DD Form 370 Request for Reference

What Is a DD Form 370?

DD Form 370, Request for Reference is used for requesting additional data about an applicant wishing to enlist in the Armed Forces of the United States. The provided information helps to determine whether or not the applicant meets the criteria to become a member of the Army.

The latest version of the form - sometimes incorrectly referred to as the DA Form 370 (Request for Alteration and Repairs) - was released by the Department of Defense (DoD) in March 2009 with all previous editions obsolete. An up-to-date DD Form 370 fillable version is available for download and digital filing below or can be found through the Executive Services Directorate website.

The data included in the DD 370 Form becomes a part of the military personnel records of the applicant. The request is sent to a past employer, an official or church representative chosen by the applicant. The answers received through the form assist in determining whether the applicant fits the standards of the U.S. Armed Forces.

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OMB No. 0704-0167
REQUEST FOR REFERENCE
OMB approval expires
Oct 31, 2011
PLEASE RETURN YOUR FORM TO THE ADDRESS SHOWN IN THE "TO" BLOCK BELOW.
The public reporting burden for this collection of information is estimated to average 10 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, 1155 Defense
Pentagon, Washington, DC 20301-1155 (0704-0167). 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.
THIS FORM CONTAINS INFORMATION SUBJECT TO THE PRIVACY ACT OF 1974, AS AMENDED.
TO:
Your timely reply will help the defense effort. Please
fill out and return promptly. A return envelope, which
requires no postage, is enclosed for your
convenience.
APPLICANT IDENTIFICATION DATA
1. NAME (Last, First, Middle Initial)
2. MAILING ADDRESS (Street, Apartment Number, City, State, and
ZIP Code)
3. DATE OF BIRTH (YYYYMMDD)
4. DATES OF SCHOOL ATTENDANCE OR EMPLOYMENT
b. TO (YYYYMMDD)
a. FROM (YYYYMMDD)
Enlistees who cannot adjust satisfactorily to military life
The above-named person has made application for
must be discharged, causing emotional distress to the
enlistment in the Armed Service and has given your name
individual, as well as loss to the taxpayers. Therefore, by
as a reference.
The information you provide will be
giving your frank opinion of the applicant, you can render a
appreciated since it will assist in determining whether or not
genuine service to the applicant as well as to the United
the applicant meets the eligibility standards to become a
States.
member of the Armed Forces of the United States.
Your statements will be held in strict confidence, and you
Service standards require that applicants be mature,
will not be considered personally responsible in any way for
intelligent, and possess high moral qualifications.
Those
the applicant's conduct if enlisted or not enlisted.
applicants who are selected will have an opportunity to
receive schooling and training in technical fields to improve
Your answers to the questions listed on the back of this
and advance their knowledge and skills in subjects essential
form are of particular interest in reaching a conclusion
concerning
the
qualifications
of
the
applicant.
Any
to national defense. Additionally, college opportunities will
information you can provide will be appreciated.
be available.
RECRUITING OFFICER IDENTIFICATION DATA
5. TYPED NAME (Last, First, Middle Initial)
6. DATE SIGNED
7. UNIT/COMMAND NAME
(YYYYMMDD)
8. SIGNATURE OF RECRUITING REPRESENTATIVE
9. UNIT/COMMAND MAILING ADDRESS (Street, City, State, and ZIP Code)
DD FORM 370, MAR 2009
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional 8.0
OMB No. 0704-0167
REQUEST FOR REFERENCE
OMB approval expires
Oct 31, 2011
PLEASE RETURN YOUR FORM TO THE ADDRESS SHOWN IN THE "TO" BLOCK BELOW.
The public reporting burden for this collection of information is estimated to average 10 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, 1155 Defense
Pentagon, Washington, DC 20301-1155 (0704-0167). 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.
THIS FORM CONTAINS INFORMATION SUBJECT TO THE PRIVACY ACT OF 1974, AS AMENDED.
TO:
Your timely reply will help the defense effort. Please
fill out and return promptly. A return envelope, which
requires no postage, is enclosed for your
convenience.
APPLICANT IDENTIFICATION DATA
1. NAME (Last, First, Middle Initial)
2. MAILING ADDRESS (Street, Apartment Number, City, State, and
ZIP Code)
3. DATE OF BIRTH (YYYYMMDD)
4. DATES OF SCHOOL ATTENDANCE OR EMPLOYMENT
b. TO (YYYYMMDD)
a. FROM (YYYYMMDD)
Enlistees who cannot adjust satisfactorily to military life
The above-named person has made application for
must be discharged, causing emotional distress to the
enlistment in the Armed Service and has given your name
individual, as well as loss to the taxpayers. Therefore, by
as a reference.
The information you provide will be
giving your frank opinion of the applicant, you can render a
appreciated since it will assist in determining whether or not
genuine service to the applicant as well as to the United
the applicant meets the eligibility standards to become a
States.
member of the Armed Forces of the United States.
Your statements will be held in strict confidence, and you
Service standards require that applicants be mature,
will not be considered personally responsible in any way for
intelligent, and possess high moral qualifications.
Those
the applicant's conduct if enlisted or not enlisted.
applicants who are selected will have an opportunity to
receive schooling and training in technical fields to improve
Your answers to the questions listed on the back of this
and advance their knowledge and skills in subjects essential
form are of particular interest in reaching a conclusion
concerning
the
qualifications
of
the
applicant.
Any
to national defense. Additionally, college opportunities will
information you can provide will be appreciated.
be available.
RECRUITING OFFICER IDENTIFICATION DATA
5. TYPED NAME (Last, First, Middle Initial)
6. DATE SIGNED
7. UNIT/COMMAND NAME
(YYYYMMDD)
8. SIGNATURE OF RECRUITING REPRESENTATIVE
9. UNIT/COMMAND MAILING ADDRESS (Street, City, State, and ZIP Code)
DD FORM 370, MAR 2009
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional 8.0
APPLICANT'S NAME (Last, First, Middle Initial)
10. WHAT IS YOUR RELATIONSHIP TO THE APPLICANT? (Indicate with an "X")
c. OTHER (Specify)
a. EMPLOYER
b. SCHOOL OFFICIAL
11. HOW LONG HAVE YOU KNOWN THE APPLICANT?
12. APPLICANT'S HIGHEST SCHOOL GRADE COMPLETED OR JOB TITLE
a. FROM (YYYYMMDD)
b. TO (YYYYMMDD)
13. INCLUSIVE DATES OF SCHOOL ATTENDANCE/
14. IF APPLICANT LEFT SCHOOL OR JOB, OR WAS EXPELLED, DISMISSED, OR
EMPLOYMENT IN YOUR SCHOOL OR FIRM
TERMINATED, GIVE SPECIFIC REASON IF KNOWN.
a. FROM (YYYYMMDD)
b. TO (YYYYMMDD)
(Indicate with an "X")
15. HOW DO YOU RATE THE APPLICANT'S:
OUTSTANDING
AVERAGE
UNSATISFACTORY
NOT OBSERVED
a. TRUSTWORTHINESS
b. ADAPTABILITY
c. ABILITY TO WORK WELL WITH OTHERS
d. INITIATIVE
e. JUDGMENT
f. PHYSICAL FITNESS
g. LEADERSHIP
h. MATURITY
i. DEPENDABILITY
(Indicate with an "X")
PLEASE ANSWER THE FOLLOWING QUESTIONS TO THE BEST OF YOUR
KNOWLEDGE. FOR "YES" ANSWERS, PROVIDE DETAILS IN REMARKS.
YES
NO
UNKNOWN
16. IF APPLICANT IS KNOWN TO USE ALCOHOL OR DRUGS, HAS IT AFFECTED
HIS OR HER PERFORMANCE? (If Yes, explain below)
17. IS THERE ANY REASON WHY YOU WOULD NOT RECOMMEND THIS PERSON
FOR THE ARMED FORCES? (If Yes, explain below)
18. PLEASE WRITE A PERSONAL NARRATIVE EVALUATION OF THE APPLICANT BELOW, OR ON A PLAIN PIECE OF PAPER, AND
ATTACH TO THIS FORM. SPECIFICALLY ADDRESS THE ABOVE ITEMS. IF ITEM17 IS MARKED "YES", PLEASE EXPLAIN IN DETAIL.
19. PERSON COMPLETING QUESTIONNAIRE
a. TYPED OR PRINTED NAME (Last, First, Middle Initial)
b. TITLE
d. DATE SIGNED (YYYYMMDD)
c. SIGNATURE
DD FORM 370 (BACK), MAR 2009
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DD Form 370 Instructions

The individual responsible for initiating and sending out the form is the recruiter or the appropriate recruiting personnel. The responsible official should strictly keep to the following rules:

  1. The DD Form 370 cannot be given to the applicant to complete under any circumstances.
  2. The document is either given directly to the recruiter or recruiting personnel or mailed to the institution.
  3. The commanding officer may request two types of references: employer references and personal references. Church pastors or schoolteachers may serve as the examples of personal references. References from relatives are not accepted.

The references may be requested through a DD 370 form or via a phone call.

All of the information provided in the document is strictly confidential. It is used to make a subjective judgment on an applicant's suitability. The recruiter is not allowed to divulge it either to the applicant or upon special request. Disclosure of the data is a criminal offense and may lead to a fine or imprisonment. The confidentiality is especially important if the applicant is later rejected.

The paper should be filled out and returned as soon as possible. For the convenience of the person completing the document, the return envelope requires no postage enclosed. The instructions for completing the DD 370 are as follows:

  1. The first box should contain the name and address of the law enforcement agency to which the completed document must be returned.
  2. Next is the applicant's identification data. Boxes 1 through 4 are for providing their full name, a mailing address, the date of birth, and dates of school attendance or employment.
  3. The entire next block is meant for the individual tasked with providing a reference for the applicant. It contains an explanation of the form, an assurance of strict confidentiality, and release of any responsibility for applicant's conduct if accepted or not accepted.
  4. The next part of the form - Boxes 5 through 9 - provide the name of the recruiting officer, their unit or command name, a signature, the date of signing and a mailing address of the unit or command.
  5. Boxes 10 through 14 are designed to define the relationship of the person completing the questionnaire to the applicant.
  6. Box 15 requires providing an assessment of the applicant's qualities.
  7. The applicant's relationship with alcohol or drugs should be described in Boxes 16 and 17 if there is a reason to assume that it may prevent them from performing their duties in the Army.
  8. Box 18 is intended for a personal narrative about the applicant and for a detailed explanation of Box 16 and 17 if those were answered positively.

Before sending the form back to recruiters, the individual filing the questionnaire has to provide their name and title before signing and dating the form.

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