NROTCUA FORM 1336/1
(Rev. 4/05)
NROTC UNIT, THE UNIVERSITY OF ARIZONA
Name:LAST, FIRSTMI
SPECIAL REQUEST/AUTHORIZATION
Platoon/Squad:
TO BE SUBMITTED ELECTRONICALLY
Date/Time of Request:HHmm yyyymmdd
Nature Of Request: Absence Request: Other (SPECIFY):
Reason/Explanation For Request:
BE BRIEF AND PROVIDE ALL PERTINENT DETAILS (DATES, ACTIVITIES, ETC.). ATTACH DOCUMENTATION IF NEEDED.
SQUAD LEADERAPPROVAL
: LAST, FIRSTMI
Reason for Approval/Disapproval:
Recommended Approval? Yes No Date/Time of Approval:HHmmyyyymmdd
SERGEANT APPROVAL
: LAST, FIRSTMI
Reason for Approval/Disapproval:
Recommended Approval? Yes No Date/Time of Approval:HHmmyyyymmdd
LEADER APPROVAL
: LAST, FIRSTMI
Reason for Approval/Disapproval:
Recommended Approval? Yes No Date/Time of Approval:HHmmyyyymmdd
COMPANY APPROVAL
: LAST, FIRSTMI
Reason for Approval/Disapproval:
Recommended Approval? Yes No Date/Time of Approval:HHmmyyyymmdd
COMPANY APPROVAL
: LAST, FIRSTMI
Reason for Approval/Disapproval:
Recommended Approval? Yes No Date/Time of Approval:HHmmyyyymmdd
FINAL APPROVAL AUTHORITY
: LAST, FIRSTMI
Reason for Approval/Disapproval:
FINAL APPROVAL: Yes No
SignatureDate
