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The U.S. Army Application Form, also known as DA Form 61, serves as a critical step for individuals seeking to become commissioned or warrant officers in either the Regular Army or Army Reserve. This comprehensive document is structured to gather essential personal and professional details, allowing the Army to assess the applicant's qualifications. Major sections of the form include information about the type of appointment desired, educational background, military experience, and personal data, such as marital status and dependents. Applicants are asked to express their branch and specialty preferences while also disclosing any prior military service or encounters with the law. The form emphasizes voluntary disclosure, although it's important to note that providing incomplete information can hinder the application process. Key elements underscore the need for transparency, with specific questions addressing both academic and disciplinary records. The structured format ensures that each applicant presents a complete picture of their credentials and aspirations, helping the Army make informed decisions about new appointments.

Us Army Application Example

APPLICATION FOR APPOINTMENT

For use of this form, see AR 135-100, AR 145-1, AR 351-5, and AR 601-100; the proponent agency is DCSPER

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY:

PRINCIPAL PURPOSE:

ROUTINE USES:

DISCLOSURE

Title 10 United States Code, Section 3012 (Title 5 United States Code, Section 552a)

To obtain an appointment as a commissioned or warrant officer in the Regular Army or Army Reserve, or to obtain selection to attend the US Army Officer Candidate School.

Basis for determination of qualifications and background information for eligibility for consideration for appointment as a Regular Army or Army Reserve commissioned/warrant officer or for selection for attendance at the US Army Officer Candidate School.

Disclosure of information requested in DA Form 61 is voluntary. Failure to provide the required information will result in non-acceptability of the application.

 

 

1. TYPE OF APPOINTMENT FOR WHICH APPLICATION IS SUBMITTED

 

 

2.

GOVERNING REGULATION OR CIRCULAR

(Specify appropriate section(s) if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMISSIONED OFFICER - REGULAR ARMY

 

 

 

 

 

 

 

 

 

3.

GRADE FOR WHICH APPLYING (Reserve appointments only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMISSIONED OFFICER - ARMY RESERVE

 

 

 

 

 

 

 

 

 

 

4. SOURCE OF APPLICATION (ROTC only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WARRANT OFFICER - REGULAR ARMY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DMG

DATE DESIGNATED:

 

 

 

 

 

 

 

 

 

 

WARRANT OFFICER - ARMY RESERVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHOLARSHIP - ENTER 1, 2, 3 OR 4 YEARS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICER CANDIDATE SCHOOL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. ONLY FOR APPLICANTS FOR APPOINTMENT AS WARRANT OFFICERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(List choice by MOS code and title)

 

 

 

 

 

 

 

6. BRANCH AND SPECIALTY PREFERENCES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Regular Army and Officer Candidate applicants and all ROTC graduates:

 

 

 

 

 

 

 

 

a. MOS CODE

 

 

 

 

 

b. MOS TITLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In numerical sequence, indicate 10 branch preferences other than CA and SS.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USAR applicants: If applying for a specific Reserve vacancy, indicate

ONLY the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

branch of the vacant position; all other applicants may enter more than one branch.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSONAL DATA

 

 

 

 

 

 

 

 

 

 

PREFER-

 

 

7. NAME

(Last, first, middle)(Explain variations from birth certificate in Item 41)

 

8. GRADE

9a. SOCIAL SECURITY NUMBER

 

BRANCH

SPECIALTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. BRANCH

 

11. TOTAL YRS

 

12. MARITAL

 

 

13. NUMBER OF DEPENDENTS UNDER 18

9b. SELECTIVE SERVICE NUMBER

 

 

 

 

 

 

(MOS if enl or wo)

 

ACTIVE SERVICE

 

STATUS

 

 

YEARS OF AGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AG

 

14. DATE OF

 

15. PLACE OF BIRTH (City, county,

 

16. SEX

 

17. COMPLETE MILITARY ADDRESS

(If presently on active duty) (Include ZIP Code)

 

 

 

 

 

 

BIRTH

 

 

 

 

 

state)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AV

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE AND/OR DSN NUMBER

 

 

 

 

 

 

 

 

 

 

CA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CM

 

18. PERMANENT ADDRESS

(Include ZIP Code)

 

 

 

 

 

 

 

 

 

19. CURRENT MAILING ADDRESS

(If difference from Item 18) (Include ZIP Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE

(Include area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE (Include area code)

 

 

 

 

 

 

 

 

 

 

FI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IN

 

20. US

 

a. NATIVE

 

b.

 

 

 

NATURALIZATION

 

c. APPLICANT'S CERTIFICATE NO. (If Item b. checked) (Date, place, court)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITIZEN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

YES

 

 

 

 

 

 

 

DERIVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

 

 

 

 

 

 

NO

 

 

 

 

 

IMMIGRANT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QM

 

21. CIVILIAN EDUCATION (See page 3 for additional requirements for professional personnel)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SC

 

a. HIGH SCHOOL GRADUATE

 

 

 

 

b. NAME AND LOCATION OF HIGH SCHOOL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TC

 

 

 

 

c. NAME AND LOCATION OF EACH COLLEGE

 

 

 

 

 

 

 

 

(2)

 

(3)

(4)

 

 

 

 

(5)

 

 

 

 

 

 

 

 

 

 

(1)

 

 

SEMESTER

DATE GRADUATED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AN

 

 

 

 

OR UNIVERSITY ATTENDED

(Include USMA,

 

 

 

YEARS

OR WILL GRADUATE

 

MAJOR

 

 

 

 

 

 

 

 

 

DEGREE

 

CREDITS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USNA, USAFA, USCGA, and USMMA)

 

 

ATTENDED

 

 

 

 

 

 

 

 

SUBJECT

 

 

 

 

CH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EARNED

DAY

MONTH

 

YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SP

 

d. SPECIAL EDUCATIONAL HONORS, SCHOLAR-

e. IF YOU HAVE EVER BEEN EXPELLED FROM SCHOOL, OR PLACED ON PROBATION, EITHER FOR

 

 

 

 

 

SHIPS, ETC.

 

 

 

 

 

 

 

 

 

 

 

 

 

ACADEMIC OR DISCIPLINARY REASONS, EXPLAIN (Continue in Item 41(Remarks))

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22.HIGHEST LEVEL SERVICE SCHOOL ATTENDED

a. NAME OF SCHOOL

b. COURSE

c. DATES

(Mo-Yr)

 

COMPLETED

d. IF NOT COMPLETED GIVE REASON

 

 

 

 

 

 

 

 

 

 

 

FROM

TO

YES

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23a. FOREIGN LANGUAGES AND DEGREE OF PROFICIENCY

 

 

 

 

 

 

 

 

 

b. ALAT SCORE (If applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DA FORM 61, JUN 1981

EDITION OF 1 AUG 74 AND DA FORM 61-R, 26 SEP 75, PRIVACY ACT STATEMENT, ARE OBSOLETE.

 

 

 

 

 

 

 

 

 

 

 

 

 

APD LC v2.01ES

24. ARE YOU NOW, OR HAVE YOU EVER BEEN A CONSCIENTIOUS OBJECTOR?

 

YES

 

NO (If yes, attach affidavit)

25.

I UNDERSTAND THAT, IF I AM SELECTED FOR APPOINTMENT, I WILL BE EXPECTED TO ACCEPT SUCH ASSIGNMENTS AS ARE IN THE BEST INTEREST OF THE SERVICE REGARDLESS OF MY MARITAL STATUS AND/OR RESPONSIBILITY FOR DEPENDENTS; AND IT IS MY RESPONSIBILITY TO MAKE APPROPRIATE ARRANGEMENTS FOR THE CARE OF MY DEPENDENTS SHOULD I BE REQUIRED TO PERFORM DUTY IN AN AREA WHERE DEPENDENTS ARE NOT PERMITTED.

26.HAVE YOU EVER UNDER EITHER MILITARY OR CIVILIAN LAW BEEN INDICTED OR SUMMONED IN TO COURT AS A DEFENDANT IN A CRIMINAL PROCEEDING (Including any proceedings involving juvenile offenses, article 15, UCMJ, and any court-martial) REGARDLESS OF THE RESULT OF TRIAL, OR CONVICTED, FINED, IMPRISONED, PLACED ON PROBATION, PAROLED OR PARDONED, OR HAVE YOU EVER BEEN ORDERED TO DEPOSIT BAIL OR COLLATERAL FOR THE VIOLATION OF ANY LAW, POLICE REGULATION OR ORDINANCE? (Exclude traffic violations involving a fine or forfeiture of $100 or less).

YES

NO IF YES, ATTACH REQUEST FOR WAIVER LISTING THE DATE, THE NATURE OF EACH ALLEGED OFFENSE OR VIOLATION, THE NAME AND LOCATION OF

THE COURT OR PLACE OF HEARING, AND THE PENALTY IMPOSED OR OTHER DISPOSITION OF EACH CASE AND FURNISH COPY OF COURT ACTION OR DETAILED STATEMENT IN AFFIDAVIT FORM AS TO THE OUTCOME OF EACH CASE.

27.ACTIVE MILITARY SERVICE (Indicate tour with each organization separately - show ROTC Camps in Item 39)

a. ORGANIZATION

b. DATES (Day, Month, Year)

c. BRANCH/MOS

d. PRIOR

e. HIGHEST GRADE

(US Armed Forces, USCG, NOAA,

 

 

(As appropriate)

SERVICE NO.

AND COMPONENT

FROM

TO

US Public Health Service, Peace Corps)

(If applicable)

 

ENLISTED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WARRANT OFFICER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMIS- SIONED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

f. DATE CURRENT ACTIVE DUTY TOUR TERMINATES

 

g. DATE OF LAST ADL PROMOTION

 

 

28.RESERVE OR NATIONAL GUARD SERVICE (Not on active duty)

a. ORGANIZATION

b. DATES (Day, Month, Year)

c. BRANCH/MOS

d. PRIOR

e. HIGHEST GRADE

(US Armed Forces, USCG, NOAA,

 

 

(As appropriate)

SERVICE NO.

AND COMPONENT

FROM

TO

US Public Health Service, Peace Corps)

(If applicable)

 

ENLISTED

 

 

 

 

 

 

 

WARRANT

OFFICER

 

 

 

 

 

 

 

COMMIS-

SIONED

 

 

 

 

 

 

 

29. SOURCE OF CURRENT COMMISSION (If applicable)

 

 

 

 

 

OTHER

 

 

 

 

 

ARNGUS:

 

OCS

 

 

DIRECT APPOINTMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USAR:

 

 

ROTC

 

 

 

ROTC (ECP)

 

ROTC (SMP)

 

OCS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DIRECT APPOINTMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30.AWARDS (Do not list theater or service medals)

31.

HAVE YOU EVER APPLIED AND NOT BEEN SELECTED FOR: a. ROTC

 

 

 

YES

 

 

 

 

NO

b. OCS

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. APPOINTMENT IN RESERVE COMPONENT (USAR/ARNG)

 

 

YES

 

NO

 

 

d. APPOINTMENT IN REGULAR ARMY

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS A WARRANT OFFICER

 

 

 

 

 

 

 

 

 

 

AS A WARRANT OFFICER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS A COMMISSIONED OFFICER

 

 

 

 

 

 

 

 

 

 

AS A COMMISSIONED OFFICER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e. IF ANSWER IS "YES", EXPLAIN FULLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

32.

ARE YOU NOW OR HAVE YOU EVER BEEN IN THE MILITARY SERVICE OF OR BEEN EMPLOYED BY A FOREIGN GOVERNMENT

(If yes, give dates, country and type of service or

 

 

 

employment)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

33.

HAVE YOU EVER RESIGNED OR BEEN ASKED TO RESIGN IN LIEU OF ELIMINATION PROCEEDINGS; BEEN DISCHARGED IN LIEU OF ELIMINATION, FURLOUGHED

 

(other than

 

 

 

regular furlough or leave), OR PLACED ON INACTIVE STATUS WHILE SERVING IN THE US ARMED FORCES; OR, HAVE YOU EVER RESIGNED OR BEEN ASKED TO RESIGN FROM

 

 

 

A POSITION WHILE IN PRIVATE OR GOVERNMENT EMPLOYMENT? (If yes, state circumstances; if more space is required, continue on separate sheet).

 

 

 

 

 

 

 

 

 

 

YES

NO

APD LC v2.01ES

34. APPLICANTS FOR JUDGE ADVOCATE GENERAL'S CORPS ONLY

35. APPLICANTS FOR

 

CHAPLAINS BRANCH ONLY

 

 

 

 

 

 

BARS OF WHICH YOU ARE A MEMBER (Specify dates)

RELIGIOUS DENOMINATION BY

 

 

WHICH YOU WILL BE ENDORSED

 

 

 

 

36.APPLICANTS FOR MEDICAL AND DENTAL CORPS ONLY

a. TRAINING

 

b. NAME AND LOCATION OF HOSPITAL

c. DATES (Month and Year)

 

 

 

 

 

 

LEVEL

 

TYPE

FROM

 

TO

 

 

 

 

 

 

 

 

 

 

INTERNSHIP

 

 

 

 

 

 

RESIDENCY TNG

 

 

 

 

 

 

 

 

 

 

 

 

 

SPECIALTY TNG

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. SPECIALTY BOARDS

e. DATES OF CERTIFICATION

(Day, Month, Yr)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

f. PLACE IN WHICH CURRENTLY LICENSED

37.APPLICANTS FOR ARMY NURSE CORPS AND ARMY MEDICAL SPECIALIST CORPS ONLY

a. NAME OF NURSING OR ACCREDITED PROFESSIONAL SCHOOL

b. LOCATION

 

 

 

 

 

 

 

c. DATES OF ATTENDANCE (Mo, Yr)

d. STATE AND CURRENT REGISTRATION NUMBER

 

e.

STATE AND DATE OF INITIAL

 

 

 

 

 

 

REGISTRATION (Day, Month, Year)

FROM

TO

 

 

 

 

 

 

 

 

 

 

 

 

f.POSTGRADUATE COURSES (Include courses at general hospitals, service schools, and short courses)

(1)

(2)

(3)

SEMESTER

DATES OF ATTENDANCE

(Month, Year)

SUBJECT OR COURSE

NAME AND LOCATION OF SCHOOL OR HOSPITAL

 

CREDITS

 

 

 

 

 

 

EARNED

FROM

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

38. HAVE YOU BEEN EMPLOYED BY THE US ARMY AS A DIETITIAN, OCCUPATIONAL OR PHYSICAL THERAPIST?

(If yes, give dates)

YES

NO

 

39.ARMY ROTC (To be completed only by prospective ROTC graduates applying for appointment in USAR or RA)

SUCCESSFULLY COMPLETED AROTC PROGRAM AS FOLLOWS

COURSE

DATES ATTENDED

(Month and Year)

 

 

c. CAMP TRAINING

 

 

 

 

 

 

 

FROM

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. BASIC

 

(1)

INSTALLATION

(Basic)

COMPLETION DATE

(Month, Year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2)

INSTALLATION

(Advanced/Ranger)

COMPLETION DATE

(Month, Year)

b.ADVANCED

40.MAIN CIVILIAN EMPLOYMENT

a. NAME AND ADDRESS OF EMPLOYER

b. JOB TITLE

 

c. MONTH AND YEAR

 

 

 

 

 

 

 

FROM

 

TO

 

 

 

 

 

b. PRINCIPAL DUTIES (Describe briefly)

41.REMARKS (Experience, proficiencies and special abilities not shown elsewhere in this application. Those required to enter primary entry specialties, see Para 1-27d,e, AR 601-100). (If more space is required, attach additional sheet)

DATE

SIGNATURE OF APPLICANT

42.THE INFORMATION CONTAINED HEREIN IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF.

APD LC v2.01ES

THIS PAGE NOT TO BE COMPLETED BY APPLICANT

PART I - RECOMMENDATION FOR APPOINTMENT OF ROTC GRADUATE AS A (REGULAR) OR

(RESERVE) COMMISSIONED OFFICER OF THE ARMY (AR 601-100, AR 145-1) (To be completed by PMS only)

FROM: (Name and Address of Institution)

TO: (Appropriate Region Commander)

 

 

a. APPLICANT WILL HAVE SUCCESSFULLY COMPLETED AT THIS INSTITUTION THE PRESCRIBED COURSE FOR THE UNIT ON

 

 

b. APPLICANT

HAS

HAS NOT COMPLETED SUCCESSFULLY THE REQUIRED CAMP TRAINING.

 

(Date)

 

 

c. APPLICANT

WILL HAVE ATTAINED

WILL NOT HAVE ATTAINED, A BACCALAUREATE DEGREE UPON SUCCESSFUL COMPLETION OF THE ROTC COURSE.

d. I CONSIDER APPLICANT PHYSICALLY, MENTALLY, MORALLY, AND PROFESSIONALLY QUALIFIED FOR APPOINTMENT AS A

REGULAR

RESERVE COMMISSIONED

OFFICER OF THE ARMY RECOMMEND HIS APPOINTMENT.

 

 

e.APPLICANT WILL ATTAIN FULL QUALIFICATION FOR, AND SHOULD BE APPOINTED ON

(Day, Month and Year)

DATE

BRANCH FOR ASSIGNMENT

SIGNATURE AND GRADE (PMS)

PART II - RECOMMENDATION FOR APPLICANTS FOR OCS ONLY (AR 351-5)

a. STATEMENT

TO:

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

1. I HAVE KNOWN THE APPLICANT FOR

 

MONTHS. HE HAS SERVED UNDER ME FOR

 

MONTHS. HIS PRINCIPAL DUTY IS

 

 

 

 

 

 

 

 

 

 

 

 

2. I

DO

DO NOT RECOMMEND THE APPLICANT.

 

 

 

 

 

3.REMARKS (Include your opinion as to his/her overall ability (to include leadership) and value to the service).

ENCLOSURES

ORGANIZATION

SIGNATURE

TYPED NAME, GRADE AND TITLE

b.STATEMENT TO:

DATE

1.

I HAVE KNOWN THE APPLICANT FOR

 

MONTHS. HE HAS SERVED UNDER ME FOR

 

MONTHS. HIS PRINCIPAL DUTY IS

 

 

 

 

 

 

 

 

 

 

 

2.

I

DO

DO NOT RECOMMEND THE APPLICANT.

 

 

 

 

3.REMARKS (Include your opinion as to his/her overall ability (to include leadership) and value to the service).

ENCLOSURES

ORGANIZATION

SIGNATURE

TYPED NAME, GRADE AND TITLE

APD LC v2.01ES

Get Us Army Application PDF Form

Form Characteristics

Fact Name Details
Purpose of the Form This application form is used to request an appointment as a commissioned or warrant officer in the Regular Army or Army Reserve, as well as for selection to attend the US Army Officer Candidate School.
Voluntary Disclosure Providing the information requested on the form is voluntary. However, failing to provide the necessary information could lead to the application being considered unacceptable.
Privacy Act Compliance The data collected is required under Title 5 United States Code, Section 552a, and is used solely for evaluating qualifications and background information for eligibility.
Types of Appointments The form accommodates various types of appointments, including for commissioned officers in both the Regular Army and the Army Reserve, as well as for warrant officers.
Recommending Body Part of the form is dedicated to recommendations, where instructors or supervisors from ROTC programs provide insight into the applicant's qualifications.
State-Specific Regulations For applicants from certain states, it’s important to consult local laws regarding military appointments as they can affect the application process. This adherence ensures compliance with funding and eligibility standards tailored to each state.

Guidelines on Utilizing Us Army Application

Completing the US Army Application form is an important step towards your appointment as a commissioned or warrant officer. The process requires careful and accurate filling out of personal, educational, and military background information. Each section of the form plays a crucial role in determining your qualifications. Follow the steps below to guide yourself through the application.

  1. Identify the type of appointment: Specify whether you are applying for a Regular Army or Army Reserve appointment, or for the Officer Candidate School.
  2. Fill out personal information: Enter your full name, grade, Social Security number, Selective Service number, and date of birth. Provide your total years of active service, marital status, and number of dependents under 18.
  3. Provide military-related information: Indicate your military address if you are currently on active duty. If your mailing address differs, complete that section as well.
  4. Education details: Fill in your educational background, including high school and college attended, any degrees earned, and any special honors. Detail any expulsion or probation history, if applicable.
  5. Language proficiency: Mention any foreign languages you are proficient in and your proficiency level.
  6. Disclose prior military service: Provide a detailed account of your military and civilian service, including organization names, ranks held, and dates of service.
  7. Acknowledgment of legal history: Answer questions regarding any criminal charges, including traffic violations. Be transparent and thorough in your responses.
  8. Complete the closing statement: Confirm that the information provided is accurate to the best of your knowledge and sign the application.

Once you have filled out the application, double-check all sections to ensure accuracy. Submitting this form is a pivotal moment in your military career, and all information must be truthful and complete. After submission, you can prepare for potential follow-up interviews or assessments. Each step is designed to ensure that you meet the standards required for the responsibilities that lie ahead.

What You Should Know About This Form

What is the purpose of the US Army Application form?

The US Army Application form is used to apply for an appointment as a commissioned or warrant officer in the Regular Army or the Army Reserve. It also serves to initiate a selection process for admission to the US Army Officer Candidate School. This application collects essential information to assess the qualifications and background of applicants.

Who needs to fill out the application form?

Individuals seeking to become commissioned officers or warrant officers in either the Regular Army or Army Reserve must complete this application form. This includes those applying specifically for the Officer Candidate School, as well as ROTC graduates looking for both regular and reserve status.

Is the information provided in the application form mandatory?

The information requested in the application form is generally voluntary; however, it is important to note that failure to provide the required details will result in the application being deemed unacceptable. This can ultimately affect the applicant's eligibility for consideration.

What personal information is required on the application?

Applicants will need to provide various personal details, including their name, social security number, marital status, number of dependents, and contact information. Information about previous military service, educational background, and any legal issues may also be required.

Are there specific qualifications I need to meet before applying?

Yes, applicants must meet specific qualifications, including age requirements, educational prerequisites, and any necessary professional certifications. Details regarding these qualifications are typically outlined in the governing regulations related to the application process.

What happens if I have a criminal history?

Applicants are required to disclose if they have ever been indicted or summoned in court for criminal proceedings. If there is a criminal history, the applicant must submit a request for a waiver, outlining the details of each offense and its outcome.

How does my military service experience impact my application?

Military service experience is an important factor in the evaluation process. Applicants need to provide details about their previous service, including organizations, branches, and the highest grades achieved. This information helps assess their qualifications and readiness for officer roles.

What is the significance of the privacy act statement included in the form?

The privacy act statement informs applicants about how their personal information will be used and protected under the Privacy Act of 1974. It assures applicants that their data will be handled responsibly, giving them a sense of security while providing sensitive information.

Can I include additional information in my application?

Yes, applicants can use the remarks section to provide additional information that may not be captured elsewhere in the application. This can include personal experiences, special skills, and any other relevant details that might strengthen their application.

What should I do if I need assistance with the application?

If assistance is required, applicants can reach out to local recruiting offices or military personnel management offices. These resources can often provide guidance on filling out the application form and clarify any questions regarding the process.

Common mistakes

Filling out the US Army Application form is a crucial step for those seeking to serve as commissioned or warrant officers. However, many applicants encounter challenges that can impede their success. One common mistake is failing to read the instructions thoroughly. Each section of the application has specific requirements, and overlooking these can lead to incomplete submissions. Take the time to familiarize yourself with the guidelines to avoid unnecessary errors.

Another frequent error involves inadequate documentation. Applicants sometimes neglect to provide necessary supporting documents, such as affidavits or waivers. For instance, if you have a prior legal issue, it's essential to submit detailed documentation regarding the incident. Missing these important attachments can render your application ineligible, so always check for completeness before submission.

Incorrect or inconsistent personal information can create significant issues. Applicants may inadvertently enter a different name in the application compared to what's on their identification documents. This discrepancy often leads to delays as the application is scrutinized for accuracy. Ensure that the name, Social Security number, and other personal identifiers match your official records precisely.

Many applicants also underestimate the importance of networking references. Failure to choose suitable references can impact the application negatively. Select individuals who can vouch for your character and qualifications and inform them in advance that you are listing them. This preparation can yield strong endorsements that support your candidacy.

Inadequate attention to detail in educational history is another prevalent issue. Some applicants might not include essential details, such as graduation dates or degree majors. Leaving out this information can raise red flags in the review process. Always double-check this section to ensure every educational experience is accounted for accurately.

Timing can be crucial. Applicants sometimes submit their forms well past deadlines, which may result in automatic disqualification. Be proactive about deadlines and ensure your application is turned in early. This approach allows for possible corrections and shows commitment.

Finally, a lack of preparation for questions about past conduct can lead to unintentional ambiguities in the application. Some individuals may be hesitant to disclose past legal issues that are relevant to their eligibility. Address these concerns straightforwardly, providing insightful context if needed. The honesty in your responses is paramount and can ultimately reflect positively upon your character.

Documents used along the form

Completing the US Army application process requires several documents in addition to the application form itself. Each of these forms serves a unique purpose in verifying qualifications and gathering essential information. Below is a list of commonly required documents, all of which are crucial for evaluating an applicant’s eligibility and readiness for service.

  • DA Form 61: This is the primary application form for seeking appointments as a commissioned or warrant officer. It captures personal details, military service history, and qualifications relevant to the appointment process.
  • SF 86 (Questionnaire for National Security Positions): This document is utilized to conduct background checks and assess security clearance eligibility. It requests detailed information about the applicant’s background, including education, employment history, and potential foreign contacts.
  • DD Form 214 (Certificate of Release or Discharge from Active Duty): For prior military service members, this form provides proof of service and details such as date of entry, discharge, and rank. It is essential for verifying previous military experience.
  • Physical Fitness Test Results: Applicants must demonstrate that they meet the Army's physical fitness standards. This document outlines scores from the APFT (Army Physical Fitness Test) or other relevant assessments.
  • Commander's Recommendation: A formal endorsement from a commanding officer that attests to the candidate's capabilities and readiness for appointment. This highlights the applicant's leadership skills and potential within the Army.
  • Transcripts and Degrees: These documents provide proof of educational qualifications. They ensure that the applicant meets the necessary academic standards required for the desired position.
  • Medical Examination Results (DD Form 2808): A completed medical evaluation confirming the applicant’s physical health and suitability for military service. This documentation is crucial, as it ensures that all candidates are fit for the physical demands of military life.

These documents, when combined with the US Army application form, collectively help the Army assess a candidate's suitability for service. Gathering and preparing these forms in advance will streamline the application process and increase the chances of a successful appointment.

Similar forms

The US Army Application form bears similarities to several other key documents, which serve specific purposes for applicants. The following list outlines five of these documents and their similarities:

  • DA Form 61 (Application for Appointment): This form is used to apply for an appointment as a commissioned officer or warrant officer, mirroring the application process outlined in the US Army Application form, which seeks to gather qualification and background information for the same purposes.
  • SF 86 (Questionnaire for National Security Positions): Just like the US Army Application form, SF 86 collects personal data and background information. Both forms are designed to evaluate an individual's qualifications and eligibility for positions that require a security clearance.
  • DD Form 214 (Certificate of Release or Discharge from Active Duty): While this document serves to summarize a service member's military service, it also contains personal and service-related information that reflects an applicant’s military history. Similar to the US Army Application form, it is critical for understanding an individual's qualification for further service.
  • AR Form 600-7 (Application for Armed Forces Loan Program): This form requires applicants to provide personal data and military status. Both documents aim to gather essential personal information to support eligibility and qualification for military-related opportunities or benefits.
  • US Army ROTC Scholarship Application: This application collects similar personal and educational data from applicants as the US Army Application form. Both forms aim to determine the qualifications of individuals seeking to serve in various capacities within the Army.

Dos and Don'ts

Filling out the U.S. Army application form is a critical step for those seeking an appointment as a commissioned or warrant officer. Following some basic guidelines can help ensure that your application is complete and accurate. Here is a list of dos and don'ts to keep in mind:

  • Do read the instructions carefully before you begin. Understanding what is required will help you fill out the application accurately.
  • Do provide complete and honest personal information. Every detail matters, including your social security number and marital status.
  • Do double-check for spelling and grammatical errors. A polished application reflects your attention to detail.
  • Do ask for help if you have questions. Reach out to a mentor or someone experienced in the application process.
  • Don't leave any sections blank, unless instructed. Missing information could lead to delays or rejections of your application.
  • Don't exaggerate or falsify any information on your application. Integrity is crucial in the military.
  • Don't forget to attach all required documentation. Missing documents can result in an incomplete application.
  • Don't delay submitting your application. Ensure that you submit before any deadlines to avoid last-minute issues.

Misconceptions

Understanding the U.S. Army Application Form can be challenging. Here are some common misconceptions people have about it:

  • Only individuals with military experience can apply. Many people think service is mandatory before applying. However, the application is open to both military and civilian individuals.
  • Submitting the application guarantees selection. It's important to note that simply applying does not mean you will be appointed. There are various factors that influence the selection process.
  • All sections of the form must be filled out entirely. While it's good to provide complete information, applicants are instructed that some disclosures are voluntary. Missing information may not necessarily disqualify you.
  • Education level is the only requirement. The application evaluates multiple conditions, including background checks, physical fitness, and skills, not just academic achievements.
  • Failure to disclose past legal issues will be forgiven. It's critical to be honest about any past legal problems. Non-disclosure can lead to disqualification later in the process.
  • The application is the same for all branches of the military. Each branch has its own specific application processes and requirements. The Army's form is tailored for its standards.
  • Once submitted, the application cannot be modified. Applicants can request changes or updates after submission, especially if conditions or information change.
  • Waiting for a response is the only step after applying. After submitting the application, candidates may be required to attend interviews, assessments, or other evaluations as part of the selection process.

Being informed and aware of these misconceptions can help streamline your application process and improve your understanding of what is required to join the Army.

Key takeaways

  • When filling out the US Army Application Form, provide accurate personal information. This includes your full name, social security number, and contact details. Inaccuracies can lead to delays or acceptance issues.

  • The type of appointment you are applying for is crucial. Be clear on whether you're pursuing a commissioned officer position, warrant officer position, or another category. Each path has specific selection criteria.

  • Take note of the branch and specialty preferences. Listing your preferences accurately and in order of priority improves your chances of being placed in a desired role.

  • Failure to provide required information may lead to non-acceptability of your application. Take your time to ensure all fields are filled out correctly. Review the form multiple times before submission.

  • Personal disclosures, particularly those regarding legal history or previous military service, are vital for your application. Address any issues fully; lack of disclosure can affect your application negatively.

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