VOLUNTARY ADOS Checklist Version 8 T32 ADOS CHECKLIST

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VOLUNTARY ADOS Checklist Version 8(for T10 tours, complete in addition to T32 ADOS checklist)DA Form 1506 (Statement of Service), covering all active service over the last four yearsDD Form 2648-1 (Pre-separation Counseling Checklist)DD Form 2958 (Service Member Career Readiness Standards/Individual TransitionPlan Checklist)VOLUNTARY ADOS Checklist Version 832&

PAARNG ADOS FORMCHAIN OF COMMAND APPROVALI certify that SM took the APFT on and is IAW AR 600-9.I certify that all information found on the ADOS checklist and the ADOS form is correct and complete.COMPANY/DET CDR SIGNATURE OR SIGNATURE AUTHORITYBATTALION CDR SIGNATURE OR SIGNATURE AUTHORITYBRIGADE CDR SIGNATURE OR SIGNATURE AUTHORITYDIV/GRP CDR SIGNATURE OR SIGNATURE AUTHORITYSUBJECT: Recommendation of approval for ADOS tourThis Command recommends approval for SM requesting to perform long-term ADOS.(IF APPLICABLE) This Technician Supervisor approves SM request for long-term ADOS.TECHNICIAN SUPERVISOR SIGNATURE(IF APPLICABLE) This hiring agency accepts SM requesting to perform long-term ADOS, and agreesto allow SM to perform IDT and AT unless prior coordination has been made.HIRING AGENCY SIGNATUREPAARNG ADOS Form1

PAARNG ADOS FORMDATA REQUIRED BY THE PRIVACY ACT OF 1974AUTHORITY:̀32 USC 502PRINCIPLE PURPOSE:To determine eligibility and schedule individuals for active duty operational support (ADOS)ROUTINE USES:To identify the applicant as a Reserve Component member and to issue active dutyoperational support orders.DISCLOSURE:Completing this form is mandatory for individuals applying for active duty operational support.If not completed, applicant will not be eligible for the requested tour.PART I - APPLICANT1. TOJFHQ-G3Last,First,MI).2 NAME(.3 SSNda.4 PER(Include ZIP code)MANENTHOMEADDRESS(Include area code)b.4 HOMETELEPHONENUMBERc.4 BUSINESSTELEPHONENUMBER.9 SEX(Include area code)MF(AOC)/MOS.31 PRIMARYSSI.71Iam.91IamnotSIGNATUREOFJFHQ.02 DATESOFADOSa. FIRSTCHOICENUMBEROFDAYS.01 D.O.B.41 DUTYSSI(AOC)/MOSc5 . BUSINESSTELEPHONENUMBER(Include area code)(Include area code).7 GRADE.8 BRANCH/MOS.1 MARITALSTATUS.21 NO.OFDEPENDANTS.51 HEIGHT(if.61 WEIGHTapension,disability .81 TOTALAD overnmentHUMA ED:b. 5 HOMETELEPHONENUMBERASSIGNMENTORATTACHMENT.6 UNITOFa.5 ADDRESSFROMWHICHYOUWILLREPORTFORDUTYdifferent from permanent home address) (include ZIP CYDUTY/TRAININGAGENCY.12 fiedforactivemilitarywas: service.Ia. LASTEX.2 SIGNATUAMINEDONREOFCOMPANYRECORDSCUSTODIANPAARNG ADOS Formb. LOCATION.32 DATE2

.42REMARKSI" er10USC13,29or1394,itiscurrentArmypolicythat t thecompletionoft(Signature of LDIER’SSIGNATUREINTHISBLOCK)ADDITIONALREMARKS:v Identify Break In Service. yoperationalsupport13Day(- Break)tour)(a) Date of the last day on ADOS status:.(b) Date new tour of duty to start: Number of Days (subtract b from a):27. DATEOFRANKPART II - RECORDS CUSTODIAN.52 PAY28ENTRYBASICDATE.62 SECURITYCLEARANCE(Enlisted). RYEDATE31. HIVTESTDATE3. PrecedingDuty:ListallperformedADwithin the past 4 years.NGBFORM232932. ETS. PANOGRAPHICDENTALX-RAYONFILEa. PERI ODOFPRECEDINGDUTYFROMTONO.AD TUREOFCOMPANYRECORDSCUSTODIANNAME,SIGNATURE. IFnumberofpointsexceed730days.b. TYPEOFAD( B1 or B4on NGB 23B )c. ATEADOSAPPROVINGAUTHORITYDATE30GRADEd. CEOFPOCCOL MARC FERRAROPAARNG ADOS FormCOMMERCIALANDDSNTELEPHONE717-861-68463

T10 ADOS CHECKLIST (for T10 tours, complete in addition to T32 ADOS checklist) DA Form 1506 (Statement of Service), covering all active service over the last four years DD Form 2648-1 (Pre-separation Counseling Checklist) DD Form 2958 (Service Member Career Readiness Standar

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