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APPLICATION FOR SENIOR MEMBER ACTIVITIES Note Use of this form is optional see CAPR 50-17 para 2-7b2. Region commander makes recommendation assigns selection number signs the application retains a copy and forwards original to NHQ CAP/PD. 2. COMPLETING THE FORM Blocks 1-11 13-15 19-20 are self explanatory. Block 12. Enter the month and year of Level I completion. Example Feb 92 Block 16. List each specialty and the highest rating completed in that specialty. Example Enter 213-2 for Emergency...
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