COUNTERINTELLIGENCE/HUMAN INTELLIGENCE APPLICANT ASSESSMENT AND SCREENING PROCEDURES
1. All applicants for training will be reviewed by an assessment and a selection board
composed of Marine Intelligence, community Officers and specialist. The selection process is a
Standardize Operating Procedure for the purpose of screening of prospective
Counterintelligence/Human Intelligence (CI/HUMINT) applicants, in accordance with Appendix A
of Marine Corps Order 3850.1J.
2. Before selection, the applicant will be requested to complete the applicant interview
form. Marine Intelligence personnel will interview the applicant's supervisors and contemporaries
and review all service and other local records to determine suitability for assignment to CI/
HUMINT duties. All CI/HUMINT applicants will submit as a part of their packages, the most
recent medical screening form attesting to their current duty status. Lateral move applicants in
areas where CI/HUMINT personnel are not readily available to convene a screening board, will
be screened as directed by the CMC (IOC).
3. The following areas evaluate an applicant using Marine Corps standards of proficiency
(i.e. OUTSTANDING, EXCELLENT, ABOVE AVERAGE, AVERAGE, BELOW AVERAGE,
UNSATISFACTORY). The assessment and selection process consists of three phases,
collectively combined to aide in the board's determination of an applicant's suitability for lateral
move and acceptance for the 0211 MOS. The screening process should determine the following
concerning the applicant:
a. Qualification per Chapter 1 of Marine Corps Order 3850.1J.
b. Knowledge of the Marine Corps mission, organization, and functions.
c. Knowledge of general military subjects.
d. General appearance and bearing.
e. Verbal and written expression.
f. Knowledge of world affairs and current events.
g. Motivation for applying for CI/HUMINT training.
h. Apparent academic ability to successfully complete the formal course of instruction.
4. A summary report of the screening board, including an appropriate recommendation,
will be forwarded to the CMC (IOC) via the operational chain of command. This report will be
submitted on all applicants screening regardless of the recommendation. Appendix A of MCO
3850.1J pertains. A copy of the board results will be provided to the screened applicant for
submission of the lateral move/reenlistment package by the career planner to HQMC.
5. Personnel selected for appointment to warrant officer (MOS 0210) must hold the 0211
MOS, except where waived by the Director of Intelligence.
NAVMC 11324 (Rev. 3-07) (EF)
SN: 0000-00-888-0452
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COUNTERINTELLIGENCE/HUMAN INTELLIGENCE APPLICANT INTERVIEW FORM
PRIVACY ACT STATEMENT
NOTICE:
Read the information relative to records system MIN 00001 published in the
Federal Register and the following Privacy Act Statement before filling out this form
Under the authority of Title 5, U.S.C., Section 301, information regarding your social security
number and background is requested in order to determine your suitability and eligibility for
assignment to counterintelligence/HUMINT duties. The information provided by you will become part of
the Personnel Security Eligibility and Access Information System. The information provided by you
will not be divulged without your written authorization to anyone other than those officials and
employees in the performance of their official duties in accordance with the routine uses of this
system of records. You are not required to provide this information; however, failure to do so could
result in a denial for assignment to counterintelligence/HUMINT duties. (Data required by the Privacy
Act of 1974, 5 U.S.C. 552A.)
Counterintelligence/HUMAN Intelligence Applicant Interview
(LAST NAME, FIRST, M.I.)
GRADE SSN
MOS
ORGANIZATION
NAVMC 11324 (Rev. 03-07) (EF) PAGE 2
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The following questions are to be answered by the applicant prior to appearing before the
Counterintelligence/HUMINT Screening Board.
citizen?
YES
NO
PLACE OF BIRTH
DATE OF BIRTH:
2.
YES
NO
If yes, what is your wife's Place of Birth
DATE OF BIRTH:
Are you a United States
Are you married?
3. Are all members of your immedicate family (i.e. father, mother, brothers/sisters, wife, and
children) United States citizen?
YES
NO
(If no, provide citizenship in remarks section.)
TEST SCORES
4.
Date Tested
5.
Date Tested
7.
Date Tested
GT/GCT DLAB
DLPT/Language
8. LIST EDUCATION COMPLETED:
a. High School
Years Completed
b.
YES
NO
c.
Year Completed
d.
Years Completed
YES
NO
Graduate
e. Graduate Program
Years Completed
Graduate
Degree
YES
NO
Graduate
GED
College
9. Are you now or have you previously taken off-duty education courses?
(List courses in remarks section)
YES
NO
10. Have you taken MCI courses?
(List courses in remarks section)
YES
NO
11.
Location of dependents
Number of dependents
NAVMC 11324 (Rev. 03-07) (EF) PAGE 3
Score Score
Score
1.
AA BA/BS
Masters
6. Do you speak, read, or write a foreign language for which you have not been administered the
appropriate DLPT test?
YES
NO
a. If so, identify the language and how learned, and describe your proficiency in the remarks section.
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12. Are any members of your immediate family in poor health or that require constant services or the attention of a
doctor?
YES
NO
(If yes, explain in remarks section.)
13. Do you or your spouse have any relatives residing in a foreign country?
YES
NO
(If yes, give name, relationship, citizenship, and country of residence in remarks
14.
Briefly describe your job
YES
NO
Do you have a civilian off-duty job?
15. Would your absence or separation from your family cause an unusual financial hardship on them?
(If yes, briefly explain in remarks section)
YES
NO
16. Have you ever received a letter of indebtedness through official channels?
YES
NO
(If yes, give date, agency, amount, and present status of debt in remarks section.)
17. Are you presently drawing any special pay?
YES
NO
(If yes, describe in remarks section.)
18. Have you ever been arrested, held, or charged by civil authorities for any crime or offense?
YES
NO
(If yes, give details in remarks section.)
19. Have you ever been court-martialed?
YES
NO
(If yes, give details in remarks section.)
20. Have you ever had a security clearance denied or revoked for cause?
YES
NO
(If yes, give details in remarks section.)
21. presently have a security
clearance?
a.
(SSBI/BI/NAC/ENTNAC/DATE/CCN)
YES
NO
Do you
Type of investigation completed.
22. To the best of your knowledge, is there anything in your background that would preclude the granting of a Top
Secret security clearance? (If yes, explain in remarks.)
YES
NO
23. Have you ever illegally used drugs or narcotics?
YES
NO
(If yes, explain in remarks section.)
24. Do you use alcoholic beverages?
YES
NO
If yes, to what degree?
NAVMC 11324 (Rev. 03-07) (EF) PAGE 4
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25. Are you now or have you ever been a member of a Communist or fascist organization or an organization which
advocates the overthrow of our constitutional form of Government or advocates the denial of rights to others?
(If yes, explain in remarks.)
YES
NO
a. Have you ever associated with any members of such organizations?
(If yes, explain in remarks.)
YES
NO
26. you previously applied for counterintelligence/HUMINT
training?
a. If yes, when and where?
YES
NO
Have
27. Do you have a driver's license? (Classification/issuing agency)
Civilian:
Military:
28. What was your last PFT score:
29. Have you ever had an MOS for which you trained at a formal school?
YES
NO
If yes, list MOS(s)
a. Required School
b. Date
30. List all other military service and civilian schools
completed.
(Date and title)
31. Give a brief resume of your military history. (Date,
organizations assigned, and duties performed.)
33. 34. AFADBD Date present enlistment ends.
NAVMC 11324 (Rev. 03-07) (EF) PAGE 5
Date?
Date of expiration
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34. If selected for counterintelligence/HUMINT training, are you willing to extend your enlistment in order to have 3 years
service remaining upon completion of basic MOS training?
YES
NO
35. If you should be trained and assigned to the counterintelligence/HUMINT field, are you prepared to accept
assignments which may require you to work after normal working hours, and which may be of a nature wherein you
would not not be able to discuss the details of your duties with your family or friends?
YES
NO
36. Are you willing to submit to a Test for Espionage and Subversion (TES) polygraph examination?
YES
NO
37. Explain your reasons for desiring to retrain in the counterintelligence/HUMINT field.
I certify that all information provided by me above is true, complete, and current to the best of my knowledge and
belief and is made in good faith.
(Signature of applicant)
REMARKS
NAVMC 11324 (Rev. 03-07) (EF) PAGE 6
(On subsequent pages the applicant is requested to present a brief autobiography. Autobiography should be hand written in
passive voice - 3rd person. Autobiography can be continued on subsequent pages.)
AUTOBIOGRAPHY
NAVMC 11324 (Rev. 03-07) (EF) PAGE 7
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