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The AF 4446 form plays a crucial role in the administration of the Air Force Fitness Assessment (FA), ensuring accurate identification and documentation of individuals' fitness metrics. Designed to collect essential personal information, including rank, unit, and contact details, the form requires individuals to provide their Social Security Number, age, height, and weight. It also tracks any exemptions related to fitness components, such as aerobic capacity and strength exercises, along with the specific test scores achieved during the assessment. This scorecard documents the performance results for push-ups, sit-ups, and the timed run or walk, categorizing overall fitness as unsatisfactory, satisfactory, or excellent. Furthermore, it emphasizes the importance of acknowledging performance results, addressing any discrepancies according to Air Force instructions, and ensuring transparency by capturing signatures from the test member, administrator, and recorder. The collected data is strictly confidential and is handled per the Privacy Act, reinforcing the importance of safeguarding personal information while promoting fitness within the Air Force.

Af 4446 Example

AIR FORCE FITNESS ASSESSMENT SCORECARD

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. 8013 and Executive Order 9397 (SSN).

PURPOSE: Information is used to positively identify an individual prior to administration of the Air Force Fitness Assessment (FA).

ROUTINE USE: In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, these records or information

Rank/Name:._________________________________

Unit: --------------------

Duty Phone: __________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail: ____________________________________ SSN: _________

Age: ___ (years)

 

 

 

 

 

 

 

 

 

 

Height:____ (inches)

Weight: ___ (lbs)

FSQ Date: _____

Test Date: _____

Aerobic Component exemption:

 

 

 

 

 

 

 

 

 

 

 

 

 

YIN

Date Start: ______

Date End: _____

 

 

Push-up exemption:

 

 

YIN

Date Start: _____

Date End: _____

 

 

Sit-up exemption:

 

 

YIN

Date Start: ______

Date End: _____

 

 

Abdominal circumference exemption:

YIN

Date Start: ______

Date End: ______

 

 

Component

 

 

Measurement I Reps I Time

Score

 

Minimum Value Met?

Abdominal

 

 

1:______

2:--- 3: ---

 

 

 

 

 

 

 

 

 

 

 

y

I

 

Circumference

 

 

 

 

 

N

(inches)

 

 

Average:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Push-ups (reps)

 

 

 

 

 

 

 

y

I

N

Sit-ups (reps)

 

 

 

 

 

 

 

y

I

N

1.5-Mile Run I

 

 

 

 

 

 

 

 

 

 

2.0-Kilometer Walk

 

 

Time:

--- · ---

 

 

y

I

N

(mins:secs)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Score:

-----

of

 

 

 

Category (circle one): Unsatisfactory I Satisfactory I Excellent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I acknowledge the above information reflects my performance today. I also understand I may address discrepancies !A W the guidance in

AFI 36-2905 on removing FA scores. NOTE: Refusal to sign does not invalidate the test; score will be updated in Air Force Fitness Management System (AFFMS).

TEST MEMBER:

 

DATE:

 

SIGNATURE

 

TEST ADMINISTRATOR: ------------------------

DATE:

AFFMS RECORDER:

PRINT

SIGNATURE

 

 

DATE:

 

PRINT

SIGNATURE

o I experienced an injury or illness during this FA and will immediately pursue evaluation at the Medical Treatment Facility. I understand this FA will count unless rendered invalid by the Unit Commander within 5 duty days (conclusion ofnext UTA for non-AGR ARC Airmen).lf no request to invalidate this FA is received by the Fitness Assessment Cell (FAC) from the Commander by the 6th duty day (conclusion of

*FAC Augmentee signature:

DATE:

*FAC Augmentee (or UFPM if no FAC exists) will only sign above if member checks block indicating presence of illness or injury during test. FAC signature acknowledges the requirement to hold score for 5 duty days (AFFMS input on 6th duty day)For non-AGR ARC Airmen, FAC staff will hold scores until the next UTA and enter scores into AFFMS upon conclusion of that UTA.

o I have received and considered the provided medical documentation and render this test invalid due to injury/illness

UNIT COMMANDER:

DATE: -----

PRINT

SIGNATURE

AF FORM 4446, 20131021

PRIVACY ACT INFORMATION: The information in this

form is FOR OFFICIAL USE ONLY. Protect lAW the

 

 

Privacy Act of 1974.

File Breakdown

Fact Name Description
Form Purpose The AF 4446 form serves to identify individuals before their Air Force Fitness Assessment.
Governing Authority It is governed by 10 U.S.C. 8013 and Executive Order 9397 (related to SSNs).
Privacy Protection This form is handled in accordance with the Privacy Act of 1974, ensuring confidentiality.
Information Required Personal information collected includes rank, name, unit, duty phone, email, age, height, weight, and SSN.
Health Exemptions Exemptions for various components of the fitness assessment can be documented, including push-ups and sit-ups.
Fitness Scores The form captures scores for multiple components, including push-ups, sit-ups, and the 1.5-mile run.
Assessment Categories Participants can receive ratings of Unsatisfactory, Satisfactory, or Excellent based on their scores.
Signature Requirement Participants must acknowledge their performance by signing the form, alongside the test administrator.
Medical Concerns There are provisions for addressing injuries or illnesses that occur during the assessment.
Record Management The scores and related information are managed in the Air Force Fitness Management System (AFFMS).

Guide to Using Af 4446

Filling out the AF 4446 form is a straightforward process that requires accurate personal information and performance details. After completing this form, submit it to the appropriate personnel for processing. Ensure all sections are filled out carefully to avoid any delays.

  1. Start by entering your Rank and Name on the provided line.
  2. Next, write your Unit in the designated space.
  3. Fill in your Duty Phone number.
  4. Provide your E-mail address.
  5. Enter your Social Security Number (SSN).
  6. Fill in your Age in years.
  7. Write your Height in inches.
  8. Fill in your Weight in pounds.
  9. Input the FSQ Date (Fitness Screening Questionnaire) and Test Date.
  10. Indicate if you have an exemption for the aerobic component by circling Y for Yes or N for No. If applicable, fill in the Date Start and Date End.
  11. Repeat the previous step for Push-up, Sit-up, and Abdominal Circumference exemptions, completing the appropriate dates.
  12. Complete the Component Measurement section by entering your performance data in the correct spaces, ensuring the scores meet minimum values.
  13. State your Total Score and circle the corresponding category: Unsatisfactory, Satisfactory, or Excellent.
  14. Sign and date the section labeled TEST MEMBER to acknowledge the performance reflects your assessment.
  15. Leave space for the TEST ADMINISTRATOR and AFFMS RECORDER to sign, date, and print their names as required.
  16. If applicable, indicate if you experienced an injury or illness during the fitness assessment by checking the appropriate box and providing relevant details.
  17. Ensure the UNIT COMMANDER signs and dates the form where indicated.

Get Answers on Af 4446

What is the purpose of the AF 4446 form?

The AF 4446 form, also known as the Air Force Fitness Assessment Scorecard, serves several important functions. Its primary purpose is to collect essential information about an individual prior to administering the Air Force Fitness Assessment (FA). This includes personal details like rank, name, unit, and contact information which are needed to accurately identify and record each member's performance. Additionally, the form includes exemptions for different fitness components, ensuring that individual circumstances are considered. Protecting privacy is paramount, and the information gathered is handled according to the Privacy Act of 1974.

What kind of information is required on the AF 4446 form?

The AF 4446 form requires a range of personal details to effectively document your fitness assessment. Key information includes:

  • Rank and Name
  • Unit
  • Contact Information (Duty Phone and E-mail)
  • Social Security Number (SSN)
  • Age, Height, and Weight
  • Date of the fitness assessment
  • Exemptions for various fitness components, if applicable

Collecting this information helps in creating an accurate scorecard and ensures personalized considerations are made for fitness assessments.

What happens if a fitness assessment shows injury or illness?

If you experience an injury or illness during the fitness assessment, it is crucial to indicate this on the AF 4446 form. In this case, you must seek evaluation at a Medical Treatment Facility. Your fitness score will still be logged but can be deemed invalid if your Unit Commander submits a request within 5 duty days for that assessment to be invalidated. If the request isn't received within that timeframe, the score will be officially recorded in the Air Force Fitness Management System (AFFMS).

How is privacy protected with the AF 4446 form?

The information collected through the AF 4446 form is treated with the utmost confidentiality. It is classified as "FOR OFFICIAL USE ONLY," indicating that it should be used solely for its intended purpose. The guidelines set forth in the Privacy Act of 1974 govern the collection, maintenance, and dissemination of personal information, helping to ensure that individuals' details remain secure and protected. Individuals are encouraged to be aware of these protections when filling out the form.

What is the significance of signing the AF 4446 form?

Signing the AF 4446 form is a critical step in the process of the fitness assessment. By signing, you acknowledge that the information recorded accurately reflects your performance on the day of the assessment. If discrepancies arise, these can be addressed following the guidance in AFI 36-2905, which outlines processes for contesting fitness scores. Furthermore, refusing to sign does not invalidate the test; the score will still be updated in the AFFMS, but your acknowledgment is important for record-keeping and transparency.

Common mistakes

When filling out the AF 4446 form, many individuals make common mistakes that can lead to complications. One prevalent error is failing to enter accurate personal details. The section asking for rank, name, unit, and contact information must be filled out correctly. Omissions can delay processing or hinder identification during the fitness assessment.

Another mistake is neglecting to specify exemptions for the aerobic component or various exercises. If applicable, an absence of dates or incorrect markings in these sections can result in confusion. Participants should ensure they indicate whether an exemption is claimed and provide the corresponding start and end dates.

Some people incorrectly mark their scores or measurements. The area for recording the abdominal circumference, push-up, sit-up, and run/walk times requires precision. Errors in these figures not only affect the overall score but also the assessments made by superiors.

Moreover, failing to sign or date relevant sections of the form can render it incomplete. The signatures of both the test member and the test administrator are necessary. A missing signature can cause issues with recordkeeping and the enforcement of any decisions related to the fitness assessment.

Another common issue arises with the acknowledgment of injuries or illnesses. Participants must check the box indicating they experienced an injury and pursue the necessary evaluation. Skipping this step can lead to scores being counted when they should be invalid, potentially affecting a member's fitness record.

Individuals sometimes misunderstand the timeline for submitting requests to invalidate a score. If the unit commander fails to act within 5 duty days, the score remains valid. Awareness of these deadlines is crucial to prevent unintended consequences.

It's also essential to ensure that the total score and category selection are accurately reported. An incorrect total score can misrepresent performance, leading to disciplinary action. Participants should double-check their calculations before submission.

Finally, disregarding the Privacy Act statement can lead to improper handling of sensitive information. Participants must understand the confidentiality of the provided data and ensure it is protected according to regulations.

Documents used along the form

The AF 4446 form, known as the Air Force Fitness Assessment Scorecard, plays a significant role in documenting the fitness performance of Air Force personnel. Alongside this form, several other documents are frequently used to ensure a comprehensive approach to fitness assessment and personnel management. The following are six important forms and documents commonly associated with the AF 4446:

  • AF Form 108: This form is used to record a member's physical fitness training program and their participation in it. It helps track progress and adherence to fitness standards over time.
  • AF Form 475: Known as the Evaluation/Training Report, this form assesses an individual’s performance, including fitness levels. It plays a key role in evaluations and can influence career progression.
  • AF Form 422: The Physical Profile Serial Report, or AF Form 422, documents the physical capabilities of Air Force members. It indicates any restrictions or exemptions due to medical conditions.
  • AF Form 2807-1: This form is the Report of Medical History and is required during the assessment process. It provides important background on the individual’s health status before testing.
  • AF Form 357: The Family Care Plan provides guidelines for service members who have dependents. This is vital for ensuring that fitness assessments do not interfere with family obligations.
  • AFI 36-2905: This instruction outlines the policies and procedures for Air Force fitness programs. It provides guidance on the assessment process and the management of fitness scores.

Utilizing these documents in conjunction with the AF 4446 ensures a thorough evaluation of physical fitness and adherence to required standards. Keeping accurate records supports the overall health and readiness of Air Force personnel.

Similar forms

The AF 4446 form, known as the Air Force Fitness Assessment Scorecard, serves as an essential document for tracking fitness assessments within the Air Force. Several other documents share similarities with the AF 4446 form in terms of purpose, information collection, and the importance they hold in monitoring fitness or health-related requirements. Below is a list of eight such documents.

  • DD Form 2496 - The Medical Evaluation Form is used to document an individual's medical fitness for duty. Like the AF 4446, it collects personal information and health status to ensure a member meets readiness standards.
  • AF Form 422 - This is the Physical Profile Serial Report that outlines the physical abilities and limitations of a service member. It assesses fitness for duty, similar to how the AF 4446 records fitness assessment results.
  • AF Form 1042 - Medical Recommendation for Flying Duty is used for aircrew members to assess their medical status. It requires similar personal details and informs the command about the individual’s capability to perform specific duties.
  • AF Form 3065 - The Airman Medical History is a document that collects detailed medical backgrounds. It parallels the AF 4446 by including health-related information crucial for evaluating performance and capabilities.
  • DA Form 5500 - The Army Body Fat Content Worksheet assesses body composition for Army personnel. Although it belongs to a different branch, its goal of maintaining health standards aligns closely with the fitness measurements recorded on the AF 4446.
  • CDC Fitness Assessment Form - Health organizations often use this type of form to collect fitness data for health initiatives. Much like the AF 4446, it evaluates physical fitness through various performance measurements and personal data.
  • AF Form 1052 - This form documents an Airman’s physical conditioning and dietary restrictions. Similarities lie in how it tracks fitness levels and personal information to inform appropriate health and fitness recommendations.
  • User Health Questionnaire - Common in health assessments, this questionnaire gathers information on an individual’s health history and lifestyle. The aim is akin to the AF 4446, focusing on how health and fitness relate to overall performance and readiness.

These documents share a focus on health, fitness standards, and the collection of personal information necessary for effective oversight and management within military environments. Each of them plays a role in ensuring that military personnel meet the demands of their roles, emphasizing the importance of fitness and health assessments.

Dos and Don'ts

When filling out the AF 4446 form, it is important to follow certain guidelines to ensure accuracy and compliance. Here are ten things to keep in mind:

  • Do write clearly and legibly on the form to avoid misunderstandings.
  • Do fill in all required sections, including your name, SSN, and contact information.
  • Do provide accurate data regarding your age, height, and weight.
  • Do check the box for any exemptions and provide the corresponding dates if applicable.
  • Do ensure that your test scores are recorded accurately, including push-ups and sit-ups.
  • Don't leave any required fields blank; incomplete forms may cause delays.
  • Don't use corrections fluid or erase entries, as this makes the form unclear.
  • Don't falsify any information; honesty is crucial in these assessments.
  • Don't forget to sign and date the form where indicated.
  • Don't disregard the privacy statement; handle the form accordingly to protect your information.

Misconceptions

Understanding the AF 4446 form is crucial for those involved in the Air Force Fitness Assessment process. However, several misconceptions about this form can lead to confusion and misinformation. Here are five common misconceptions:

  • The AF 4446 form is optional for Fitness Assessments. Many believe that submitting this form is a choice, but it is mandatory for all individuals undergoing the Fitness Assessment.
  • Personal information on the form is not protected. Some may think that the information provided can be freely shared. In reality, it is protected under the Privacy Act and is used solely for official purposes.
  • Failure to sign the form invalidates the test. There is a belief that if a participant refuses to sign, it nullifies their test results. This is incorrect; the score will still be recorded in the Air Force Fitness Management System.
  • Exemptions automatically apply to all participants. Many assume that exemptions for certain fitness components are universally granted. However, each exemption must be documented and approved based on individual circumstances.
  • The form only tracks physical performance. While the main purpose of the form is to record fitness scores, it also plays a role in identifying individuals and tracking their improvements over time.

By addressing these misconceptions, Air Force personnel can better understand the AF 4446 form's significance and requirements.

Key takeaways

  • The AF 4446 form is specifically designed for the Air Force Fitness Assessment process.
  • It is crucial to provide accurate personal information including rank, name, unit, and duty phone number.
  • The form requires individuals to disclose their Social Security Number (SSN), age, height, and weight.
  • Exemptions for various fitness components must be clearly indicated with specified start and end dates.
  • Each fitness component includes sections for recording measurements, repetitions, and scores.
  • Individuals must acknowledge their performance by signing the form, which reflects their fitness test date.
  • Signing the form involves understanding the implications of discrepancies, which can be addressed as per AFI 36-2905 guidelines.
  • Refusing to sign does not affect the validity of the test; scores will still be updated in the Air Force Fitness Management System (AFFMS).
  • In the case of injury or illness during the test, immediate evaluation at a Medical Treatment Facility is necessary.
  • Unit Commanders play a vital role in invalidating tests due to injury, with specific timelines for submitting related requests.