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Form AF 4446, also known as the Air Force Fitness Assessment Scorecard, is a vital document used to track and evaluate the physical fitness of personnel in the United States Air Force. Before undergoing their fitness assessment, individuals must provide personal information, including their rank, unit, contact details, social security number, age, height, and weight. This information is essential for confirming the identity of each service member as they prepare for their assessment. The form houses not just basic data but also specific details regarding exemptions from various fitness components, like push-ups or sit-ups. These exemptions may apply due to medical conditions, and they require start and end dates, allowing for a systematic approach to handle fitness evaluations. Upon completion of the assessment, various metrics are recorded—such as performance on the 1.5-mile run or 2.0-kilometer walk—and an overall score is generated. The score determines whether the individual’s performance is classified as unsatisfactory, satisfactory, or excellent. Importantly, the candidate also acknowledges their performance and has the opportunity to address any discrepancies following established guidelines. The integrity of the fitness data is protected under the Privacy Act, ensuring that personal information remains confidential and is used strictly for official purposes.

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.

Form Characteristics

Fact Name Description
Authority The AF Form 4446 is authorized under 10 U.S.C. 8013 and Executive Order 9397 (SSN).
Purpose This form is used to identify individuals prior to conducting the Air Force Fitness Assessment.
Privacy Act Compliance Information collected is subject to the Privacy Act of 1974 and is only for official use.
Test Documentation The form includes personal details such as rank, name, and fitness assessment results, ensuring accurate record-keeping.

Guidelines on Utilizing Af 4446

Completing the AF 4446 form is a crucial step in the Air Force Fitness Assessment process. This form requires accurate information regarding an individual’s fitness assessment results. It also includes provisions for exemptions and the acknowledgment of any injuries or illnesses that may have occurred during the assessment.

  1. Begin by entering your Rank and Name in the designated space.
  2. Fill in your Unit name.
  3. Provide your Duty Phone number.
  4. Input your E-mail address.
  5. Write down your Social Security Number (SSN).
  6. Enter your Age in years.
  7. Indicate your Height in inches.
  8. List your Weight in pounds.
  9. Fill in the FSQ Date (fitness assessment passing score date).
  10. Record the Test Date of your fitness assessment.
  11. For each exemption (Aerobic Component, Push-up, Sit-up, Abdominal Circumference), indicate whether applicable and note the Date Start and Date End.
  12. Fill out the Component Measurement sections, including reps and time for Push-ups, Sit-ups, and the 1.5-Mile Run or 2.0-Kilometer Walk.
  13. Calculate and indicate the Total Score achieved.
  14. Circle the appropriate category: Unsatisfactory, Satisfactory, or Excellent.
  15. Sign and date the form, confirming that the provided information reflects your performance.
  16. Have the Test Administrator and AFFMS Recorder sign and date their respective sections.
  17. If applicable, indicate any injury or illness that may have affected the test performance.

What You Should Know About This Form

What is the purpose of the AF 4446 form?

The AF 4446 form is used to collect essential information required prior to administering the Air Force Fitness Assessment. This information ensures the correct identification of individuals and facilitates the accurate recording of their fitness assessment results.

What information do I need to provide on the AF 4446 form?

You will need to provide several pieces of personal information on the AF 4446 form, including your rank, name, unit, duty phone, email, Social Security Number (SSN), age, height, and weight. Additionally, you will indicate any exemptions from specific components of the fitness assessment and provide your test scores for various exercises.

Is the information on the AF 4446 form confidential?

Yes, the information captured on the AF 4446 form is classified as FOR OFFICIAL USE ONLY and is protected under the Privacy Act of 1974. It is essential to handle this information with care and only share it with authorized personnel.

What happens if I do not sign the AF 4446 form?

If you refuse to sign the AF 4446 form, the fitness assessment will still take place. However, your score will be recorded in the Air Force Fitness Management System (AFFMS). The refusal to sign does not invalidate the results of the test.

What should I do if I experience an injury during the fitness assessment?

If you suffer an injury or illness during the fitness assessment, it is crucial to pursue evaluation immediately at a Medical Treatment Facility. The assessment will count unless invalidated by your Unit Commander within five duty days following the test.

How long will my score be held if I report an injury?

Your score will be held for up to five duty days if you report an injury during the fitness assessment. The Fitness Assessment Cell (FAC) will hold your score until they receive a request to invalidate it from your Unit Commander. If no request is received by the sixth duty day, your score will be entered into the AFFMS.

What exemptions can I request on the AF 4446 form?

On the AF 4446 form, you can request exemptions for specific components of the fitness assessment, such as the aerobic component, push-ups, sit-ups, and abdominal circumference. Each exemption request requires specific start and end dates for validity.

What should I do if there are discrepancies in my assessment results?

If you notice any discrepancies in your assessment results, you should address them according to the guidance provided in AFI 36-2905. It's important to seek clarification and resolution as soon as possible to ensure that your fitness assessment records are accurate.

Common mistakes

Filling out the AF 4446 form can be a straightforward process, but mistakes are all too common. One key area where errors frequently occur is in providing personal information. Individuals often neglect to ensure that their rank, unit, and contact details are accurately filled out. This information is vital for correct identification and record-keeping, and even small typos can lead to significant confusion down the line.

Another common mistake arises when individuals inaccurately report their age, height, or weight. These three pieces of information play a crucial role in determining fitness assessment scores. If someone provides incorrect data, it can not only affect their immediate fitness score but also impact eligibility for future assessments.

Many people also misunderstand the need to indicate any exemptions properly. The form allows for exemptions regarding various components of the fitness assessment. However, if exemptions are not clearly marked as "Yes" or "No," this can lead to misinterpretation of an individual's physical abilities. This may result in unfair assessments or misplaced records.

Additionally, individuals often overlook the importance of signing and dating the form. A missing signature can lead to complications, especially if issues or disputes arise regarding the assessment. Each party involved—whether a test member or administrator—should ensure their sections are fully addressed to validate the assessment properly.

Finally, many individuals do not utilize the section that allows for documenting any injuries or illnesses experienced during the test. This section is crucial for maintaining accurate health records and ensuring that any necessary follow-up care is arranged. Ignoring this can not only skew fitness scores but may also overlook potential medical needs that arise from the testing process.

In summary, careful attention to detail is necessary when filling out the AF 4446 form. From personal information to exemptions and signatures, addressing all aspects diligently can help avoid complications and ensure that an individual's fitness assessment is processed correctly.

Documents used along the form

The AF 4446 form, known as the Air Force Fitness Assessment Scorecard, is essential for documenting fitness test results. However, several other forms and documents often accompany it to ensure a comprehensive understanding of an individual's fitness status and any relevant exemptions. Below is a brief description of commonly associated documents.

  • AF Form 1042: Used for documenting a member's medical status and any limitations that may affect their participation in a fitness assessment. This form provides an official record of medical conditions that impact fitness evaluation.
  • AF Form 422: This document serves as a physical profile that outlines a member's fitness capabilities and restrictions. It is often issued by medical personnel to provide guidance on the results of medical evaluations.
  • AFI 36-2905: The instruction outlines guidelines for the Air Force fitness program. It provides detailed procedures for conducting assessments, recording scores, and handling exemptions and medical waivers.
  • AF Form 680: This form, known as the Medical Recommendation for Physical Fitness Testing, documents recommendations from a healthcare provider regarding a member's readiness to participate in fitness evaluations.
  • Fitness Assessment Cell (FAC) Documentation: Various records maintained by the FAC capture data about fitness assessments, medical waivers, and member progress. These are crucial for upcoming evaluations and official reporting.
  • Unit Commander's Memorandum: A letter or official note from the unit commander addressing specific situations concerning a member's fitness status, such as invalidating a score due to medical issues or administrative concerns.
  • AF Form 801: This readiness report provides an overview of a member's current physical and medical status, vital for assessing overall fitness and compliance with Air Force standards.

Together, these documents provide a complete picture of a military member’s fitness assessment process, incorporating health considerations and ensuring that each individual is treated fairly and according to established regulations.

Similar forms

  • AF Form 4007: This document serves as a record of the Air Force Fitness Program. Like AF 4446, it collects personal data to assess fitness levels and compliance with standards.
  • AF Form 422: The Air Force Profile provides critical health and fitness information. It similarly includes personal identifiers and medical history affecting fitness assessments.
  • DD Form 2766: The Adult Preventive and Chronic Care Flow Sheet records health information. It shares the purpose of tracking individual health statuses, impacting fitness evaluations.
  • AF Form 1187: The Air Force Fitness Screening Questionnaire gathers health data to determine eligibility for fitness testing. It is analogous to AF 4446 in terms of personal information collection.
  • AF Form 190: This document provides a summary of individual fitness test results. It parallels AF 4446 by serving to document performance history.
  • AF Form 2A: This form captures the individual’s training and performance history. It can be seen as similar since it also tracks progress regarding fitness standards.
  • AF Form 1411: The Certification of Fitness records the outcome of fitness assessments. It is similar in function, as both serve to validate fitness performance and adherence to standards.

These documents share similarities with AF 4446 in their purpose of tracking health and fitness data for Air Force personnel.

Dos and Don'ts

When filling out the AF 4446 form, it is crucial to follow specific guidelines to ensure accuracy and compliance. Here are some do's and don'ts to consider:

  • Do provide accurate and complete personal information, including your Rank, Name, and Social Security Number.
  • Do double-check the test date and exemptions, ensuring that all details are correct.
  • Do sign and date the form to acknowledge your performance and understanding of the process.
  • Do communicate any injuries or illnesses that occurred during the fitness assessment clearly on the form.
  • Don't leave any sections blank; incomplete forms can lead to delays or disputes regarding your fitness assessment.
  • Don't falsify any information, as this may lead to disciplinary actions and invalidate the testing process.

Misconceptions

Here are seven common misconceptions about the AF 4446 form along with clarifications:

  • The AF 4446 form is only for active-duty members. Many believe this form only applies to active-duty personnel. However, reservists and Guard members also utilize it during fitness assessments.
  • You must pass your fitness assessment on the first try. It is a misconception that failing the assessment once results in automatic penalties. Members usually have the opportunity to retest within a specified time frame.
  • Signing the form means you agree with the score. Some think that by signing, they are automatically accepting their score. Signing indicates that the information reflects their performance at that moment.
  • Providing your social security number (SSN) is optional. Individuals often feel they can skip the SSN section. In reality, it is required for identification purposes, as stated in the form's privacy statement.
  • The information is publicly accessible. Many assume that data collected on the AF 4446 form is available to the public. This information is considered confidential and protected under the Privacy Act.
  • Exemptions automatically remove you from the fitness assessment. There is a belief that if members have exemptions, they do not need to participate in any assessments. Exemptions may allow for modified assessments but do not negate participation altogether.
  • You cannot contest your fitness assessment score. Some think scoring discrepancies are final. In fact, members have the right to address concerns and discrepancies following the procedures outlined in AFI 36-2905.

Key takeaways

Here are some key takeaways regarding the AF 4446 form, which is related to the Air Force Fitness Assessment:

  • Identification Purpose: The primary purpose of the AF 4446 form is to accurately identify individuals before their fitness assessments.
  • Required Information: Essential details such as Rank, Name, Unit, and contact information must be provided on the form.
  • Social Security Number: The SSN field is mandatory, and it is protected by law under the Privacy Act.
  • Exemptions Documentation: If there are any exemptions related to aerobic components or other fitness metrics, clear dates must be documented.
  • Performance Scores: The form includes sections to record specific assessment scores for push-ups, sit-ups, and the 1.5-mile run.
  • Signatures Required: Both the test member and the test administrator must sign the form, confirming the information provided and performance during the assessment.
  • Medical Validity: If a member experiences an injury or illness during their assessment, they must pursue evaluation and request score invalidation within 5 duty days.
  • Privacy Safeguards: All information submitted in the form is considered confidential and should be handled according to the Privacy Act of 1974.