![](media/image1.jpeg){width="1.0in" height="1.0in"}**U.S. Public Health
Service Commissioned Corps**

# **Associate Recruiter Program**

## Associate Recruiter Enrollment Form

This form should be submitted to your category's Associate Recruiter
Program contact.

Recruiter Name and Rank:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Category:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

E-mail address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Work or Home Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Phone #: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Fax #:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

PHS status: \_\_\_\_\_Active Duty Commissioned Officer (PHS
No.\_\_\_\_\_\_\_\_ )

\_\_\_\_\_Active Civil Service

\_\_\_\_\_Retired Commissioned Officer (PHS No.\_\_\_\_\_\_\_\_ )

\_\_\_\_\_Retired Civil Service

\_\_\_\_\_Inactive Reserve Commissioned Officer (PHS No.\_\_\_\_\_\_\_\_
)

\_\_\_\_\_COSTEP (PHS No. \_\_\_\_\_\_\_\_ )

Agency affiliation (if federal employee):

IHS\_\_\_\_\_ HRSA\_\_\_\_\_ HRSA/DIHS\_\_\_\_\_ BOP\_\_\_\_\_
AHRQ\_\_\_\_\_ OS \_\_\_\_\_

NIH\_\_\_\_\_ CDC\_\_\_\_\_ ATSDR\_\_\_\_\_ FDA\_\_\_\_\_ USCG\_\_\_\_\_
NPS \_\_\_\_\_

EPA\_\_\_\_\_ USMS\_\_\_\_\_ HCFA\_\_\_\_\_ SAMHSA\_\_\_\_\_ Other
(specify) \_\_\_\_\_

School/University from which Commissioned Corps qualifying degree was
obtained:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

I certify that I own at least one complete set of the PHS uniform
(initial here)\_\_\_\_\_\_\_\_\_

(Although not a requirement of the Associate Recruiter Program, Dress
Blues and Summer Whites are recommended for wear by Corps officers
during attendance at recruitment functions and other functions to
promote the Commissioned Corps.)

I certify that I meet current PHS grooming standards (attached) -- CCPM
26.3, Instruction 1 (initial here) \_\_\_\_\_\_\_\_\_\_\_\_\_

# Have you attended the new basic officer-training course?  Yes  No

Statement of Intent to serve in the Associate Recruiter Program:
(Describe below your goals, motivations, and/ or purpose for joining the
ARP)

Officer's Signature:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Supervisor concurrence (for federal employees):**

### Expected Volunteer Duties of Associate recruiters

Associate Recruiters inform colleagues and students in healthcare,
engineering and IT professions about professional opportunities
available in the Commissioned Corps. Drawing on their career experiences
in the Corps, Associate Recruiters make recruitment presentations
augmented by printed and/or video materials on professional
opportunities in the Commissioned Corps. Associate recruiters should
make every effort to be preceptors in the Commissioned Officer Student
Training and Extern Program (COSTEP), internships and rotations.
Associate recruiters should also pursue opportunities to attend national
or regional student/professional conferences and local
schools/universities to provide information on career opportunities as a
Commissioned Corps officer to eligible candidates. Associate recruiters
recruit whenever and wherever the opportunity presents itself. Formal
and informal meetings with colleagues at work; professional
associations; residency programs; school and business visits (i.e. Lions
Club, Rotary Club, Kiwanis, etc.) and social gatherings. The associate
recruiters' alma mater, alumni association, or local colleges are some
of the best places to start. If a recruiting opportunity presents itself
at a college/university, the associate recruiters are responsible for
coordinating activities with the faculty.

**Associate Recruiters are encouraged and expected to recruit for not
only the Corps but also the Agencies they work for. Although these
recruitment activities help grow the Corps, they also augment the
Agencies' recruitment efforts and help the Agencies meet their staffing
needs through volunteer recruiters in this program**.

I concur with this application and understand that any associate
recruiter activities that occur during normal duty hours must be
approved by me according to my organization's applicable policies.

Supervisor's Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Supervisor's Signature:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

# Attachment 

# 

# Officers\' Appearance -- CCPM 26.3, Instruction 1

1\. *Smartness and Image*. Uniforms and associated equipment shall be
made of high quality materials and to a high standard of workmanship.
Clothing items shall be of reasonable fit. Uniforms shall be kept
scrupulously clean and all lace, devices, and insignia shall be bright
and free from tarnish. Hats and caps shall be worn squarely on the head
with the bottom edge horizontal. Shoes shall be shined and in good
repair.

2\. *Miscellaneous Articles*. Articles such as pencils, pens, watch
chains, pins, jewelry, handkerchiefs, combs, cigarette or cigar packs,
pipes, etc., shall not protrude from nor be visible upon the uniform.
Necklaces, crosses, pendants, etc. shall not be visible when in uniform.
One wrist watch, one wrist bracelet, and finger rings are permitted, but
must not be of faddish or outlandish design (one ring per hand in
addition to a wedding ring is authorized). Hair ribbons are not
authorized, but inconspicuous pins or fastening devices for women\'s
hair are permitted. Ankle bracelets are not authorized. Tie clasps and
tacks, shirt studs, cuff links and earrings shall be worn as prescribed
in this Subchapter. Earrings are not authorized for men.

3\. *Eyeglasses*. Prescription eyeglasses must not be of eccentric or
faddish design. Sunglasses and light-reactive glasses of conservative
design are permitted, but excessively dark lenses are not permitted
indoors. Highly reflective \"aviator\" lenses are authorized only for
officers engaged in flight activities or who need such lenses because of
unusual work conditions.

**4. Men\'s Grooming.**

a\. *General*. Hair shall be neat and clean and present a groomed
appearance. Hair above the ears and around the neck shall be tapered
from the lower hairline upwards and outwards so as to blend smoothly
with the hairstyle. (Tapering refers to a cut, which results in the hair
being very short and thinned at the lower edge and getting gradually
longer and fuller as it proceeds from the lower hairline upwards onto
the sides or back of the head.) Tapering is not required for haircuts,
which are extremely short. The objective is to avoid a cut in which the
full bulk of the hair ends abruptly at the lower hairline. Hair on the
back of the neck may not touch the collar. Individual hair shall be no
longer than four inches; however, hair, which lies close to the head,
may be longer than four inches, if necessary, in order to cover thin or
bald areas. Hair shall be groomed so that it does not touch the ears or
the collar, nor extend below the eyebrows when headgear is removed. The
bulk of the hair shall not exceed two inches. (Bulk is the distance that
the mass of the hair protrudes from the scalp.)

The above are maximum dimensions; the particular hairstyle worn by an
individual should incorporate a length and bulk, within these maximums,
which give a neatly groomed appearance. In no instance shall the hair
interfere with the proper wearing of uniform headgear.

b\. *Styles*. Various hairstyles, including the Afro, are permitted as
long as these styles meet the criteria for maximum length and bulk and
maintain the tapered appearance on the neck and sides. Hair may not be
plaited or braided while in uniform.

c\. *Sideburns*. If sideburns are worn, they shall be neatly trimmed and
tapered in the same manner as the haircut. They shall not extend below
the earlobe and must be of even width (i.e., not flared). Sideburns
shall end in a clean-cut horizontal line.

d\. *Facial Hair*. If a beard and/or mustache is worn, it shall be
neatly trimmed and groomed at all times, so as to avoid a ragged
appearance. A beard may be either full or partial; however, patches or
spots of facial hair are not considered a beard and are not authorized.
The bulk of a beard (the distance that the mass of the facial hair
protrudes from the skin) shall not exceed one-half inch, and the length
of individual facial hair shall not exceed one inch. When a mustache is
worn with a beard it shall blend smoothly into the beard. When worn
without a beard, the mustache\'s ends shall not extend downward beyond
the corners of the mouth nor outward more than one-quarter inch beyond
the corners of the mouth. No portion of a mustache may extend below the
lip line of the upper lip. The LUA may restrict the wearing of facial
hair by certain persons when sanitation and safety considerations weigh
against the wearing of such hair.

e\. *Hairpieces*. Wigs or hairpieces may be worn by active-duty
personnel while in uniform only for cosmetic reasons to cover baldness
or physical disfiguration. Wigs may be worn by inactive reserve
personnel while serving on short tours of active duty. When a wig or
hairpiece is worn, it shall be of good quality and fit and its
appearance shall conform to the specifications contained herein.

**5. Women\'s Grooming.**

a\. *General*. The hair shall be neatly arranged and shaped to present a
conservative appearance. Hair on the back of the neck may touch but may
not fall below the collar. No hair shall show under the front brim of
the hat. Afro, natural, bouffant and similar hairstyles are permitted;
but exaggerated styles and styles with excessive fullness or extreme
height are not authorized. In no instance shall the hair interfere with
proper wearing of the uniform headgear. Ponytails and plaited hair is
not permitted while in uniform. Hair may be braided provided that the
braids are held close to the head and do not interfere with the correct
fit of the headgear. Hair coloring must have a natural appearance, be of
a color which would occur normally (e.g., orange hair would be
prohibited), and be applied in a fashion so as to complement the
individual.

b\. *Hairpieces*. When a wig or hairpiece is worn, it shall be of good
quality and fit and its appearance shall conform to the specifications
contained herein.

c\. *Cosmetics*. Cosmetics shall be conservative and in good taste. The
colors selected for cosmetics should blend with the natural skin color
and enhance natural features. Exaggerated use of cosmetics and faddish
styles are prohibited.

d\. *Fingernails*. Nails may not extend more than one-quarter inch
beyond the fingertips. If used, nail polish must be of a shade that
complements the skin color.