POSITION / EQUIPMENT

APD AEM v1.00ES

DA FORM 3479, OCT 2019 2 -

SECTION II - TRAINING, TESTING, AND EVALUATIONS (Continued)

REMARKSRESULTSDATETYPE OF TRAININGSUBJECT / POSITION / EQUIPMENT

APD AEM v1.00ES

DA FORM 3479, OCT 2019 3 -

1

2

3

4

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NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

SECTION III - MISCELLANEOUS GENERAL COMMENTS

APD AEM v1.00ES

DA FORM 3479, OCT 2019 3 -

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NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

SECTION III - MISCELLANEOUS GENERAL COMMENTS (Continued)

APD AEM v1.00ES

DA FORM 3479, OCT 2019 3 -

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NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

SECTION III - MISCELLANEOUS GENERAL COMMENTS (Continued)

APD AEM v1.00ES

DA FORM 3479, OCT 2019 3 -

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NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

SECTION III - MISCELLANEOUS GENERAL COMMENTS (Continued)

APD AEM v1.00ES

DA FORM 3479, OCT 2019 3 -

25

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NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

NAME, RANK, AND TITLE SIGNATURE

SECTION III - MISCELLANEOUS GENERAL COMMENTS (Continued)

APD AEM v1.00ES

DA FORM 3479, OCT 2019

January

February

March

April

May

June

July

August

September

October

November

December

SECTION IV - INDIVIDUAL RADAR RECORD

Total Runs for Year

* S/S = Supervised/Simulated * LV = Live Unsupervised/Non-Simulated

4 -

FACILITY CHIEF'S SIGNATURE DATEFACILITY CHIEF'S PRINTED NAMEI have verified the runs brought forward are accurate.

YEAR:PAR ASR

EMERG/NO GYROGRANDTOTAL

REMARKS

*S/S *LV *S/S *LV

PAR ASR

*S/S *LV *S/S *LV

TOTAL Runs

Total Runs Brought Forward