AFAP FRTI REGISTRATION FORM

915-569-4ACS (4227)

FRTI Registration Form

DATA REQUIRED BY THE PRIVACY ACT OF 1974: AUTHORITY: 5 USC 301, 10 USC 3013. PRINCIPLE PURPOSE: Identification of participants in the Army Family Action Plan Conference. ROUTINE USES: Used to record the names and addresses of attendees at the Army Family Action Plan Conference. Used to contact participants and as basis for preparing a directory of conference attendees, which will be distributed to attendees and Army officials for networking purposes. Disclosure is voluntary. If the required information is not provided, registration for the conference and inclusion in the conference directory is not possible.

This form will be used to select FRTIs for the AFAP Conference. FRTIs are the volunteers who help run the conference. These positions require a week long commitment plus training.

First Name Last Name Middle Initial
Street Address City State
    Zip    
Work Phone Home Phone FAX
Email

Sponsor's
Military Unit

   
Do you need child care? Names and ages of children    

Have you participated at AFAP before?
Installation Level Location and Year Position Held:

MACOM Level Location and Year Position Held:

DA Level Location and Year Position Held:

Please Rank the positions available in order from 1 (most desirable) to 6:

Facilitator Recorder
Transcriber Issue Support
Room Manager Operations Assistant