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RULE A – Membership Qualification.
1. A Soldier must be in a Ready Reserve status and a member of the Reserve Component of the Army to which the application for entry in the AGR Program is made. 2. If in the Regular Army, Soldier must agree to accept discharge from the Regular Army with concurrent appointment or enlistment in the United States Army Reserve. Appointment or enlistment must be completed prior to reporting to an initial AGR entry point. RULE B – Age. Must be 18 years of age and not have reached his/her 55th birthday (enlisted only).

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RULE C – Physical and Medical.
1. Prior to entry on active duty (AD) in the AGR Program, Soldier must be medically certified as drug free, tested negative for Human Immunodeficiency Virus (HIV), and not be pregnant, per AR 40-501 and AR 600-110.

2. Must meet body composition/weight control standards prescribed by AR 600-9. 3. Must meet the medical fitness standards for retention per Chapter 3, AR 40-501. When appropriate, Soldier must also meet the medical fitness standards for flying duty per Chapter 4, AR 40-501, or the medical fitness standards for miscellaneous purposes per Chapter 5, AR 40-501.

If Soldier has PULHES numerical indicators of P3 or P4, requirements of AR 600-60 must be met prior to accessioning into the AGR Program.

RULE D – Military Education (see Table 2-2, Rule A, for waiver of items 1b through 1d only). 1. Officer in grade of a. Lieutenant or captain with less than 5 years time in grade must have completed the Basic Officer Leadership Course.

b. Captain with more than 5 years time in grade must have completed the Captains Career Course.
c. Major with at least 5 years time in grade must have completed intermediate level education (ILE), or its equivalent, as specified in Table 2-2, AR 135-155. d. Lieutenant colonel with 3 years time in grade must have completed ILE or equivalent, as specified in Table 2-2, AR 135-155.

2. Warrant or commissioned warrant officer in grade of a. WO1 or CW2 must have completed a Warrant Officer Basic Course or received military occupational specialty (MOS) proponent equivalent credit.

3

b. CW3 or above must have completed a Warrant Officer Advanced Course or received MOS proponent equivalent credit.
3. An enlisted Soldier must have completed initial entry training (IET). 4. Special branch officers must meet the military education requirements of AR 135-155. RULE E – Years of Service (see Table 2-2, Rule B). Must be able to complete a 3-year initial tour of AD prior to 1. Completing 18 years of active service. 2. The date of mandatory removal from active status based on age or service (without any extensions) under any provision of law or regulation, as prescribed by current directives. RULE F – Grade and Specialty (see Table 2-2, Rule E).

1. Officer.
a. Must possess the grade equal to or below the grade authorized for the AGR duty position,
b. Must possess the MOS area of concentration (AOC) commensurate with the AGR duty position,
c. and if assignment or attachment is an aviator, AMEDD, chaplain, JAGC, or warrant officer duty position in the AGR Program, assignment or attachment must not be restricted by AR 140-10.
2. USAR Enlisted.
a. Staff sergeant or above must possess the grade equal to or one grade below the grade required for the AGR duty position.
b. Sergeant or below must possess the grade equal to or one grade below the grade required for the AGR duty position and have potential for qualification in the MOS required for the AGR duty position during initial
attachment.

c. Sergeant in MOS 79R or 79V may be attached to an SFC position. RULE G – Reenlistment or Extension (see Table 2-2, Rule F, of this handout). If enlisted, Soldier must be eligible for reenlistment or extension per AR 140-111 (to include not exceeding the retention control point (RCP) for your current grade).

RULE H – Administrative Requirement. When required by policy promulgated under paragraph 14, Soldier must sign an appropriate certificate of agreement and understanding relative to service on AGR status.

RULE I – Security Clearance. Must possess a valid security clearance required for the grade, MOS/AOC, and AGR duty position.
RULE J – Failure of Selection for Promotion (see Table 2-2, Rule I, of this handout). Must not have failed selection for promotion on latest consideration by a mandatory board.

4

Table 2-2, Waivable Disqualifications for Entry in the AGR Program Rule

A

B

Unless waived, entry in the AGR Program will be denied if Soldier… Is an officer and does not meet the military educational requirements for his/her grade per Table 2-1, Rule D, of this handout. (Request for waiver applies to Table 2-1,
Rule D, 1b-1d. Rules D1a, D2, D3, and D4 are nonwaivable disqualifications under Table 2-3, Rule L). Is unable to complete an initial tour of 3 years on AD prior to achieving 18 years of active service or mandatory date for removal from active status, as required by Table 2-1, Rule E, of this handout. Is entitled to retired pay.

D

Was voluntarily released from the AGR Program for 2 or more days and 1 year has not elapsed since the date of release.

F

G

H

I

CAR-USAR

HQDA DCS G1
Secretary of the
Army (10 USC
10145(d))

C

E

Waiver Approval Authority is…

Is USAR specialist within two grades of that authorized for the AGR duty position (see Table 2-3, Rule D, of this handout). Is an enlisted Soldier ineligible for reenlistment or extension per AR 140-11, unless the disqualification can be waived under these regulations. Has been relieved for cause from any duty position, including but not limited to relief from command, within the 36-month period preceding date of application for the AGR Program or scheduled date of entry in the AGR Program. Is an officer or warrant officer who has received a referred officer evaluation report under AR 623-3 within the 36-month period preceding date of application for the AGR Program or scheduled date of entry in the AGR Program. Is an officer or warrant officer who failed to be selected by the latest promotion selection board considering the officer AD list or warrant officer AD list (see Table 2-1, Rule J, of this handout).

5

CAR-USAR
CAR-USAR
As cited in
appropriate
regulation
CAR-USAR

CAR-USAR

CAR-USAR

“This Page Was Left Blank Intentionally.”

6

Table 2-3, Nonwaivable Disqualifications for Entry in the AGR Program RULE

Entry in the AGR Program will be denied if a Soldier –

A

Does not meet membership qualifications specified in Table 2-1, Rule A, of this handout.

B

Is an enlisted Soldier and does not meet age requirements of Table 2-1, Rule B, of this handout.

C

Does not meet the physical and medical requirements specified in Table 2-1, Rule C, of this handout.

D

Does not meet the grade and specialty requirements of Table 2-1, Rule F (see Table 2-2, Rule E), of this handout, or whose grade is above that required for the AGR duty position.

E

Was (involuntarily) removed from AD or full-time National Guard duty, including duty in an AGR status1. For cause, to include unsuitability or unfitness (other than temporary medical disability) for military service.

2. As a result of resignation in lieu of adverse personnel action. 3. As a result of qualitative management program action.
4. Failure of selection by a tour continuation board.

F

Has been involuntarily removed from a unit (Selected Reserve) assignment1. For cause, 2. On attaining maximum years of service,
3. As a result of a qualitative retention board, or
4. As a result of selective retention board action.

G

Is, or should be, as determined by the CAR, under a current suspension of favorable personnel actions (flagged) per AR 600-8-2.

H

Is an enlisted Soldier barred from reenlistment in the ARNGUS or USAR, or on whom a bar to reenlistment has been initiated.

I

Is an enlisted Soldier ineligible for reenlistment or extension, per AR 140-111, and the disqualification(s) for reenlistment or extension has not been waived under the regulation.

J

Is an officer or warrant officer who would be ineligible for an original appointment under AR 135-100, unless the disqualification(s) for appointment can be waived under AR 135-100.

7

K

Does not possess a valid security clearance required for the grade and MOS/AOC, per Table 2-1, Rule I, of this handout.

L

Does not meet the military education requirements, as specified in Table 2-1, Rules D1a, D2, D3, or D4 of this handout (Table 2-1, Rules D1b through D1e are waivable under Table 2-2, Rule A, of this handout).

M

Is an officer or warrant officer nonselected for promotion on latest consideration by mandatory Reserve of the Army promotion selection board.

N

Is disqualified from entry on AGR status under Table 2-2 of this handout, and the disqualification has not been waived by proper authority.

8

CHECKLIST FOR USAR ACTIVE GUARD RESERVE APPLICATION
SOLDIER’S RESPONSIBILITIES
Complete the checklist by indicating the following completed documents are attached. Applications without the completed documents are considered incomplete and will not be considered. It is the applicant’s responsibility to keep his/her packet up to date with changes that may occur. The Official Military Personnel File (OMPF) is the source document for the application process. It is the applicant’s responsibility to ensure the OMPF is complete and accurate. Any information not in the OMPF must be provided.

1. Application for USAR Active Guard Reserve (AGR) Duty (AHRC Form 2370-R)
2. USAR Active Guard Reserve (AGR) Selection Board Eligibility Checklist (AHRC Form 2370-1-R)
3. Statement of Conditions of Service-Active Guard Reserve (AGR) (DA Form 5646) (Encl 1)
4. Letter of recommendation completed by first O4 or higher in your chain of command (Encl 2)
5. Request for Waiver (if applicable) (Encl 3)
6. Copy of Oath of Office (Officer and Warrant Officer) (if applicable) (Encl 4) 7. Civilian Education and Occupation Additional Skills Summary (Officer and Warrant Officer only) (Encl 5)
8. Copy of DA Form 759, Individual Flight Record and Flight Certificate – Army (Aviation–Officer/Warrant Officer, please provide a copy to your Career Manager/ Assignment Officer) (Encl 6)
9. The Soldier must review the performance portion of his/her OMPF within the Army Knowledge Online account. If documents are missing within the OMPF, a Soldier must provide documents to his/her Field Manager for updating the OMPF and iPERMS.

9

“This Page Was Left Blank Intentionally.”

10

APPLICATION FOR USAR ACTIVE GUARD RESERVE (AGR) DUTY
(Applicant must read, complete as required, and sign front and back where indicated.) THIS FORM IS REPRODUCIBLE
DATA REQUIRED BY THE PRIVICY ACT OF 1974
AUTHORITY:
PRINCIPLE PURPOSE:
ROUTINE USES:
DISCLOSURE:

10 USC 12301(d), 10 USC 10211, and 10 USC 10302.
To determine eligibility and schedule individual for Army Reserve AGR duty. To identify the applicant and issue orders. SSN is used to identify the applicant. Completing this form is mandatory for individuals applying for USAR AGR duty. Failure to comply will result in nonselection for USAR AGR duty. SOCIAL SECURITY NUMBER:

NAME: (Last, First, Middle)

TELEPHONE NUMBER:(Include Area Code)
HOME

ALIAS/MAIDEN NAME:

SEX:

E-MAIL ADDRESS:

CURRENT MAILING ADDRESS: (Street, City, ZIP Code)

DATE OF BIRTH: (YYYYMMDD)

PLACE OF BIRTH: (City/State or County)

MARITAL STATUS: (Check one)
Single

BUSINESS

Number of dependents
Adults
Children

Married

Divorced

Widowed

Separated

CURRENT DUTY STATUS: (check appropriate boxes)
Army Reserve Unit (TPU)

Active Army

Individual Ready Reserve (IRR)

National Guard (TPU)

Individual Mobilization Augmentee (IMA)

Other (Explain)

RANK:

DATE OF RANK: (YYYYMMDD)

ETS: (Enlisted) (YYYYMMDD)

TOTAL NUMBER OF MONTHS TIME IN GRADE:

MRD: (Officer) (YYYYMMDD)

EDUCATION: (City)

SECONDARY MOS/AOC:

ADDITIONAL MOS/FUNCTIONAL AREA:

COMMISSION SERVICE DATE: NUMBER OF MONTHS/YEARS OF ACTIVE DUTY: SECURITY CLEARANCE: (YYYYMMDD)

CURRENT UNIT OF ASSIGNMENT:

UNIT ADDRESS:

AHRC FORM 2370-R, Sep 13

BRANCH: (Officer)

EDUCATION: (Military)

PRIMARY MOS/AOC:

BASD: (YYYYMMDD)

PEBD: (YYYYMMDD)

UNIT TELEPHONE NUMBER/FAX: (Include Area Code)

UNIT E-MAIL ADDRESS:

PREVIOUS EDITIONS ARE OBSOLETE

11

Page 1 of 3

STATEMENT OF PERSONAL HISTORY AND ACKNOWLEDGMENT OF SERVICE REQUIREMENTS FOR AGR APPLICANTS
Statement of Personal History
Have you EVER been arrested, cited, charged, investigated, apprehended, or held (civilian and military charges). (Failure to disclose all violations may be cause to remove your application, rescind, or revoke your assignment orders published.) (Details must be explained on a separate page.) (if none, write “NONE”)

DATE OF OFFENSE
(YYYYMMDD)

TYPE OF OFFENSE
(Assault, Traffic, DUI, etc…)

TYPE OF JUDICIAL OR NON
JUDICIAL or
ADMINISTRATIVE
PROCEEDING (Adverse
Admin Action, Article 15,
Reprimand, etc…)

DISPOSITION
(Not Guilty, Pending,
Found Responsible, etc…)

SENTENCE IMPOSED
(Probation, Confinement,
etc…)

Family member special medical and/or educational requirements are considered when selecting newly accessed AGR Soldiers for assignments. Special needs constitute care requirements for potentially life-threatening conditions, chronic medical/physical conditions, current and chronic mental health conditions (6+ months), asthma or other respiratory diagnosis, ADD/ADHD diagnosis, adaptive equipment or assistive technology device needs, environmental and architectural considerations, and learning disabilities. Once a special need is identified or revealed, the Soldier is considered for EFMP enrollment. Please divulge any/all Family information pertaining to the above listed categories so proper consideration is given during the assignment selection process (if none, write “NONE”).

Personnel assigned to AGR assignments often represent the community in which they live and work. The actions and activities of the AGR Soldier and his or her Family are often perceived as representatives of the Army and the Army community. Personnel with serious Family problems or whose dependents have a history of involvement in unfavorable incidents, which may impair the AGR Soldier’s performance of duty or reputation in the community, are unacceptable for selection as AGR Soldiers. In the space below, provide any information concerning yourself or your dependents, which may reflect upon your ability to serve in the AGR Program. (if none, write “NONE”)

ACKNOWLEDGMENT OF SERVICE REQUIREMENTS
I am not under indictment (*information) in any court, I am not a fugitive from justice or currently serving on probation for any offense(s). (*a formal accusation of a crime made by a prosecuting attorney, as distinguished from an indictment presented by a grand jury). I am not an unlawful user of, or addicted to, alcohol; marijuana; or a depressant, stimulant, or narcotic drug. I have never been adjudicated as having a mental disorder and have never been committed to a mental institution. I understand that if I arrive at my initial assignment and fail to meet the requirements for entry into the AGR Program, I will be processed for separation under AR 600-8-24 or AR 635-200.

I understand that prior to being ordered to active duty in the AGR Program, I must meet the medical fitness standards as defined in Chapter 3, AR 40-501. A current physical examination must be completed before assignment to an AGR position. I understand that providing false information or concealing any disqualifying condition that I know or should know exists at the time of entry into the AGR Program may be a basis for adverse action against me. Such action may include judicial action under the provisions of federal law, including the federal criminal code and Uniform Code of Military Justice, and administrative action, including release from active duty and elimination from the Ready Reserve.

Do you have a dependent with the physical, emotional, developmental, or intellectual disorder that requires special treatment, therapy, education, training, counseling, equipment, assistance, or medical care above the level of a general practitioner? YES NO

Please visit: http://efmp.amedd.army.mil to obtain information regarding the Exceptional Family Member Program (EFMP). SIGNATURE:

DATE:

AHRC Form 2370-R, Sep 13

Page 2 of 3

12

APPLICATION FOR USAR ACTIVE GUARD RESERVE (AGR) DUT Y
ADDITIONAL INFORMATION
CURRENT DUTY STATUS (OTHER)

OFFENSE DETAILS

AHRC Form 2370-R, Sep 13

Page 3 of 3

13

“This Page Was Left Blank Intentionally.”

14

ARMY RESERVE ACTIVE GUARD RESERVE (AGR)
SELECTION ELIGIBILITY CHECKLIST
THIS FORM IS REPRODUCIBLE

DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY
PRINCIPLE PURPOSE:
ROUTINE USES:
DISCLOSURE:

10 USC 12301(d), 10 USC 10211, and 10 USC 10302.
To determine eligibility and schedule individual for USAR AGR duty. To identify the applicant and issue orders. SSN is used to identify the applicant. Completing this form is mandatory for individuals applying for USAR AGR duty. Failure to comply will result in nonselection for Army Reserve AGR duty.

Please mark the appropriate response to each question. If you mark the INELIGIBLE block on any of the questions, DO NOT apply unless you are authorized to request a waiver under Table 2-2, AR 135-18. Waivable requests have been identified with a “W.” A request for waiver must be attached to your application, if applicable.

ELIGIBLE

1. Are you currently a member of the U.S. Army Reserve (Ready Reserve)? If you are a member of the Army National Guard or Active Army, are you willing to accept discharge with a concurrent appointment or enlistment in the USAR? (AR 135-18, Table 2-1, Rule A)

INELIGIBLE

WAIVER

YES

NO

NA

YES

NO

W

YES

NO

NA

YES

NO

NA

YES

NO

NA

YES

NO

NA

3. Do you meet the retention medical standards of AR 40-501 (physical exam)? (AR 135-18, Table 2-1, Rule C)

YES

NO

NA

4. Are you entitled to and/or in receipt of military retired pay? (AR 135-18,
Table 2-2, Rule C)

NO

YES

W

5. Are you a former USAR AGR participant that was voluntarily released within the last year (from date of application)? (AR 135-18, Table 2-2, Rule D)

NO

YES

W

NO

YES

NA

2. Are you able to complete a 3-year initial tour of active duty prior to completing 18 years of active service or the mandatory removal from active status based on age or service (without any extensions) under provisions of law or regulation, as prescribed by current directives. (AR 135-18, Table 2-1, Rule E) For Enlistment/Reenlistment Contracts “dated 1 Jun 11 or later: (E4 must have less then 5 years of active service)

a. If current grade is E4, are you able to complete your initial 3-year tour prior to reaching your retention control point (RCP) of 8 years of active service (i.e. as an E4, must have less than 5 years of active service).

b. If current grade is E5, are you able to complete your initial 3-year tour prior to reaching your RCP of 13 years of active service (i.e. as an E5, must have less than 10 years of active service). For Enlistment/Reenlistment Contracts dated “prior to 1 Jun 11”: (E4 must have less than 7 years of active service)

a. If current grade is E4, are you able to complete your initial 3-year tour prior to reaching your RCP of 10 years of active service (i.e. as an E4, must have less than 7 years of active service). b. If current grade is E5, are you able to complete your initial 3-year tour prior to reaching your RCP of 15 years of active service (i.e. as an E5, must have less than 12 years of active service).

6. Were you involuntarily removed from active duty or full time National Guard, including AGR status, for any of the following reasons? (AR 135-18, Table 2-3, Rule E)
a. For cause, to include unsuitability or unfitness (other than for temporary medical disability) for military service,
b. As a result of resignation in lieu of adverse personnel action, c. As a result of qualitative management program action, or
d. Failure of selection by a tour continuation board. (Table 2-3, Rule E) 7. Have you been relieved for cause from any duty position, including but not limited to relief from command, in the 36-month period preceding your date of application for the AGR Program, or the scheduled date of entry in the AGR Program? (AR 135-18, Table 2-2, Rule G)

NO

YES

W

NO

YES

NA

8. Have you been involuntarily removed from a unit (Selected Reserve) assignment for any of the following reasons? (AR 135-18, Table 2-3, Rule F)
a. For cause,
b. On attaining maximum years of service,
c. As a result of qualitative retention board action, or
d. As a result of selective retention board action.

AHRC Form 2370-1-R, Sep 13

PREVIOUS EDITION ARE OBSELETE

Page 1 of 2
LFV 1.0

15

ELIGIBLE
9. Are you at least 18 years of age and have not reached your 55th birthday? (enlisted only) (AR 13518, Table 2-1, Rule B)

INELIGIBLE

WAIVER

YES

NO

NA

a. Are you eligible for reenlistment or extension per Chapter 2, AR 140-111?

YES

NO

W

b. Has a Bar to Reenlistment been initiated or in effect? (AR 135-18, Table 2-3, Rule H)

NO

YES

NA

a. As specified in AR 135-18 (Table 2-1, Rule D1a, D2, D3, or D4)

YES

NO

W

b. As specified in AR 135-18 (Table 2-1, Rule D1b, 1c, or 1d)

YES

NO

W

12. Are you an officer or warrant officer who has received a referred evaluation report under AR 623-105 in the 36-month period preceding your date of application for the AGR Program or the scheduled date of entry in the AGR Program? (AR 135-18, Table 2-2, Rule H)

NO

YES

W

a. Were you nonselected on the latest promotion selection board considering the officer active duty list or warrant officer active duty list? (AR 135-18, Table 2-1, Rule J)

NO

YES

W

b. Were you a nonselectee on the latest consideration by a mandatory Reserve of the Army promotion selection board? (AR 135-18, Table 2-3, Rule M)

NO

YES

NA

14. Were you promoted by a unit vacancy selection board process less than 1 year prior to the convening date of the board? (officer only) (AR 140-30, paragraph 3-2c)

NO

YES

NA

15. Are you under a current suspension of favorable personnel actions (flagged) per AR 600-8-2? (AR 13518, Table 2-3, Rule G)

NO

YES

NA

16. Are you a COL, LTC, CW5, CSM, SGM, PFC, PV2, or PV1? (OCAR Policy)

NO

YES

NA

10. Reenlistment Eligibility: (enlisted only) (AR 135-18,Table 2-1, Rule G)

11. Do you meet the military education requirements for your grade?

13. Nonselect for promotion (officer/warrant officer)

GENERAL QUESTIONS: Answer the following questions that are applicable.

1. Are you a high school graduate or GED recipient? (enlisted only) YES

NO

2. Are you receiving disability pay? (If yes, you must terminate disability pay prior to entry.) YES

3. Were you ever in the AGR Program? YES

NO

NO

If yes, when did you leave the program?
(Date)

4. Are you married to a service member on active duty? If yes, complete the information in 4a. YES

(YYYY/MM/DD)

NO

4a. The following is information about my active duty spouse. I understand there is no guarantee of joint domicile. NAME:
RANK:
SSN:
BRANCH OF SERVICE:

AHRC Form 2370-1-R, Sep 13

Page 2 of 2

16

STATEMENT OF CONDITIONS OF SERVICE· ACTIVE GUARD RESERVE (AGR) For use of this form, see AR 140-30; the proponent agency is CAR

Information required by the Privacy Act of 1974
AUTHORITY:

10 USC 672 ( ) and Executive Order 9397, 22 November 1943.
d

PRINCIPLE PURPOSE: To explain the obligations and conditions that are, or
will be, in force for members of the U.S. Army Reserve ordered to active duty with their consent in an Active Guard/Reserve ( AGR) status.

ROUTINE USES:

Confirmation that the individual understands and agrees to the obligations and conditions that will be incurred upon entry, or continued services on, active duty in an AGR status.

DISCLOSURE:

Disclosure of the individual’s SSN is voluntary, however, if the SSN is not provided, the soldier may not be ordered, extended, or retained on active duty in an AGR status.

I. APPLICATION
A. All individuals applying for voluntary active duty in an AGR status must read and sign this form. B. The form shall only be completed once and shall remain in force during the entire period the individual serves on active duty in the AGR program, to include periods of active duty for training

(ADT) performed while in the AGR program. Should the individual incur a break in continuous active duty in the AGR program in excess of 48 hours, the form must again be completed upon reentry on active duty in the AGR program.

C. A copy of this form will be given to the individual as a personal copy. A copy will be retained in the individual’s Career Management Information File (CMIFJ), Official Military Personnel File (OMPF), a n d Military Personnel Records Jacket ( MPRJ).

II. ACTIVE GUARD/RESERVE CONDITIONS AND OBLIGATIONS
(The member must place his or her initials appropriated block)

1. I am applying for voluntary order to active duty in an AGR status for an initial AGR tour. If ordered to active duty, I will be stabilized in my initial assignment for the entire term of my initial tour of duty except as described in paragraph 7 below. Should, voluntarily reenlist or extend for the purpose of being renewed or continued on an AGR status, or accept an additional tour, I will be subject to involuntary reassignment based on the needs of the Service. 1. I am currently serving on active duty in an AGR status. I am being processed for an immediate reenlistment or extension to be continued or retained on active duty in an AGR status or have been offered an additional tour. I have never before signed one of these specific agreements. I understand that I am no longer managed under the Long Tour Management Program and, therefore, accept the withdrawal by Department of the Army of any previous agreements I may have accepted under the Long Tour Management Program. I further understand that I will be subject to involuntary reassignment based on the needs of the Service.

(The following provisions are applicable to all personnel signing this form.)

2. I further understand that upon voluntary entry upon active duty in AGR status, or if I am already in an AGR status and being renewed or continued ( by

reenlistment, extension, or additional AGR tour):

a. I will be subject to the Uniform Code of Military Justice (UCMJ) b. I will be managed under the rules and regulations governing the USAR AGR centralized management system to include assignments, promotion, and reduction. c. I will be considered for continuation or renewal on AGR status under the criteria of AR 135-18 and 140-30.

DA FORM 5646, AUG 2010

PREVIOUS EDITIONS ARE OBSOLETE

APD PE v1.00ES

Encl 1

17

3. I am aware that my job assignment may require successful completion of a course, or courses, of instruction by military institutions. Residency at such institutions may require periods of time away from my family and may require that I be placed in an active duty for training (ADT) status during such training. 4. I am aware that my voluntary entry on active duty in an AGR status does not guarantee that I will be offered a subsequent AGR tour or that I will attain 20 years of Active Federal Service for retirement purposes.

5. I am aware that I will be subject to all regulations applicable to Active Component personnel, except as specified in AR 135-18, AR 140-30 and other regulations pertaining to the AGR program.

6. I am aware that I will be subject to involuntary relief from active duty under the provisions of AR 135-18, AR 140-30 and AR 635-100 (officers) or AR 635-200 (en listed ).
7. If entering on my initial AGR tour, I understand that I will not be involuntarily reassigned during that initial tour if such reassignment involves the expenditure of funds, except:
a. In time of war or national emergency declared by the President or by Congress; b. If the unit or position to which I am assigned or attached is inactivated or relocated; or c. I am relieved from my duty assignment or attachment for cause. I understand that if I enter on a subsequent AGR tour I will be subject to paragraph 8 below.

8. If entering on an AGR tour other than my initial AGR tour, I am aware that I may be involuntarily reassigned to meet the needs of the Army at anytime.
9. I understand that I will be automatically considered for successive tours of active duty in the AGR program, and this form is also my consent to be ordered to active duty or extended on active duty for those tours if I am selected. I further understand that I may withdraw my consent to a new tour of active duty in writing but must do so within 10 days of receipt of orders to a new tour of active duty or I will be obligated to serve on active duty for the period of that tour.

III. STATEMENT ACKNOWLEDGING CONDITIONS AND OBLIGATIONS

I, the undersigned, acknowledge that I have read and understand all of the conditions and obligations of service as specified on this statement. No other conditions or promises were made to me in conjunction with my entry or continuation in the AGR program.

TYPED OR PRINTED NAME

RANK

SIGNATURE

DATE SIGNED

Reverse of DA Form 5646, AUG 2010

PREVIOUS EDITIONS ARE OBSOLETE

18

APD v1.00ES

SAMPLE LETTER OF RECOMMENDATION
(Completed by first O4 or higher in chain of command, on letterhead)

(Office Symbol of Preparer)

(Date)

MEMORANDUM FOR United States Army Human Resources Command (AHRC-OPD-A), 1600 Spearhead Division Avenue, Department 361, Fort Knox, KY 40122-5306 SUBJECT: Letter of Recommendation for CPT Doe, Mary J., XXX-XX-Last four SSN

1. Statement of why you recommend this Soldier for entry into the AGR Program. 2. Describe how the Soldier will make an excellent fit for the AGR Program. 3. Provide a couple of examples out of the seven Army Values the Soldier possesses: Loyalty, Duty, Respect/EO/EEO/ Selfless-Service, Honor, Integrity, and Personal Courage. 4. State whether or not the Soldier has any medical issues which would preclude him/her from world-wide assignments/deployment and meet body composition standards prescribed in AR 600-9.

5. Give any additional reason(s) why you feel the Soldier should be a member of the AGR Program.

(Signature)
(Signature block of first O4 or higher in your chain of
command)

NOTE: Office symbol on MEMORANDUM FOR line will be AHRC-OPD-A for officer or AHRC-EPF-A for enlisted.

Encl 2

19

SAMPLE REQUEST FOR WAIVER
(Completed by applicant, if applicable, on letterhead)

(Office Symbol of Preparer)

(Date)

MEMORANDUM FOR United States Army Human Resources Command (AHRC-OPD-A) 1600 Spearhead Division Avenue, Department 361, Fort Knox, KY 40122-5306 SUBJECT: Request for Waiver, Rank Last Name, First, MI., XXX-XX-Last four SSN

1. Request the following qualification be waived for entry into the Active Guard Reserve Program, per Table 2-2, AR 135-18:
(List the waivable disqualification(s) here.)
(List the justification for waiver(s) here.)
2. I understand I will not be assessed into the Active Guard Reserve Program unless I am selected for entrance and this request for waiver is approved.

(Your Signature)
(Signature block, if applicable)

NOTE: Office symbol on MEMORANDUM FOR line will be AHRC-OPD-A for officer or AHRC-EPF-A for enlisted.

Encl 3

20

OATH OF OFFICE – MILITARY PERSONNEL

For use of this form, see AR 135-100, the proponent is ODCSPER AUTHORITY:

DATA REQUIRED BY THE PROVACY ACT OF 1974
5 USC 3331, 552, 552a; 10 USC 10204.

PRINCIPAL PURPOSE:

To create a record of the date of acceptance of appointment.

Routine USES:

Information is used to establish and record the date of acceptance. The SSN is used to identify the member. The date of acceptance of appointment is used in preparing statements of service and computing basic pay date.

DISCLOSURE:

Completion of form is mandatory. Failure to do so will cause the appointment to be invalid.

INSTRUCTIONS
INDICATE THE APPOINTMENT FOR WHICH OATH IS BEING EXECUTED BY PLACING AN “X” IN APPROPRIATE BOX. REGULAR ARMY COMMISSIONED OFFICERS WILL ALSO SPECIFY THE BRANCH OF APPOINTMENT WHEN APPOINTED IN A SPECIAL BRANCH.

This form will be executed upon acceptance of appointment as an officer in the Army of the United States. Immediately upon receipt of notice of appointment, the appointee will, in case of acceptance of the appointment, return to the agency from which received, the oath of office (on this form) properly filled in, subscribed and attested. In case of non-acceptance, the notice of appointment will be returned to the agency from which received, (by letter) indicating the fact of non-acceptance. COMMISSIONED OFFICERS

WARRANT OFFICERS
REGULAR ARMY

REGULAR ARMY
(Branch, when so appointed)

ARMY OF THE UNITED STATES, WITHOUT COMPONENT
ARMY OF THE UNITED STATES, WITHOUT COMPONENT
RESERVE WARRANT OFFICER
RESERVE COMMISSIONED OFFICER
I,
(First Name, Middle Name, Last Name)

(Social Security Number)

having been appointed an officer in the Army of the United States, as indicated above in the grade of do solemnly swear (or affirm) that I will support and defend the Constitution of the United States against all enemies, foreign and domestic, that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties of the office upon which I am about to enter; SO HELP ME GOD.

(Signature – full name as shown above)

SWORN TO AND SUBSCRIBE BEFORE ME AT

THIS

DAY OF
(DAY)

(MONTH)

(Grade, component, or office of official administering oath)

(YEAR)

(Signature)

FOR THE EXECUTUIN OF THE OATH OF OFFICE
1. Whenever any person is elected or appointed to an office Article 130; 10 USC 030). A commissioned warrant officer honor or trust the government to the United States, he/she is administering the oath of office will show his/her in the block to required before entering upon the duties of his/her office, to take and the left of his/her signature.

subscribed the oath prescribed by 5 USC 3331.
4. Oath of office may also be taken before any civil officer who is 2. 10USC 626 AND 14309 eliminate the necessity of executing oath authorized by the laws of the United States or by the local municipal on promotion of officers.

laws to administer oaths, and if so administered by a civil official, the oath must bear the official seal of the person administering the oath, 3. The oath of office may be taken before any commissioned officer or if a seal is not used by the official, the officials capacity to of any component of any Armed Force, whether or not on active administered oaths must be certified to under seal by a clerk or court duty (10 USC 1031), or before any commissioned warrant officer or other proper local official.

when acting as an adjutant, assistant adjutant, acting adjutant, or personnel adjutant any of the Armed Forces (See UCM,

DA FORM71, JUL 1999

EDITION OF DEC 1988 IS OBSOLETE

APD PE v1.0038

Encl 4

21

“This Page Was Left Blank Intentionally.”

22

CIVILIAN EDUCATION AND OCCUPATION ADDITIONAL SKILLS SUMMARY RANK, NAME, AND SOCIAL SECURITY NUMBER:

CIVILIAN EDUCATION

DEGREE

FIELD

LICENSES/CERTIFICATIONS HELD:

CIVILIAN EMPLOYMENT BACKGROUND:

FOREIGN LANGUAGE SKILLS:

Language:

Speak:

Read:

Write:

Knowledge of Culture:

Encl 5

23

SAMPLE
CIVILIAN EDUCATION AND OCCUPATION ADDITIONAL SKILLS SUMMARY
RANK, NAME, AND SOCIAL SECURITY NUMBER:
CPT John D. Taylor, SSN: XXX-XX-Last four SSN
CIVILIAN EDUCATION:

DEGREE

FIELD

PARKWAY NORTH

HS

HS

UNIVERSITY OF MISSOURI

BS

Mathematics

LICENSES/CERTIFICATIONS HELD: Certified Public Accountant
CIVILIAN EMPLOYMENT BACKGROUND:
Mar 95 – Present

Account Representative, Jones Building Supply, St Louis, MO. Responsible for commercial accounts of building supplies and materials, including fabricated products.

Feb 92 – Feb 95

Branch Manager, Dial Finance Corp, Chesterfield, MO.
Responsible for operation of a branch office, hiring and firing of personnel, operation budgets, loan approvals, collection of accounts, and office administration.

Jan 90 – Jan 92

Manager Trainee, Dial Finance Corp, Chesterfield, MO.
Responsible for processing loans and collection of delinquent accounts.

FOREIGN LANGUAGE SKILLS:

Language: French Speak: X

Read: X Write: X

Knowledge of Culture: X

24

INDIVIDUAL FLIGHT RECORD AND FLIGHT CERTIFICATE-ARMY
For use of this form, see AR 95-1, AR 95-23, and FM 3-04.300; the proponent agency is DCS, G-3/5/7.

1. Sheet No.
PART I. BID/DEMOGRAPHIC
2. Name

3. Rank

4. Period

5. DOB

8. Component

6. ASED

7. Branch

9. Unit

10. DMOS

11. Duty Position

12. Operational Position

PART II. FLIGHT HOURS
SECTION A. QUALIFICATIONS

a.

b.
Acft
System

c.
Date
Qual

d.
Last
Flight

e.
Total
Tim e

f.
CP/
CE/
EO

h.

g.
PI/
OR/
AO

PC/
PO

i.
UT/
MO

j.
IP/
I0

k.
IE/
Fl

m.

l.
SP/
Sl/
SO

MP

n.
ME

XP

SECTION B. TOTAL HOURS

a. Combat

b. Imminent Danger

c. Civilian RW

d. Military RW

e. Civilian FW

f. Military FW

g. Historical Hours

h. Total Hours

DA FORM 759, AUG 2008

PREVIOUS EDITION OF APR 98 IS OBSOLETE

Page 1of 2
APD PE v1.02ES

Encl 6

25

1. Sheet No.

INDIVIDUAL FLIGHT RECORDS AND FLIGHT CERTIFICATE — ARMY (Cont’d) For use of this form, see AR 95-1, AR 95-23 and FM 3-04.300; the proponent agency is DCS, G-3/5/7 .

2. Name

3. Rank

4. Period

PART III. ATP
1. FAC

2. MTFE

7. Primary Acft

3. Phys Exam

4. Ejection Seat

5. Alt Chamber

6. APART Completed

8. RL

9. Std Flt Eval

10. Inst Eval

11. Alternate Acft

12. RL

13. Std Flt Eval

14. Inst Eval

15. Additional Acft

16. RL

17. Std Flt Eval

PART IV. REMARKS

Commander’s Typed Name, Rank, Branch

Date (YYYYMMDD)

Signature

DA FORM 759, AUG 2008

Page 2 of 2
APD PE v1.02ES

26

27

Cite this AGR packet

AGR packet. (2016, Jun 29). Retrieved from https://graduateway.com/agr-packet/

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