
REQUEST FOR REFERENCE
OMB No. 0704-0167
OMB approval expires
Oct 31, 2011
PLEASE RETURN YOUR FORM TO THE ADDRESS SHOWN IN THE "TO" BLOCK BELOW.
THIS FORM CONTAINS INFORMATION SUBJECT TO THE PRIVACY ACT OF 1974, AS AMENDED.
APPLICANT IDENTIFICATION DATA
TO:
Your timely reply will help the defense effort. Please
fill out and return promptly. A return envelope, which
requires no postage, is enclosed for your
convenience.
1. NAME (Last, First, Middle Initial)
2. MAILING ADDRESS (Street, Apartment Number, City, State, and
ZIP Code)
3. DATE OF BIRTH (YYYYMMDD)
4. DATES OF SCHOOL ATTENDANCE OR EMPLOYMENT
a. FROM (YYYYMMDD) b. TO (YYYYMMDD)
The above-named person has made application for
enlistment in the Armed Service and has given your name
as a reference. The information you provide will be
appreciated since it will assist in determining whether or not
the applicant meets the eligibility standards to become a
member of the Armed Forces of the United States.
Service standards require that applicants be mature,
intelligent, and possess high moral qualifications. Those
applicants who are selected will have an opportunity to
receive schooling and training in technical fields to improve
and advance their knowledge and skills in subjects essential
to national defense. Additionally, college opportunities will
be available.
Enlistees who cannot adjust satisfactorily to military life
must be discharged, causing emotional distress to the
individual, as well as loss to the taxpayers. Therefore, by
giving your frank opinion of the applicant, you can render a
genuine service to the applicant as well as to the United
States.
Your statements will be held in strict confidence, and you
will not be considered personally responsible in any way for
the applicant's conduct if enlisted or not enlisted.
Your answers to the questions listed on the back of this
form are of particular interest in reaching a conclusion
concerning the qualifications of the applicant. Any
information you can provide will be appreciated.
RECRUITING OFFICER IDENTIFICATION DATA
5. TYPED NAME (Last, First, Middle Initial) 6. DATE SIGNED
(YYYYMMDD)
7. UNIT/COMMAND NAME
8. SIGNATURE OF RECRUITING REPRESENTATIVE 9. UNIT/COMMAND MAILING ADDRESS (Street, City, State, and ZIP Code)
DD FORM 370, MAR 2009
PREVIOUS EDITION IS OBSOLETE. Adobe Professional 8.0
The public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 1155 Defense
Pentagon, Washington, DC 20301-1155 (0704-0167). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with
a collection of information if it does not display a currently valid OMB control number.