Leader Development Applicaton

Leader Development Applicaton

<p> TITLE 10 ADOS ENLISTED APPLICATION CHECKLIST Do NOT Submit an Incomplete Packet</p><p>LAST NAME ______FIRST NAME______MI______RANK ______SSN ______PMOS______STATE______BASD______CURRENT STATUS (circle one): M-Day T-32 T-10 ADOS Mil Tech Other______EMAIL ADDRESS______PHONE______PACKET SEQUENCE: Incomplete packets will be returned </p><p>Tab Requirement</p><p>A ______NGB Form 34-1, Application for AGR Position (GKO) earlier version(2010)</p><p>B ______AGR Tour Agreement w/LETTERHEAD (GKO)</p><p>C ______Tour Assignment Preference Statement (GKO)</p><p>D ______ERB certified or DA Form 2-1 - Certified Copy and signed by applicant</p><p>E ______DA Photo (within last 12 months) dated</p><p>F ______Last 3 years consecutive NCOERs (Profiled) </p><p>G ______DA FORM 705: Last three years of APFT scores, most recent within 8 months. (1) ______DA Form 5500/1-R, Body Fat Content Worksheet for every APFT (if applicable) (2) ______DA Form 3349, Physical Profile (if applicable)</p><p>H ______Individual Medical Readiness (IMR) Record Printout (AKO) (Forms) (IMR Record) (Dates of Physical Exam & HIV must be within 2 years if not submit a PHA dated Within 1 year) Excel Spreadsheet</p><p>I ______NGB Form 23b, RPAM (within 3 months) </p><p>J ______DA Form 1172, DEERS Enrollment (signed by applicant and certified official)</p><p>K ______SEL / State CSM / Recommendation Letter </p><p>L ______Security Clearance Memo from your Security Manager</p><p>M ______Army/American Registry Transcript System (AARTS) highest school completed </p><p>N ______DA 4836 Oath of Extension of Enlistment or DD 4 Series Enlistment Contract </p><p>O ______Civilian Education; all transcripts (photocopies accepted) </p><p>P ______DD 214s (If applicable) </p><p>22 APRIL 2014</p>

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