Station C - First Aid - Point C-1
For use of this form, see USAIC Pam 350-6. The proponent is USAIS, DOTD.
Candidate's Name______________Rank________Unit_________________
TASK 1: PERFORM MOUTH-TO-MOUTH RESUSCITATION.
EIB TEST SCORE SHEET Station I - Map Reading - Point 1-2 For use of this form, see USAIC Pam 350.6, the proponent is USAIS, DOTD CANDIDATE'S NAME RANK UNIT TASK 1: DETERMINE THE GRID COORDINATES OF A POINT ON A MILITARY MAP. PERFORMANCE MEASURES PASS FAIL 1. Determined the eight.digit grid coordinates of the first target within 250 meters. 2. Determined the eight.digit grid coordinates of the second target within 250 meters. 3. Completed performance measures 1 and 2 within 2 minutes each. NOTE: This task has been modified for EIB test only.
CHECK: PASS______ FAIL______
REASON(S) FOR FAILURE
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SCORER'S SIGNATURE________________DATE________________
Is this a retest? YES______NO______
FB FORM 20-5-R, 17 JAN 97