USADR APPLICATION
NAME: DATE:
ADDRESS: EMAIL:
DOB:
DISCIPLINE: CURRENT RANK:
CHECK BOX IF REGISTERING CURRENT RANK []
CHECK BOX IF APPLYING UPGRADE RANKING []
ATTACH COPY CURRENT RANK CERTIFICATION [] *USADR members forward cert# and issue date for records CK.
****MAKE APPROPRIATE FEE PAYMENT(S) WITH U.S. MONEY ORDER ADDRESSED TO USADR****
NO PERSONAL CHECKS
****PRINT PAGE FOR APPLICATION PROCESS****