AKMYA | Graduate Post-Residential Report

Month:

Graduate Information

Cadet Name:

Class #:

Platoon #:

Telephone #:

Email:

Facebook Name:

Address:

City:

State:

Zipcode:

Education

Are you attending school?

Yes No

Name of school:

School Phone #:

Select the type of school:

High School VoTech Adult Education Job Corps College

Employment

Are you working?

Yes No

Business Name:

Business Phone #:

Supervisor's Name:

Starting Date:

Hours Per Week:

Salary (ex. $12/hr, $500/wk):

Please provide up to four (4) Pay Stubs.

Attach Pay Stub:

Volunteering

Are you volunteering? (this includes subsistence activities)

Yes No

If volunteering, care-giving, or engaged in subsistence activities, please describe (include hours per week):

Please provide up to four (4) Proof of Placements (POP) for your volunteering activity.

Attach Volunteer POP:

Military Service

Are you currently a member of the Armed Services?

Yes No

Military Branch?

Training Date:

Attach DD Form 4:

Other Placements

Please provide information if you have been in treatment, detention, jail, or other placement other than those above (provide facility name and dates):

Attach Other Placement POP:

Mentor Contact

Mentor's Name:

Did you have any contact with your Mentor?

Yes No

Phone Call Date(s):

Visit Date(s):

Text/Letter Date(s):

Other Contact Date(s):

P-RAP Changes

Are there any specific changes to your P-RAP?

Yes No

Graduate Signature & Date

Graduate E-Signature:

Signature Date:

Graduate Post-Residential Report

Next Cycle Begins:

July 16, 2024

Click to Start

2023-1 Graduate Post-Residential Report Form

Graduate Information

Education

Employment

Please provide up to four (4) Pay Stubs.

Volunteering

Please provide up to four (4) Proof of Placements (POP) for your volunteering activity.

Military Service

Other Placements

Mentor Contact

P-RAP Changes

Graduate Signature & Date