DA Form 3517 "Hand Grenade Qualification Scorecard"

What Is DA Form 3517?

This is a military form that was released by the U.S. Department of the Army (DA) on August 1, 2021. The form, often mistakenly referred to as the DD Form 3517, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

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HAND GRENADE QUALIFICATION SCORECARD
For use of this form, see TC 3-23.30; the proponent agency is TRADOC.
NOTE: In addition to the requirements on the scorecard, the Soldier must throw two live fragmentation grenades to qualify.
A. NAME (Last, First, Middle Initial)
B. UNIT
C. DATE (YYYYMMDD)
D. LIVE GRENADE EVALUATOR'S NAME
E. DATE LIVE GRENADES WERE THROWN (YYYYMMDD)
J. EVALUATOR'S
F. STATION
G. TYPE TARGET
H. GO
I. NO-GO
INITIALS
1
Engage Enemy from Fighting Position at 35 Meters (Standing)
2
Engage Bunker (Prone)
3
Engage Enemy Mortar Position at 25 Meters (Kneeling)
Engage Enemy Behind Cover at 20 Meters (Prone)
4
Engage Trench at 25 Meters (Standing)
5
Engage Wheeled Vehicle at 25 Meters (Kneeling)
6
7
Identify Hand Grenades and Pyrotechnic Signals
K. QUALIFICATION STANDARD
CHECK ONE
PASSED 7
EXPERT
PASSED 6
FIRST CLASS
PASSED 5
SECOND CLASS
PASSED 4 OR LESS
UNQUALIFIED
L. SCORER'S SIGNATURE
M. DATE (YYYYMMDD)
N. OIC'S SIGNATURE
O. DATE (YYYYMMDD)
DA FORM 3517, AUG 2021
Page 1 of 2
THIS FORM SUPERSEDES DA FORM 3517-R.
APD AEM v1.00ES
HAND GRENADE QUALIFICATION SCORECARD
For use of this form, see TC 3-23.30; the proponent agency is TRADOC.
NOTE: In addition to the requirements on the scorecard, the Soldier must throw two live fragmentation grenades to qualify.
A. NAME (Last, First, Middle Initial)
B. UNIT
C. DATE (YYYYMMDD)
D. LIVE GRENADE EVALUATOR'S NAME
E. DATE LIVE GRENADES WERE THROWN (YYYYMMDD)
J. EVALUATOR'S
F. STATION
G. TYPE TARGET
H. GO
I. NO-GO
INITIALS
1
Engage Enemy from Fighting Position at 35 Meters (Standing)
2
Engage Bunker (Prone)
3
Engage Enemy Mortar Position at 25 Meters (Kneeling)
Engage Enemy Behind Cover at 20 Meters (Prone)
4
Engage Trench at 25 Meters (Standing)
5
Engage Wheeled Vehicle at 25 Meters (Kneeling)
6
7
Identify Hand Grenades and Pyrotechnic Signals
K. QUALIFICATION STANDARD
CHECK ONE
PASSED 7
EXPERT
PASSED 6
FIRST CLASS
PASSED 5
SECOND CLASS
PASSED 4 OR LESS
UNQUALIFIED
L. SCORER'S SIGNATURE
M. DATE (YYYYMMDD)
N. OIC'S SIGNATURE
O. DATE (YYYYMMDD)
DA FORM 3517, AUG 2021
Page 1 of 2
THIS FORM SUPERSEDES DA FORM 3517-R.
APD AEM v1.00ES
PERFORMANCE MEASURES
GO
NO-GO
PERFORMANCE MEASURES
GO
NO-GO
STATION 5. Engage Trench at 25 Meters (Standing)
A. Detonated at least one grenade within 5 meters
A. Detonated at least one grenade inside
of the center of target.
trench.
B. Kept exposure time under 3 seconds.
B. Kept exposure time under 3 seconds.
C. Returned to covered position after
C. Returned to covered position after each throw.
each throw.
D. Used proper grip.
D. Used proper grip.
E. Used proper throwing techniques.
E. Used proper throwing techniques.
F. Completed performance measures 1A
F. Completed performance measures
through 1E within 15 seconds.
5A through 5E within 15 seconds.
STATION 2. Engage Bunker (Prone)
STATION 6. Engage Wheeled Vehicle at 25 Meters (Kneeling)
A. Detonated within 1 meter of vehicle
A. Approached from blind side.
or within 5 meters of dismounting
troops.
B. Checked for bunker opening.
B. Kept exposure time under 3 seconds.
C. Detonated grenade in bunker.
C. Returned to covered position
after each throw.
D. Rolled away from bunker.
D. Used proper grip.
E. Used proper grip.
E. Used proper throwing techniques.
F.
Used cook-off technique.
F. Completed performance measures 6A
through 6E within 15 seconds.
G. Completed performance measures 2A
through 2F within 15 seconds.
STATION 7. Identify Hand Grenades and Pyrotechnic Signals
STATION 3. Engage Mortar Position at 25 Meters (Kneeling)
A. Selected fragmentation grenade
to engage enemy soldiers.
A. Detonated at least one grenade inside mortar
position.
B. Identified M83 grenade as
"White Smoke" or "HC Smoke."
B. Kept exposure time under 3 seconds.
C. Identified M18 grenades as "Colored
Smoke" or "Purple (and so forth)
C. Returned to covered position after
Smoke." (If specific color is stated, it must
each throw.
be the same as color on the training aid
grenade used.)
D. Used proper grip.
D. Identified M7A2/A3 grenade as CS
or riot control.
E. Used proper throwing techniques.
E. Identified M14 grenades as incendiary.
F. Completed performance measures 3A
through 3E within 15 seconds.
NOTES:
STATION 4. Engage Enemy Behind Cover at 20 Meters (Prone)
1. FOR PERFORMANCE MEASURES 7A THROUGH 7E, IF THE
EXAMINEE CANNOT CORRECTLY STATE THE NAME OF THE
A. Detonated at least one grenade within 5
GRENADE, BUT CAN CORRECTLY IDENTIFY ITS USE, THEN
meters of the center of target.
THE EXAMINEE WILL BE SCORED A "GO."
B. Kept exposure time under 3 seconds.
2. EACH PERFORMANCE MEASURE AT EACH SECTION IS
C. Returned to covered position after
GRADED ON A PASS/FAIL STANDARD. A SOLDIER MUST
each throw.
PASS ALL OF THE STANDARDS TO RECEIVE A "GO" ON THAT
STATION.
D. Used proper grip.
E. Used proper throwing techniques.
F. Completed performance measures 4A
through 4E within 15 seconds.
DA Form 3517, AUG 2021
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APD AEM v1.00ES
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