Alaska Military Youth Academy | Post Residential Form

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:

P-RAP Changes

Are there any specific changes to your P-RAP?

Yes No

Graduate Signature & Date

Graduate E-Signature:

Signature Date:

Post Residential Form

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

P-RAP Changes

Graduate Signature & Date