FB 20-2-R STATION A: PHYSICAL FITNESS

EIB TEST SCORE SHEET

Station A - Physical Fitness - Point A-1

For use of this form, see USAIC Pam 350-6. The proponent is USAIS, DOTD.

Candidate's Name______________Rank________Unit________________

TASK 1: PUSH-UPS

TASK 2: SIT-UPS

TASK 3: 2-MILE RUN

PERFORMANCE MEASURES-----Mark by each measure-------------PASS (P)or FAIL (F)

Must score 70 points per event according to the candidate's age group.

PUSH-UPS_________

SIT-UPS________

2-MILE RUN_______

CHECK: PASS______ FAIL______

REASON(S) FOR FAILURE

__________________________________________________

SCORER'S SIGNATURE________________DATE________________

Is this a retest? YES______NO______

FB FORM 20-2-R, 17 JAN 97