PLTCE Nomination / Registration Form

Form

pltce registration form

Download: PLTCE Nomination / Registration Form. Note: PDF form fields are possible legally not available in browser view. Open it with your PDF software.

Form Guide

* Mandatory

      1. Language: Select language from Drop-down Listing
      2. Course # / Dates: Select Course/Dates from Drop-down Listing
      3. Current Date: Enter the current date. Format Self-Populates
      4. Other Course: Identify Course (Use PLTCE Request for Training Form), if required
      5. Last Name: Self-Explanatory
      6. First Name: Self-Explanatory
      7. Middle Name: Self-Explanatory. Middle Initial is also acceptable.
      8. Date of Birth: Enter DOB as indicated by example. Format Self-Populates
      9. Rank: Enter Military rank (e.g., SFC, TSgt, Cpl, PO1) - Select N/A for Title!
      10. Title: Enter Civilian title (e.g., Mr., Mrs., Dr., Prof) - Civilians Only!
      11. Gender: Select appropriate Gender from Radio Buttons
      12. Service Org: Select appropriate agency from Drop-Down Listing
      13. Reservist: Select appropriate Radio Button. If Yes, see Reservist (YES)
      14. Reservist (YES): Check appropriate Reservist status.
      15. MOS/NEC/Spec: Enter appropriate Occupational Specialty, (e.g., 35P, 1N3, 9RUS)
      16. Grade: Enter appropriate military or civilian grade, (e.g., E-6, GS09, GG13)

      17. Organization Name: Enter Organization Name with referenced abbrev., (e.g., 402nd Intel Sqdn); (1/10th Special Forces Grp (A). HQDA Reportable.

      1. Organization Address: Enter complete address, i.e., Unit XXXXX, PSC XXX, Box XX or 999 S Rocky Road Drive, 111 John Kingman Road, 222 Mason Road. HQDA Reportable.

      1. City: Self-Explanatory. Enter city where Organization is located. Military addresses enter "APO", "FPO" or other as appropriate.

      1. State: Self-Explanatory. Enter state where Organization is located. Military addresses enter "AE", "AP" or other as appropriate.
      2. Zip Code: Self-Explanatory - Enter 5 digit Zip Code.

    1. Country: Self-Explanatory. Enter USA (Stateside Unit) or Country, as appropriate.
    2. Organization Phone: Self-Explanatory. Enter DSN or Com (000) 111 2222.
    3. Organization Fax: Optional. Enter DSN or Com (000) 111 2222.
    4. Work E-mail: Required. e.g., This email address is being protected from spambots. You need JavaScript enabled to view it.
    5. Personal E-mail: Optional. e.g., This email address is being protected from spambots. You need JavaScript enabled to view it.
    6. Duty Location (City & State): e.g., Fort Bragg, NC; Ogden, UT, Fort Meade, MD.
    7. Duty Location (Country), Germany; United Kingdom; Bahrain
    8. DLPT Language (Primary): Language being trained on at PLTCE.
    9. How Language Obtained: Select from Drop-down Listing.
    10. Last DLPT Date: Enter DLPT Date as indicated by example. Format Self-Populates
    11. Listening Score: Select appropriate score from Drop-down Listing.
    12. Reading Score: Select appropriate score from Drop-down Listing.
    13. Speaking Score: Select appropriate score from Drop-down Listing.

Note: Complete OPI “Only” if no DLPT

  1. OPI Date: Enter OPI Date. Format Self-Populates
  2. OPI Taken: Select "Yes" or "No", as appropriate.
  3. OPI Score: Select appropriate score from Drop-down Listing.

  4. 1SG/POC/Supv Name: For Military, enter as appropriate. Civilians, enter your immediate Supervisor's information.
  5. 1SG/POC/Supv Phone: Enter as appropriate.
  6. CLPM / Language Manager: Enter CLPM's name as appropriate.
  7. CLPM / Language Manager's Phone: Self-Explanatory.
  8. CLPM / Language Manager's E-mail: Self-Explanatory.
  9. Pay.Gov: Check if paying via Pay.Gov website.
  10. Unit GPC: Check if Unit/Org will pay with Unit GPC.
  11. Indiv GTC: Check if individual is required to pay with their Gov't Travel Card.
  12. EFT: Check if unit will pay through Electronic Funds Transfer (EFT).
  13. Credit Card: Check if payment is with a Personal Credit Card.
  14. Additional Comments: Enter any information that provided PLTCE additional information on this enrollment, as appropriate.

 

 

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