DD Form 2932 National Language Service Corps (Nlsc) Application

DD Form 2932 or the "National Language Service Corps (nlsc) Application" is a Department of Defense-issued form used by and within the United States Army.

The form - often mistakenly referred to as the DA form 2932 - was last revised on January 1, 2016. Download an up-to-date fillable PDF version of the DD 2932 down below or find it on the Department of Defense documentation website.

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FOR NLSC USE ONLY
OMB No. 0704-0449
NATIONAL LANGUAGE SERVICE CORPS (NLSC) APPLICATION
CONTROL NUMBER
OMB approval expires
Nov 30, 2018
PLEASE RETURN YOUR COMPLETED FORM TO:
NATIONAL LANGUAGE SERVICE CORPS, P.O. BOX 12221, ARLINGTON, VA 22219-2221
The public reporting burden for this collection of information is estimated to average 18 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management
Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (0704-0449). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any
penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 131, Office of the Secretary of Defense; DoD Directive 5124.02, Under Secretary of Defense for Personnel and Readiness (USD(P&R));
50 U.S.C. 1913, National Language Service Corps.
PRINCIPAL PURPOSE(S): To allow U.S. citizens with language skills to self-identify their skills for the purpose of temporary employment on an intermittent work
schedule or service opportunities in support of DoD or another department or agency of the United States. The information will be used to determine applicants' eligibility
for NLSC membership and to identify and contact NLSC members. Submitted forms are covered by Privacy Act System of Records Notice DHRA 07, National Language
Service Corps (http://dpcld.defense.gov/Privacy/SORNsIndex/DODComponentArticleView/tabid/7489/Article/6689/dhra-07.aspx).
ROUTINE USE(S): In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act of 1974, as amended, the records or information therein
may be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
To another department or agency of the United States in need of temporary short-term foreign language services, where government employees are required or desired.
The DoD Blanket Routine Uses found at http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx may apply to this collection.
DISCLOSURE: Voluntary; however, failure to provide information may result in non-enrollment in the NLSC and refusal to grant access to member areas of the NLSC
portal.
SECTION I - PERSONAL INFORMATION
1.a. TITLE
b. LAST NAME
c. FIRST NAME
d. MIDDLE NAME
e. NICKNAME
(X one)
MS.
MR.
MRS.
DR.
2.a. STREET ADDRESS
b. APARTMENT/SUITE NUMBER
c. CITY
d. STATE
e. ZIP CODE
f. COUNTRY
3. TELEPHONE NUMBERS
a. CELL/MOBILE
b. HOME
c. WORK
4. E-MAIL ADDRESS
SECTION II - GENERAL INFORMATION
5. HOW DID YOU LEARN ABOUT THE NLSC?
6.
(X one)
U.S. CITIZEN
PERMANENT RESIDENT
TEMPORARY RESIDENT
TEMPORARY VISA
(GREEN CARD HOLDER)
(I-688 CARD)
(STUDENT/OTHER)
7. ARE YOU 18 YEARS OF AGE OR OLDER?
YES
NO
8. IF YOU ARE A MALE, U.S. CITIZEN AND AT LEAST 18 YEARS OLD, HAVE YOU REGISTERED WITH THE SELECTIVE
SERVICE SYSTEM?
YES
NO
N/A
9. ARE YOU CURRENTLY OR HAVE YOU EVER BEEN A FEDERAL EMPLOYEE
?
Not a contractor)
(
CURRENT
FORMER
RETIREE
10. HAVE YOU EVER BEEN A POLITICAL APPOINTEE IN ANY CAPACITY FOR THE U.S. GOVERNMENT?
YES
NO
11. HAVE YOU EVER SERVED IN THE ARMED FORCES?
YES
NO
12. IF YOU HAVE EVER HELD A SECURITY CLEARANCE, PLEASE ANSWER THE FOLLOWING:
a. TYPE:
TS/SCI
TS
SECRET
CONFIDENTIAL
OTHER
(please specify )
b. STATUS:
ACTIVE
INACTIVE
DATE GRANTED:
SPONSORING AGENCY:
EXPIRATION DATE:
13. ARE YOU WILLING TO TAKE A DRUG TEST?
14. ARE YOU WILLING TO UNDERGO A BACKGROUND CHECK
INVESTIGATION?
YES
NO
YES
NO
DD FORM 2932, JAN 2016
Page 1 of 5 Pages
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional X
FOR NLSC USE ONLY
OMB No. 0704-0449
NATIONAL LANGUAGE SERVICE CORPS (NLSC) APPLICATION
CONTROL NUMBER
OMB approval expires
Nov 30, 2018
PLEASE RETURN YOUR COMPLETED FORM TO:
NATIONAL LANGUAGE SERVICE CORPS, P.O. BOX 12221, ARLINGTON, VA 22219-2221
The public reporting burden for this collection of information is estimated to average 18 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management
Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (0704-0449). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any
penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 131, Office of the Secretary of Defense; DoD Directive 5124.02, Under Secretary of Defense for Personnel and Readiness (USD(P&R));
50 U.S.C. 1913, National Language Service Corps.
PRINCIPAL PURPOSE(S): To allow U.S. citizens with language skills to self-identify their skills for the purpose of temporary employment on an intermittent work
schedule or service opportunities in support of DoD or another department or agency of the United States. The information will be used to determine applicants' eligibility
for NLSC membership and to identify and contact NLSC members. Submitted forms are covered by Privacy Act System of Records Notice DHRA 07, National Language
Service Corps (http://dpcld.defense.gov/Privacy/SORNsIndex/DODComponentArticleView/tabid/7489/Article/6689/dhra-07.aspx).
ROUTINE USE(S): In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act of 1974, as amended, the records or information therein
may be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
To another department or agency of the United States in need of temporary short-term foreign language services, where government employees are required or desired.
The DoD Blanket Routine Uses found at http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx may apply to this collection.
DISCLOSURE: Voluntary; however, failure to provide information may result in non-enrollment in the NLSC and refusal to grant access to member areas of the NLSC
portal.
SECTION I - PERSONAL INFORMATION
1.a. TITLE
b. LAST NAME
c. FIRST NAME
d. MIDDLE NAME
e. NICKNAME
(X one)
MS.
MR.
MRS.
DR.
2.a. STREET ADDRESS
b. APARTMENT/SUITE NUMBER
c. CITY
d. STATE
e. ZIP CODE
f. COUNTRY
3. TELEPHONE NUMBERS
a. CELL/MOBILE
b. HOME
c. WORK
4. E-MAIL ADDRESS
SECTION II - GENERAL INFORMATION
5. HOW DID YOU LEARN ABOUT THE NLSC?
6.
(X one)
U.S. CITIZEN
PERMANENT RESIDENT
TEMPORARY RESIDENT
TEMPORARY VISA
(GREEN CARD HOLDER)
(I-688 CARD)
(STUDENT/OTHER)
7. ARE YOU 18 YEARS OF AGE OR OLDER?
YES
NO
8. IF YOU ARE A MALE, U.S. CITIZEN AND AT LEAST 18 YEARS OLD, HAVE YOU REGISTERED WITH THE SELECTIVE
SERVICE SYSTEM?
YES
NO
N/A
9. ARE YOU CURRENTLY OR HAVE YOU EVER BEEN A FEDERAL EMPLOYEE
?
Not a contractor)
(
CURRENT
FORMER
RETIREE
10. HAVE YOU EVER BEEN A POLITICAL APPOINTEE IN ANY CAPACITY FOR THE U.S. GOVERNMENT?
YES
NO
11. HAVE YOU EVER SERVED IN THE ARMED FORCES?
YES
NO
12. IF YOU HAVE EVER HELD A SECURITY CLEARANCE, PLEASE ANSWER THE FOLLOWING:
a. TYPE:
TS/SCI
TS
SECRET
CONFIDENTIAL
OTHER
(please specify )
b. STATUS:
ACTIVE
INACTIVE
DATE GRANTED:
SPONSORING AGENCY:
EXPIRATION DATE:
13. ARE YOU WILLING TO TAKE A DRUG TEST?
14. ARE YOU WILLING TO UNDERGO A BACKGROUND CHECK
INVESTIGATION?
YES
NO
YES
NO
DD FORM 2932, JAN 2016
Page 1 of 5 Pages
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional X
FOR NLSC USE ONLY
NATIONAL LANGUAGE SERVICE CORPS (NLSC) APPLICATION
CONTROL NUMBER
SECTION III - EDUCATION
15. PLEASE ENTER INFORMATION RELATED TO YOUR HIGHEST LEVEL OF EDUCATION:
a. NAME OF SCHOOL
b. CITY
c. STATE
d. COUNTRY
e . DID YOU GRADUATE?
YES
NO
f. DATE:
(MM/DD/YYYY)
g. DEGREE RECEIVED:
h. MAJOR(S):
SECTION IV - LANGUAGE INFORMATION
16. PLEASE LIST ALL YOUR LANGUAGES BELOW AND ANSWER:
a.
HOW WOULD YOU RATE YOUR SKILLS IN ENGLISH?
(X one)
NATIVE
VERY GOOD
GOOD
FAIR
POOR
b. WHERE DID YOU LEARN ENGLISH?
(X all that apply)
IN THE U.S.
AT HOME AS A CHILD
HIGHER EDUCATION
SCHOOL (K-12)
AT HOME AS AN ADULT
DEFENSE LANGUAGE
COMMUNITY/
(e.g., with family/spouse)
INSTITUTE OR OTHER U.S.
CHURCH/OTHER
GOVERNMENT SCHOOL
FORMAL TRAINING
ENGLISH
OUTSIDE THE U.S.
AT HOME
SCHOOL (K-12)
COLLEGE
WORKING/LIVING ABROAD
LANGUAGE
c. HOW OFTEN DO YOU USE ENGLISH?
(X one)
ALWAYS
SOMETIMES
RARELY
d. HAVE YOU TAKEN ANY CERTIFICATION TESTS OR FORMAL TESTS IN ENGLISH?
(If so, please list them below)
NAME OF TEST:
TEST DATE:
TEST SCORE:
(MM/DD/YYYY)
NAME OF TEST:
TEST DATE:
TEST SCORE:
(MM/DD/YYYY)
DD FORM 2932, JAN 2016
Page 2 of 5 Pages
FOR NLSC USE ONLY
CONTROL NUMBER
NATIONAL LANGUAGE SERVICE CORPS (NLSC) APPLICATION
a.
HOW WOULD YOU RATE YOUR SKILLS IN THIS LANGUAGE?
(X one)
NATIVE
VERY GOOD
GOOD
FAIR
POOR
b. WHERE DID YOU LEARN THIS LANGUAGE?
(X all that apply)
IN THE U.S.
AT HOME AS A CHILD
HIGHER EDUCATION
SCHOOL (K-12)
ENTER FIRST
NON-ENGLISH
AT HOME AS AN ADULT
DEFENSE LANGUAGE
COMMUNITY/
LANGUAGE
(e.g., with family/spouse)
INSTITUTE OR OTHER U.S.
CHURCH/OTHER
GOVERNMENT SCHOOL
FORMAL TRAINING
OUTSIDE THE U.S.
AT HOME
SCHOOL (K-12)
COLLEGE
WORKING/LIVING ABROAD
c. HOW OFTEN DO YOU USE THIS LANGUAGE?
(X one)
ALWAYS
SOMETIMES
RARELY
HAVE YOU EVER WORKED AS A...
d.
TRANSLATOR
PAID
UNPAID
NUMBER OF YEARS :
INTERPRETER
PAID
UNPAID
NUMBER OF YEARS :
LANGUAGE TEACHER
PAID
UNPAID
NUMBER OF YEARS :
e. HAVE YOU TAKEN ANY CERTIFICATION TESTS OR FORMAL TESTS IN THIS LANGUAGE?
(If so, please list them below)
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
a.
HOW WOULD YOU RATE YOUR SKILLS IN THIS LANGUAGE?
(X one)
NATIVE
VERY GOOD
GOOD
FAIR
POOR
b. WHERE DID YOU LEARN THIS LANGUAGE?
(X all that apply)
IN THE U.S.
AT HOME AS A CHILD
SCHOOL (K-12)
HIGHER EDUCATION
ENTER SECOND
NON-ENGLISH
AT HOME AS AN ADULT
DEFENSE LANGUAGE
COMMUNITY/
LANGUAGE
(e.g., with family/spouse)
INSTITUTE OR OTHER U.S.
CHURCH/OTHER
GOVERNMENT SCHOOL
FORMAL TRAINING
,
IF DONE
PROCEED
TO QUESTION 15
OUTSIDE THE U.S.
AT HOME
SCHOOL (K-12)
COLLEGE
WORKING/LIVING ABROAD
c. HOW OFTEN DO YOU USE THIS LANGUAGE?
(X one)
ALWAYS
SOMETIMES
RARELY
HAVE YOU EVER WORKED AS A...
d.
TRANSLATOR
PAID
UNPAID
NUMBER OF YEARS :
INTERPRETER
PAID
UNPAID
NUMBER OF YEARS :
LANGUAGE TEACHER
PAID
UNPAID
NUMBER OF YEARS :
e. HAVE YOU TAKEN ANY CERTIFICATION TESTS OR FORMAL TESTS IN THIS LANGUAGE?
(If so, please list them below)
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
DD FORM 2932, JAN 2016
Page 3 of 5 Pages
FOR NLSC USE ONLY
NATIONAL LANGUAGE SERVICE CORPS (NLSC) APPLICATION
CONTROL NUMBER
a.
HOW WOULD YOU RATE YOUR SKILLS IN THIS LANGUAGE?
(X one)
NATIVE
VERY GOOD
GOOD
FAIR
POOR
b. WHERE DID YOU LEARN THIS LANGUAGE?
(X all that apply)
IN THE U.S.
AT HOME AS A CHILD
HIGHER EDUCATION
SCHOOL (K-12)
ENTER THIRD
NON-ENGLISH
AT HOME AS AN ADULT
DEFENSE LANGUAGE
COMMUNITY/
LANGUAGE
(e.g., with family/spouse)
INSTITUTE OR OTHER U.S.
CHURCH/OTHER
GOVERNMENT SCHOOL
FORMAL TRAINING
,
IF DONE
PROCEED
TO QUESTION 15
OUTSIDE THE U.S.
AT HOME
SCHOOL (K-12)
COLLEGE
WORKING/LIVING ABROAD
c. HOW OFTEN DO YOU USE THIS LANGUAGE?
(X one)
ALWAYS
SOMETIMES
RARELY
HAVE YOU EVER WORKED AS A...
d.
TRANSLATOR
PAID
UNPAID
NUMBER OF YEARS :
INTERPRETER
PAID
UNPAID
NUMBER OF YEARS :
LANGUAGE TEACHER
PAID
UNPAID
NUMBER OF YEARS :
e. HAVE YOU TAKEN ANY CERTIFICATION TESTS OR FORMAL TESTS IN THIS LANGUAGE?
(If so, please list them below)
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
a.
HOW WOULD YOU RATE YOUR SKILLS IN THIS LANGUAGE?
(X one)
NATIVE
VERY GOOD
GOOD
FAIR
POOR
b. WHERE DID YOU LEARN THIS LANGUAGE?
(X all that apply)
IN THE U.S.
AT HOME AS A CHILD
SCHOOL (K-12)
HIGHER EDUCATION
ENTER FOURTH
NON-ENGLISH
AT HOME AS AN ADULT
DEFENSE LANGUAGE
COMMUNITY/
LANGUAGE
(e.g., with family/spouse)
INSTITUTE OR OTHER U.S.
CHURCH/OTHER
GOVERNMENT SCHOOL
FORMAL TRAINING
,
IF DONE
PROCEED
OUTSIDE THE U.S.
TO QUESTION 15
AT HOME
SCHOOL (K-12)
COLLEGE
WORKING/LIVING ABROAD
c. HOW OFTEN DO YOU USE THIS LANGUAGE?
(X one)
ALWAYS
SOMETIMES
RARELY
HAVE YOU EVER WORKED AS A...
d.
TRANSLATOR
PAID
UNPAID
NUMBER OF YEARS :
INTERPRETER
PAID
UNPAID
NUMBER OF YEARS :
LANGUAGE TEACHER
PAID
UNPAID
NUMBER OF YEARS :
e. HAVE YOU TAKEN ANY CERTIFICATION TESTS OR FORMAL TESTS IN THIS LANGUAGE?
(If so, please list them below)
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
DD FORM 2932, JAN 2016
Page 4 of 5 Pages
FOR NLSC USE ONLY
NATIONAL LANGUAGE SERVICE CORPS (NLSC) APPLICATION
CONTROL NUMBER
a.
HOW WOULD YOU RATE YOUR SKILLS IN THIS LANGUAGE?
(X one)
NATIVE
VERY GOOD
GOOD
FAIR
POOR
b. WHERE DID YOU LEARN THIS LANGUAGE?
(X all that apply)
IN THE U.S.
AT HOME AS A CHILD
HIGHER EDUCATION
SCHOOL (K-12)
ENTER FIFTH
NON-ENGLISH
AT HOME AS AN ADULT
DEFENSE LANGUAGE
COMMUNITY/
LANGUAGE
(e.g., with family/spouse)
INSTITUTE OR OTHER U.S.
CHURCH/OTHER
GOVERNMENT SCHOOL
FORMAL TRAINING
,
IF DONE
PROCEED
TO QUESTION 15
OUTSIDE THE U.S.
AT HOME
SCHOOL (K-12)
COLLEGE
WORKING/LIVING ABROAD
c. HOW OFTEN DO YOU USE THIS LANGUAGE?
(X one)
ALWAYS
SOMETIMES
RARELY
HAVE YOU EVER WORKED AS A...
d.
TRANSLATOR
PAID
NUMBER OF YEARS :
UNPAID
INTERPRETER
PAID
UNPAID
NUMBER OF YEARS :
PAID
UNPAID
NUMBER OF YEARS :
LANGUAGE TEACHER
e. HAVE YOU TAKEN ANY CERTIFICATION TESTS OR FORMAL TESTS IN THIS LANGUAGE?
(If so, please list them below)
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
17. OTHER QUALIFICATIONS
(If you have other qualifications which you feel are beneficial or complementary to this application, please describe briefly here
or attach additional pages with your full name and date at the right of each additional page)
SECTION V - APPLICANT CERTIFICATION
I certify that, to the best of my knowledge and belief, all of the information on and attached to this application is true, correct,
complete, and made in good faith. I understand that false or fraudulent information on or attached to this application may be
grounds for not hiring me or for dismissal from the organization after I begin work and may be punishable by fine or imprisonment.
I understand that any information I give may be investigated.
18.a. SIGNATURE
b. DATE
(MM/DD/YYYY)
DD FORM 2932, JAN 2016
Page 5 of 5 Pages

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