RFA GUIDE (RACE/RELIGION/ETHNICITY)

18 Jan 16

From: MIDNJoseph David Marine, 555 55 5555/8001

To: Commanding General, Marine Corps Recruiting Command

Via: Senior Marine United States Naval Academy

Subj: REQUEST FOR APPOINTMENT TO COMMISSION AS A SECOND LIEUTENANT IN THE

UNITED STATES MARINE CORPS

Encl: (1)Request for Appointment documents

1. I hereby submit my application for appointment to commission as a Second Lieutenant in the U.S. Marine Corps (Active) upon completion of all academic requirements for my degree no later than 27 May 2016. I will have written verification of this degree on 27 May 2016and desire to be commissioned on27 May 2016.

2. My commissioning will be coordinated by Marine Liaison, LtColPeter Reitmeyer, Office of the Senior Marine Corps Representative, 107 Maryland Ave. Annapolis, MD 21402.

3. My Home of Record is as stated on my current Academy contract. I have provided each of my prior service contracts and separation documents from all services and academies to reflect pay and service time. __Army __ Navy __ Air Force__ National Guard _X_ Service Academy __Reserve Officers Training Corps.(Check all that apply)

4. I completed OCS (N/A)and expect to commissionas: _X__ Ground ___Student Naval Aviator___Student Naval Flight Officer.

5. Upon reporting to TBS, my marital statuswill be:___married_X_single. I will provide supporting documents under separate cover.

6. I desire my commission to report the following: religious preference____26____, race ____E____ and cultural ethnicity _____P_____.

(Reference RFA Guide for appropriate race/ethnicity information)

7. I desire to be assigned to The Basic School (TBS) class # __5-16___ which convenes _28 Jun 2016___.

______

Signature

______

Witnessing Officer

FOR OFFICIAL USE ONLY

Request For Appointment (Rev. 1/2012)

RFA GUIDE (RACE/RELIGION/ETHNICITY)

Race

AAMERICAN INDIAN OR ALASKA NATIVE

BASIAN

CBLACK OR AFRICAN AMERICAN

DNATIVE HAWAIIAN OR OTHER PACIFIC ISLAND

EWHITE

FDECLINED TO RESPOND

H AMERICAN INDIAN/ALASKA NATIVE,

ASIAN

J AMIN/ALNAT, ASIAN, BLACK

K AMIN/ALNAT, ASIAN, BLACK,

NATHAW/PACISL

L AMIN/ALNAT, AS, BL,

NATHAW/PACISL, WHITE

M AMIN/ALNAT, ASIAN, BLACK, WHITE

N AMIN/ALNAT, ASIAN, NATHAW/OTH PAC

ISL

P AMIN/ALNAT, ASIAN, NATHAW/PACISL,

WHITE

Q AMIN/ALASKA NATIVE, ASIAN, WHITE

R AMIN/ALNAT, BLACK OR AFRICAN

AMERICAN

S AMIN/ALNAT, BLACK, NATHAW/PACISL

T AMIN/ALNAT, BLACK, NATHAW/PACISL,

WHITE

U AMIN/ALNAT, BLACK, WHITE

V AMIN/ALNAT, NATHAW/PACISL

W AMIN/ALNAT, NATHAW/PACISL, WHITE

X AMERICAN INDIAN/ALASKA NATIVE,

WHITE

Y ASIAN, BLACK OR AFRICAN AMERICAN

Z ASIAN, BLACK, NATHAW/PACISL

Religion

00 NO PREFERENCE

01 NO RELIGIOUS

02 SEVENTH-DAY

04 ASSEMBLIES OF GOD

05 GRACE GOSPEL

06 AMERICAN BAPTIST

07 INDEPENDENT BAPTIST

08 SOUTHERN BAPTIST

09 NATIONAL ASSC OF

10 BAPTIST - CHURCHES

12 BRETHREN CHURCH

13 CHRISTIAN - NO

14 BUDDHISM

16 CHRISTIAN

18 CHURCH OF CHRIST

19 CHURCH OF GOD IN

20 CHURCH OF GOD

24 CHRISTIAN CHURCH

26 PROTESTANT

32 FRIENDS

34 JEHOVAH'S WITNESSES

36 JEWISH

38 CHURCH OF LATTER

40 LUTHERAN CHURCHES

41 LUTHERAN COUNCIL

44 METHODIST

45 EVANGELICAL

46 EVANGELICAL

47 EVANGELICAL

48 MUSLIM

49 HINDU

50 CHURCH OF THE

53 EASTERN ORTHODOX

55 FULL GOSPEL

56 PENTECOSTAL

57 UNITED PENTECOSTAL

58 PRESBYTERIAN

60 REFORMED CHURCHES

62 ROMAN CATHOLIC

64 SALVATION ARMY

66 UNITARIAN

68 UNITED CHURCH OF

70 PROTESTANT - OTHER

72 PROTESTANT - NO

74 OTHER RELIGIONS

75 ATHEIST

99 UNKNOWN

A0 AMERICAN COUNCIL OF CHRISTIAN

CHURCHES

AA ASBURY BIBLE CHURCHES

AB BIBLE PROTESTANT CHURCH

AC CONGREGATIONAL METHODIST CHURCH

AD EVANGELICAL METHODIST CHURCH OF

AMERICA

AE FUNDAMENTAL METHODIST CHURCH,

INC.

AF INDEPENDENT CHURCHES AFFILIATED

AG INDEPENDENT FUNDAMENTAL BIBLE

CHURCHES

AH TIOGA RIVER CHRISTIAN CONFERENCE

AJ UKRANIAN EVANGELICAL BAPTIST

CONFERENCE

AK METHODIST PROTESTANT CHURCH

AL MILITANT FUNDAMENTAL BIBLE

CHURCHES

AM UNITED CHRISTIAN CHURCH

AN NATIVE AMERICAN

AV ADVENTIST CHURCHES

B0 ASSOCIATED GOSPEL CHURCHES, THE

BA ANGLICAN ORTHODOX CHURCH, THE

BB BAPTIST BIBLE FELLOWSHIP

BC BRETHREN IN CHRIST FELLOWSHIP

BD CHRISTIAN CRUSADE

BE INDEPENDENT BAPTIST CHURCHES

BF INDEPENDENT LUTHERAN CHURCHES

BG SOUTHWIDE BAPTIST FELLOWSHIP

BH BIBLE PRESBYTERIAN CHURCH

CA AMERICAN BAPTIST ASSOCIATION

CC CATHOLIC CHURCHES

CD BAPTIST MISSIONARY ASSC OF

AMERICA

CE FREE WILL BAPTISTS

CG GENERAL ASSC OF REGULAR BAPTIST

CHURCHES

CH AMERICAN BAPTIST CONVENTION

CI AMERICAN BAPTIST CHURCHES IN THE

USA

CJ WORLD BAPTIST FELLOWSHIP

D0 GENERAL COMM ON CHAPLINS & AF

PERSONNEL

DA ADVENT CHRISTIAN CHURCH

DB AFRICAN METHODIST EPISCOPAL

CHURCH

DC AFRICAN METHODIST EPISCOPAL ZION

CHURCH

DD BAPTIST GENERAL CONFERENCE

DE CHRISTIAN METHODIST EPISCOPAL

CHURCH

DF CHRISTIAN REFORMED CHURCH

DG CHURCH OF GOD (ANDERSON, IN)

DH CHURCH OF GOD IN NORTH AMERICA

DJ EVANGELICAL CONGREGATIONAL
CHURCH

DL FREE WILL BAPTISTS, NC STATE

CONVENTION DM MORAVIAN CHURCH

DN NATL ASSC OF CONGREGATIONAL

CHRISTIAN

DP NATIONAL BAPTIST CONVENTION OF

AMERICA

DQ NATIONAL BAPTIST CONVENTION,

USA. INC.

DR NORTH AMERICAN BAPTIST

CONFERENCE

DS PRIMITIVE METHODIST CHURCH, USA

DT PROGRESSIVE NATL BAPTIST

CONVENTION,INC.

DU REFORMED CHURCH IN AMERICA

DV CHURCH OF GOD GENERAL CONFERENCE

DW SEVENTH DAY BAPTIST GENERAL

CONFERENCE

DX CHURCHES OF GOD, GENERAL

CONFERENCE

DY SCHWENKFELDER CHURCHES, THE

GENERAL CONF

DZ SWEDENBORGIAN CHURCH, GENERAL

CONFERENCE

E0 INDEPENDENT DENOMINATIONAL

ENDORSING AGY

EA ANGLICAN CATHOLIC CHURCH

ED CHURCH OF GOD OF PROPHECY

EE EPISCOPAL CHURCHES

EH INDEPENDENT FUNDAMENTAL CHURCHES

OF AMER

EJ FELLOWSHIP OF GRACE BRETHREN

CHURCHES

EK PLYMOUTH BRETHREN

EL REFORMED CHURCH IN THE UNITED

STATES

EM REFORMED EPISCOPAL CHURCH

EN REORGANIZED CHURCH OF LATTER DAY

SAINTS

EP CHURCHES OF CHRIST

FA JEWISH-REFORM

FB JEWISH-CONSERVATIVE

FC JEWISH-ORTHODOX

GA LUTHERAN CHURCH IN AMERICA

GB AMERICAN LUTHERAN CHURCH, THE

GC LUTHERAN CHURCH-MISSOURI SYNOD

GD EVANGELICAL LUTHERAN CHURCHES,

ASSC OF

HH HOLINESS CHURCHES

J0 NATIONAL ASSOCIATION OF

EVANGELICALS

JA CHRISTIAN AND MISSIONARY

ALLIANCE

JB CHRISTIAN CHURCHES & CHURCHES OF

CHRIST

JC CHURCH OF GOD (CLEVELAND, TN)

JD CHURCH OF THE UNITED BRETHREN IN

CHRIST

JE CHURCHES OF CHRIST IN CHRISTIAN

UNION

JF CONSERVATIVE BAPTIST ASSC OF

AMERICA

JG CONSERVATIVE CONGREGATION

CHRISTIAN CONF

JH ELIM FELLOWSHIP

JJ EVANGELICAL FREE CHURCH OF

AMERICA

JK EVANGELICAL FRIENDS ALLIANCE

JL EVANGELICAL METHODIST CHURCH

JM INTL CHURCH OF THE FOURSQUARE

GOSPEL

JN OPEN BIBLE STANDARD CHURCHES,

INC.

JP PENTECOSTAL CHURCH OF GOD OF

AMERICA,INC

JQ PENTECOSTAL HOLINESS CHURCH

JR MISSIONARY CHURCH, THE

JS GENERAL CONF OF THE BRETHREN

CHURCH

JT CENTRAL BIBLE CHURCH

JU FREE LUTHERAN CONGREGATIONS, THE

ASSC OF

JV ELIM MISSIONARY ASSEMBLIES

JW KANSAS YEARLY MEETING OF FRIENDS

JX MISSIONARY CHURCH ASSOCIATION

JY OHIO YEARLY MEETING OF FRIENDS

KF BAHA'I FAITH

KK EASTERN RELIGIONS

LA ASSOCIATE REFORMED PRESBYTERIAN

CHURCH

LB CUMBERLAND PRESBYTERIAN CHURCH

LC PRESBYTERIAN CHURCH IN THE US

LD UNITED PRESBYTERIAN CHURCH,

EVANGELICAL

LE ORTHODOX PRESBYTERIAN CHURCH,

THE

LF REFORMED PRESBYTERIANCHURCH,

EVANGELICAL

LG UNITED PRESBYTERIAN CHURCH IN

THE USA

LH PRESBYTERIAN CHURCH IN AMERICA

LJ PRESBYTERIAN COUNCIL FOR

CHAPLINS & MIL

NA UNITED METHODIST CHURCH, THE

NB FREE METHODIST CHURCH OF NORTH

AMERICA

NC PRIMITIVE METHODIST CHURCH, THE

ND THE WESLEYAN CHURCH

NE SOUTHERN METHODIST CHURCH

QQ EUROPEAN-FREE CHURCHES

XC IGLESIA NI CHRISTO

XJ CHURCHES OF THE NEW JERUSALEM

YW WICCA (WITCHCRAFT)

ZB AGNOSTIC

Ethnicity

1 OTHHSP

2 USCANINDIAN

3 OTHASIAN

4 PR

5 FILIPINO

6 MEXICAN

7 ALASKA NATIVE

9 CUBAN

A AFRICAN

B CARIBBEAN

D INDIAN

E MELANES

F AUSTRALASIAN/ABORIGINE

G CHINESE

H GUAMANIAN

J JAPANESE

K KOREAN

L POLYNES

P EUROPEAN/ANGLO

Q OTHPACIS

S LATINAMER

T ARAB

V VIET

W MICRONES

Z DECLINED TO RESPOND

FOR OFFICIAL USE ONLY

Request For Appointment (Rev. 1/2012)