MCO P1100.73B.pdf - Marine Corps

c. Foreign Connections. On an attached sheet of plain white
paper, explain the nature and extent of foreign interests. If employed
by or acted as a consultant, identify the foreign government, firm, or
agency and describe the nature of employment or relationship. If this
information has already been provided in response to item 12, indicated
"see item 12."
Item 14: ARRESTS. Check either "Yes" or "No" for each question in
this item. If "Yes" is checked, provide the following clarifying
information:
a. Date.* Self-explanatory.
b. Nature of Offense. Any action that resulted in the placement
of your name on a police or court record (give docket number or
indictment number, if known) must be listed including any act committed
while still a juvenile or if you were considered a "Juvenile Offender."
List all Article 15, UCMJ, or Captains’ Mast if they resulted in fines,
restrictions, demotions, etc. (You may exclude minor traffic violations
for which a fine of $100 or less was imposed.)
c. Name and Address of Police Agency. List the name of the police
agency on the top line and its address (city or county and state), on
the second line.
d. Name and Address of Court. List the name of the court on the
top line and its address (city or county and state), on the second line.
e. Penilty Imposed or Other Disposition in Each Case. Selfexplanatory."
When in doubt as to the necessity for listing information in
this item, it is recommended that incidents be listed to preclude
future questions regarding omissions from the form.
Item 15: MEDICAL/FINANCIAL. If "Yes" is answered to any of the
questions, describe the circumstances on an attached piece of plain
white paper. Provide a fully detailed statement.
a. Items 15a and b - Drug Abuse. Attached is a listing of those
drugs which have been designated as controlled substances. If you
illegally used, purchased, possessed, or sold any of these drugs your
response should be affirmative and should identify the particular
substance used and/or trafficked.
b. Items 15c and d - Medical. Response regarding medical matters
must identify the primary physicians, therapists, and counsellors who
treated you and state if the treatment is continuing or when it was
completed. Response should also include dates, places, and names of
institutions or agencies involed.
c. Item 20e - Bankruptcy. In the case of bankruptcy, give the
date and court where judgement was made.
Item 16: ORGANIZATIONS
a. List all organizations, except those referred to in b, below,
in which you hold or have held membership.
(1) Name.* Provide the full name of the organization (do not
use initials or abbreviations).
(2) Address.* List number and street, city, and state or
country, if other than the U.S.
etc.
(3) Identify the type of organization; e.g., social, fraternal,
(4) From and To: Provide the inclusive dates of membership in
terms of year and month using the last two digits of the year and a two
digit number for the month; e.g., October 1979 would be enteded as
79-10.
Figure 2-16.--DD Form 398-2 Personnel Security Questionnaire (National
Agency Check)--Continued.
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