FLORIDA WING CADET ANNUAL PERFORMANCE EVALUATION

PERSONNEL INFORMATION
CAP ID / UNIT CHARTER NUMBER
SER-FL-016 / UNIT NAME
Coral Springs Cadet Squadron / GROUP
0 / AGE
NAME (Last Name, First Name, Middle Initial)
, / GRADE
C/ABC/AmnC/A1CC/SrAC/SSgtC/TSgtC/MSgtC/SMSgtC/CMSgtC/2d LtC/1st LtC/CaptC/MajC/Lt ColC/Col / CURRENT ACHIEVMENT (NUMBER ONLY)
CADET PROGRAM PERFORMANCE
Complete the information below for those items achieved from 01 December 2006 to 30 November 2007.
MILESTONE AWARDS
Check each you earned. / ACHIEVEMENTS EARNED
Check each you earned. / SQUADRON CADET POSITIONS HELD
List each you held for six months or more.
Wright Brothers Award / Ach. 1 / Ach .7 / Ach. 12 / POSITION
/ MONTHS HELD
Gen William Mitchell Award / Ach. 2 / Ach. 8 / Ach. 13
Amelia Earhart Award / Ach. 3 / Ach. 9 / Ach. 14
Gen Ira C Eaker Award / Ach. 4 / Ach. 10 / Ach. 15 / POSITION
/ MONTHS HELD
Gen Carl A Spaatz Award / Ach. 5 / Ach. 11 / Ach. 16
Ach. 6 / Cadet Honor Society
WING ACTIVITIES PARTICIPATION
Check each attended. Mark position you had, P= Participant, S=Staff / ORIENTATION FLIGHTS
Check flight flown.
P / S / P / S / POWERED / GLIDER
Encampment / Color Guard/DrillTeam Academy / Flight 1 / Flight 1
Special Activities Selection / Wing Academic Competition / Flight 2 / Flight 2
Cadet Officer Advance Course / Cadet Competition / Flight 3 / Flight 3
Cadet Officer Basic Course / Career Shadowing / Flight 4 / Flight 4
Florida Leadership Academy / Wing/Cadet Conference / Flight 5 / Flight 5
NATIONAL AND REGIONAL ACTIVITIES PARTICIPATION
Check each attended. / CADET PROGRAM AWARDS
Check each you earned.
SUPT Fam. Course (formerly AETCFC) / Nat’l Honor Guard Academy / Air Force Association Award
IACE / Hawk Mountain Ranger School / Air Force Sergeants Association Award
AF Weather Agency Fam. Course / Nat’l Cadet Competition / Veterans of Foreign Wars Award
Cadet Officer School / National Blue Beret / Community Service Award
Nat’l Flight Academy - Power / AE Educational Academy / The Congressional Award
Nat’l Flight Academy - Glider / Adv. Technologies Academy / Presid. Challenge Physical Fitness Award
AC Manuf. & Maintenance Academy / Engineering & Tech. Academy / Cadet Advisory Council Award
NESA - Basic / Other: (Specify)
NESA – Adv / Region Conference
AF Pararescue Orient. Course - Basic / Region Cadet Competition
AF Pararescue Orient. Course - Adv / Region Cadet Leadership School
ADDTIONAL PERFORMANCE EVALUATION ITEMS
Complete the information below for those items achieved from 01 December 2006 to 30 November 2007 UNLESS otherwise noted.
COMMUNICATIONS
Check only one IF it applies. MUST be current and MAY be earned at anytime. / EMERGENCY SERVICE QUALIFICATIONS
Check each qualification listed below that you currently hold. MUST be current and MAY be earned at anytime.
Radio Operators Auth. - Basic / General Emergency Services / Mission Radio Operator / Urban DF Team Member
Radio Operators Auth. - Advance / Ground Team Member / Flight Line Marshaller
AEROSPACE
Check if you earned the following. / SPECIAL ACTIVITIES SELECTION APPLICATION
DO NOT COMPLETE. To be completed by Special Activities Staff ONLY.
Model Rocketry Badge / Typed / Complete / On Time / Parent Signature
Clean / Accurate / Medical Information Signed / Sq Certification Complete
This form is for the purpose of evaluating cadets who apply for national activities and will be going through the Florida Wing Special Activities selection process. Information is to be true and correct. Your unit commander MUST certify this form by signing below. Under NO CIRCUMSTANCE will electronic signatures or graphics be accepted. It is suggested that your unit commander use a blue ball point pen.
UNIT COMMANDER CERTIFICATION
To my knowledge:
I certify that ALL of the information on this form is true and correct.
______
SIGNATURE OF UNIT COMMANDER DATE
Bruce S. Sage, 2d Lt1st LtCaptMajLt Col______
PRINT NAME

Special Activities Selection Form 21 October 2007 OPR:CP