Army Career Skills Program (CSP) Individual Program Request Packet

1. Soldier Information:

a. Name: _________________________________________________________

b. Rank: _________________________________________________________

c. Assigned Installation: _____________________________________________

e. Is this program in PTDY Status? Yes No

2. CSP Provider Information:

a. Company Name: _________________________________________________

b. Address: _______________________________________________________

c. Organizational POC Name: _________________________________________

d. Phone Number & Email:_____________________________________________

3. Requested Program Dates:

Start Date: __________________ End Date:________________ Total Days:_______

ETS or Retirement Date: __________________________________________________

4. Packet must also include:

Signed Soldier Participation Memorandum

Approved DA31 Leave Form

Signed Employer Internship Agreement Form

Signed Soldier Memo on Housing Location (PTDY participants only)

TAP form DD 2648 showing completion or reservation for course completion prior

to program attendance.

CSP Individual Program Form March 2019

d. CSP Type

CSP Individual Program Form March 2019

5. Overview of Company and CSP: (background/job areas)

6. Training Overview: (Include/attach training schedule. List general training topics that

will provide the knowledge, skills, and abilities needed by participant to be qualified for

employment in the respective occupational area.)

7. Purpose/Outcome: (Soldier’s goals, guaranteed interview, job placement, salary, etc.)

This section reserved for installation review/vetting.

Soldier listed above is approved for CSP participation by Commander/Approval Authority.

Date: __________________________ Additional Comments:

___________________________________________________________________________________________

CSP Individual Program Form March 2019

8. Approving Authority JAG Review:

The Approving Authority Servicing Legal Office has conducted a legal review of the

Soldier's CSP/Internship packet and finds no legal objections to their participation.

The Approving Authority Servicing Legal Office has conducted a legal review of the

Soldier's CSP/Internship packet and finds legal objection(s) to their participation.

Name/Rank of JAG Officer Reviewing Packet:___________________________________

Phone Number: _________________________________________________________

Email: __________________________________________________________________

Installation: _____________________________________________________________

Date: ___________________________________________________________________

9. CSP Regional Coordinator: _____________________________________________

Phone Number: _________________________________________________________

Email: _________________________________________________________________

Digitial Signature:_____________________________________________

Comments: (highlights of discussion and/or site visit with internship provider):