UPDATE A RECRUIT IN THE DATABASE

(*) REQUIRED FIELD
 
*First Name:  
M: *Last:
WALETA NUMBER YY-00-##: 
DISPLAY ON AGENCY PAGE? YES  NO 
 
Agency: 
 
Weekly Info:  
Previous Weekly Info:  
Class Size: 
 
Weekly ACADEMIC Score: 
    Academic Average:      Academic Rank: 
POPAT: 
    POPAT Average:      POPAT Rank: 
FIT FORCE: 
    FIT FORCE Average:      FIT FORCE Rank: 
OVERALL PHYSICAL RANK:  
 
RTO Notes:  
Previous RTO Notes:  

PERSONAL INFORMATION

SSN: 
    D.O.B.: 
Photo File: 
 
Photo: 
Address1: 
 
Address2: 
 
City: 
    St:      Zip: 
Phone: 
 
Cellphone: 
 
Email: 
 

MEDICAL INFORMATION

Drug Allergies: 
 
Current Meds: 
 
Special Medical: 
 
Blood Type: 
 

EMERGENCY CONTACT INFORMATION

Emergency Name: 
 
Emergency Work: 
 
Emergency Work Addr: 
 
Emergency Work Phone :
 
Emergency Home Phone: 
 
Emergency Cell Phone: 
 
Relationship: 
 
Emergency HomeAddress: 
 

NOTES & COMMENTS

Notes: 

Dismissal Date: 
 
Dismissal Reason: