Senior Service College (SSC) Nomination Sheet
Academic Year 2013-2014

After you click SUBMIT and print this form, please write your course preferences: 1=first, 2=second, 3=third
Please indicate at least two preferences that you are prepared to attend if selected.

    Army War College - Resident, Carlisle, PA ____ Aug 2013 - Jun 2014
    Army War College - Distance Education Program
Students are required to have a computer and internet capability.
Students will attend a two-week seminar at the end of each year.

____ May 2013 - Jul 2015

Industrial College of the Armed Forces (ICAF)

____ Aug 2013 - Jun 2014

____ ICAF-Non-ACQ

Full Name (print or type):
     (First Name)    (Full Middle Name)    (Last Name)
Career Program/Field and Code:  (Army requirement)
Parent Command Only (AMC, IMCOM, TRADOC, etc)
Click HERE for a list of Career Programs/Fields to cut/paste from
Applicant's Phone  
Office, Home, Cell
Permanent Grade Level  
(GS equivalent if in Pay Band, NSPS if applicable)
Security Clearance Type:
Security Clearance Date: mm/dd/yyyy
Completed CES Advanced Course
Month - Year
Email (work):
Email (home - optional):
Supervisor's Name (print or type):
Supervisor Email :
Supervisor Phone :