promotion guide - hawaii · 2020. 8. 27. · 2.9.1. responsible for monitoring the promotions of...
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HIANG
NCO AND SNCO
PROMOTION GUIDE
The organization’s success or failure, strengths or weaknesses can be directly related to the effectiveness of its enlisted force. The Air Force requires military members to be prepared to serve and support the mission at all times. The commander must also ensure that the “Whole Airman” concept is being met and the Airman’s duty performance, training progress and fitness standards clearly indicate the member’s potential to serve in the next higher grade.
HIANG CCM 01January2020
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HIANG Enlisted Promotion Guide 2020-01-22 Version 1
COMPLIANCE WITH THIS GUIDE IS MANDATORY
Accessibility: This publication is available digitally on the HIANG SharePoint.
OPR: HIANG A1/HIANG CCM Certified by: HQ HIANG/CC (Brigadier Gen. Ryan Okahara)
Supersedes: HIANGI 36-2502, 1 May 2010 Pages: 24
This guide implements the Hawaii Air National Guard (HIANG) Noncommissioned (NCO) and Senior Noncommissioned (SNCO) Promotion Guide. The purpose of this guide is to provide procedural guidance on creating and staffing promotion recommendation packages to Head Quarters HIANG for approval. It applies to all individuals who prepare, manage, review, certify and approve promotions across the HIANG. This guidance will be reviewed annually by HIANG Command Chief (CCM) and vetted through HeadQuarters HIANG A1 for review. Suggestions for changes and/or revisions are solicited and should be vetted directly through squadron, group, and wing chiefs to the Office of Personnel Responsibility (OPR). All HIANG promotions will be in accordance with (IAW) Air Force Policy Directive (AFPD) 36-25, Military Promotion and Demotion, Air Force Instruction (AFI) 36-2502, Enlisted Airman Promotion and Demotion Programs.
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Chapter 1- Program Overview………………………………………………………………...... 5
Chapter 2 - Responsibilities …………………………………………………………………….. 5
2.1. State Headquarters (A1)……………………………………………………………… 5
2.2. HIANG CCM…………………………………………………………………………..... 5
2.3. Group Commanders…………………………………………………………….......... 5
2.4. Unit Commanders…………………………………………………………………..... 6
2.5. Force Support Squadron (FSS)……………………………………………………..... 6
2.6. Commander Support Staff (CSS)…………………………………………………...... 6
2.7. First Sergeant…………………………………………………………………............. 7
2.8. Group Superintendent………………………………………………………………... 7
2.9. Human Resource Office (HRO)/Active Guard Reserve Program Manager ……........ 7
2.10. Supervisor………………………………………………………………………… 7
2.11. Promotion Board President…...…………………………………………………….. 8
Chapter 3 – Promotion Process………………………………………………………………… 8
3.1 NCO Promotion Process……………………………………………………………… 8
3.2 SNCO Promotion Process……………………………………………………………. 8
ATTACHMENT 1 - NCO PROMOTION RECOMMENDATION CHECKLIST
ATTACHMENT 1.1 - STEP I PROMOTION RECOMMENDATION CHECKLIST
ATTACHMENT 2 - SNCO PROMOTION RECOMMENDATION CHECKLIST
ATTACHMENT 2.1 - STEP 2 PROMOTION RECOMMENDATION CHECKLIST
ATTACHMENT 3 - STATEMENT OF UNDERSTANDING – STEP II
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ATTACHMENT 4 - STATEMENT OF UNDERSTANDING – RETRAINING PROMOTION PROGRAM (RPP)
ATTACHMENT 5 - PROMOTION RECOMMENDATION COORDINATION SHEET
ATTACHMENT 6 - SNCO PROMOTION BOARDS RESULTS MFR
ATTACHMENT 7 - SNCO BOARD MEMBER SCORE SHEET
ATTACHMENT 8 - SNCO CONSOLIDATED BOARD SCORE SHEET
ATTACHMENT 9 - ENLISTED FORCE DEVELOPMENT TEAM REVIEW BOARD WORKSHEET
ATTACHMENT 10 - E-KOKUA MFR
ATTACHMENT 11 - STATEMENT OF UNDERSTANDING, EXCESS/OVERGRADE (NGB 36-11)
ATTACHMENT 12 - MEDICAL REVIEW - 4 COMPONENT EXEMPTIONS IN 24 MONTHS
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1. Program Overview
1.1. This guide establishes new force development/force management procedures for NCO and SNCO promotions in the HIANG. Has standardized the forms required for promotions and implements the HIANG Enlisted Force Development Team Review Checklist.
1.2. Removes the interview (face-to-face board) from the promotion process for all enlisted promotions.
1.3. Implements the SNCO Board Member Score Sheet for SNCOs.
2. Responsibilities
2.1. State Headquarters (HQ HIANG/A1):
2.1.1. Conducts final package review for Master Sergeant (MSgt) thru Chief Master Sergeant (CMSgt) prior to promotion authority approval.
2.1.2. Publishes promotion orders for MSgt thru CMSgt with an effective date of the first day of the month following the verification of all eligibility factors and HIANG CC approval.
2.2. HIANG CCM:
2.2.1. Publishes SNCO package review board schedule January 1st of each calendar year.
2.2.2. In the absence of the State CCM all responsibilities are to be delegated to the Wing CCM.
2.2.3. Packages for STEP II will be solicited every December. In extenuating circumstances this date can be can be modified.
2.2.4. Reviews exception to guidance requests. All exceptions will be staffed on an Electronic Staff Summary Sheet (e-SSS) with supporting documentation to substantiate approval.
2.3. Group Commanders:
2.3.1. Executes a well-conceived, viable personnel force management to equitably distribute the progressive development and upward mobility of their assigned personnel.
2.3.2. Determines if face-to-face boards for NCOs are required and develop local procedures for the boarding process.
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2.4. Unit Commanders: 2.4.1. Serves as the recommendation authority for all enlisted promotions.
2.4.1.1. All promotion packages must include a written and signed letter from the commander. The letter must identify how the member contributes to the mission with three areas from the AFPD 36-26, Total Force Development, Figure A2.1 Institutional Competency List and/or the four Major Graded Areas (MGA) from AFI 90-201, Air Force Inspection System.2.4.2.2. Ensure their personnel meet all criteria IAW AFI 36-2502. Explain in writing any concerns in the member’s records that warrant further clarification i.e. (Fitness History, NOTE: If addressing a member’s medical history, compliance with The Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Privacy Act laws are mandatory.)
2.4.2. When applicable, complete and forward attachment 12 to [email protected]. The completed medical review (with medical recommendation) will be included in the promotion package for review. If the airman was referred to the Deployment Availability Working Group (DAWG), the results of the DAWG will be included in the promotion package.
2.5. Force Support Squadron (FSS):
2.5.1. Conducts quality checks and coordination of NCO and SNCO promotion packages within 10 duty days of receipt. Notification will be sent to Group CSSs when package reviews are completed.
2.5.2. Returns incomplete packages to CSS with detailed feedback. CSS will have 5 duty days to resubmit with corrections. Packages returned to FSS outside the 5 duty days will be reviewed and submitted the following month.
2.5.3. Publishes promotion orders for NCOs on the first day of the following month. Orders will be forwarded to Group CSS.
2.5.4. Sends completed SNCO packages electronically to State CCM for SNCO Board Package Review board.
2.5.5. Members who are promoted under the STEP II program will be counseled on Attachment 4.
2.6. Commander Support Staff (CSS):
2.6.1. Assists supervisors and commanders in building promotion package and track until the publication of orders are complete.
2.6.2. Returns incomplete packages to supervisors, providing detailed feedback on any discrepancies.
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2.6.3. Electronically forward completed NCO and SNCO packages to 154 FSS/FSM utilizing their Work Flow Folder.
2.6.3.1. Submits NCO packages to FSS by close of business Sunday Regular Scheduled Drill (RSD).
2.6.3.2. Submits SNCO packages to FSS by close of business Sunday RSD, first month of each quarter (January, April, July, and October).
2.6.4. Conducts and completes the e-Kokua Memo for Record (MFR).
2.6.5. For units without a dedicated CSS, the applicable Group CSS will be in lieu of.
2.7. First Sergeant:
2.7.1. Performs a quality review on the promotion package IAW AFI 36-2113, The First Sergeant.
2.7.1.1. For units without a First Sergeant the applicable Group or Wing First Sergeant performs the quality review.
2.8. Group Superintendent:
2.8.1. Performs a review on the promotion package IAW AFI 36-2109, Chief Master Sergeant of the Air Force, Senior Enlisted Leadership Management and Air Force Association Enlisted Council.
2.9. Human Resource Office (HRO):
2.9.1. Responsible for monitoring the promotions of AGR members in accordance with the requirements of Air National Guard Instruction (ANGI) 36-101, The Active Guard/Reserve Program.
2.9.2. Validates rank authorized per candidate’s Unit Manning Document.
2.9.3. Verifies candidate’s control grade.
2.10. Supervisor:
2.10.1. Initiates the promotion package, see section 3 for applicable documents.
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2.11. Board President (SNCO Package Review Board Only):
2.11.1. Receives email notification from HIANG CCM when promotion packages are ready for review.
2.11.2. Coordinates location and time for completion of candidate’s SNCO Board member Score Sheet.
2.11.3. Ensure board members conduct package review IAW Attachment 8, SNCO Board Package Review.
2.11.4. Send packages electronically to HQ HIANG/A1 for concurrence.
3. Promotion Process:
3.1. NCO Promotion:
3.1.1. Submit Attachment 1, NCO Promotion Recommendation Checklist and Attachment 5, Promotion Recommendation Coordination Sheet to CSS
3.1.2. Packages can be submitted any month.
3.2. SNCO Promotion:
3.2.1. Submit Attachment 2, SNCO Promotion Recommendation Checklist and Attachment 5, Promotion Recommendation Coordination Sheet to CSS.
3.2.2. Promotion package review boards will convene second month (February, May, August, and November) of each quarter.
3.2.3. AGRs requiring a control grade for SMSgt/CMSgt promotion may meet the package review board up to 6 months prior, when all other promotion eligibility requirements are met.
3.3. All documents in Attachment 1, NCO Promotion Recommendation Checklist and Attachment 2, SNCO Promotion Recommendation Checklist must be a “matter of record.”
3.4. STEP II package review boards will be held at the start of each calendar year.
3.5. Previously Promoted Members: Members who took a “Voluntary Demotion” and are recommended for a former grade will not be required to go through the package review board. Members who were “Involuntary Demoted” are required to go through a package review promotion board.
3.6. Not Recommended for Promotion: Commanders cannot resubmit package prior to 6 months following a “Not Recommended for Promotion” decision.
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ATTACHMENT 3
ANG – STATEMENT OF UNDERSTANDING - STRIPES FOR EXCEPTION PERFORMERS (STEP II)
Date: ________________ MEMORANDUM FOR Unit Commander, FSS, HIANG/CC, In Turn FROM: ________________________________ SUBJECT: Stripes for Exceptional Performers (STEP II) Promotion Agreement
I hereby agree that if I am selected for promotion to the next higher grade under the STEP II Promotion Program that I will remain a member of the Hawaii Air National Guard for 3 years subsequent to the date of promotion. I hereby agree and understand that I must be transferred to the Retired Reserves or be discharged from the Air National Guard on the third anniversary of the promotion unless I am assigned to a valid UMD vacancy equal to my promotion grade. I understand that demotion at the end of the three-year promotion period is not an option and a waiver or exception to policy is not authorized. __________________________________________________ Typed Name, Grade, Signature and Date 1st Ind, FSS Date: ___________ TO: HIANG CC Member was briefed on this date and understand the requirements of this STEP II Promotion: ___________________________ Signature of FSS Representative
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ATTACHMENT 4
ANG – STATEMENT OF UNDERSTANDING – RETRAINING PROMOTION PROGRAM
I acknowledge I must qualify for award of the AFSC skill level, which is necessary to support my grade in the career field into which I am retraining. If I fail to qualify for award of the AFSC within the time limits established by the commander, I will be demoted to my previously held grade.__________________ (Initials.)
I acknowledge if I voluntarily leave the AFSC in which I am being retrained or reassigned by the commander for performance related reason, or separated or retired before attaining the required grade/skill relationship, I will be demoted before separation to the previously held grade in accordance with Chapter 10 of this instruction (Initials).
For First Sergeant Assignments SDI 8F000
I acknowledge I am being selected to fill a First Sergeant position and I am being promoted under the provisions of Chapter 9, AFI 36-2502 paragraph 9.2.5 Retraining Promotion Program, before attending the First Sergeant Academy. I understand I must attend and successfully complete the First Sergeant Academy within one year of appointment as First Sergeant. My failure to meet this requirement will result in a demotion in accordance with Chapter 9, AFI 36-2502, Airman Promotions/Demotions Program. __________________ (Initials)
__________________________________________________ Typed Name, Grade, Signature and Date
______________________ Suspense set by Commander: (Date)
__________________________________________________ Unit Commander’s Signature and Date
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ATTACHMENT 5 PROMOTION RECOMMENDATIN CORDINATION SHEET
N C
O
S N C
O
S T E P
ACTION OFFICE ACTION REQUIRED
SIGNATURE Phone # 1 1 1 Supervisor: Initiate
2 2 2 Flight Chief/OIC: Coordinate 3 3 3 First Sergeant: Review/Quality Check 4 4 4 Command Support Staff: Review/Quality Check
5 5 HRO (AGR E8/E9 ONLY): Auth #_____________ Assign # ____________
6 6 6 UNIT/CC: Concur/Approve
Non-Concur/Disapprove 7 7 7 Group Superintendent Review Quality Check
8 8 8 GROUP/CC: (NCO Promotion Auth):
Concur/Approve
Non-Concur/Disapprove
9 9 WING CSS, 298th ADG and 201st AOG CSS Coordination
10 10 WING CCM (154th Wing Personnel only) Coordination
11 11 WG/CC (154th Wing personnel only):
Concur
Non-Concur
12 12 FSMP Grade (Auth Asgn )
Recommend
Non-Recommend
13 13 Board President: Package Received
14 14 HQ HIANG A1: Recommend
Not- Recommend
15 15 HIANG CCM: Concur
Non-Concur
16 16 HIANG/CC (Promotion Authority): Approve
Disapprove
17 17 HQ HAING A1: Action
Rank:___________ Name:_____________________________ Unit:____________________________
Status:_________________
ATTACHMENT 6
SNCO PROMOTION BOARDS SUMMARY MFR
This Memorandum for Record Serves as a Force Development Tool and will be provided to all Senior Noncommissioned Officers who have promotion packages submitted for review for the next grade.
MEMORANDUM FOR XXX/CC
FROM: HQ HIANG/CCC
SUBJECT: Promotion Board Summary – Rank/Name
1. Rank/Name’s package was reviewed by the Hawaii Air National Guard SeniorNoncommissioned Officer (SNCO) promotion board on Date. Considering all substantiatingdocumentation, the submission earned a score of:
Score: __ __/___ _ (Required for recommendation- MSgt-50, SMSgt-60, CMSgt-70)
2. Score rationale narrative (breakdown score; attach scorecards?) – To be filled out by StateCCM
3. Feedback/mentorship/guidance (recommendations for future success) – To be filled out byState CCM
4. Closure (i.e. Congratulations, inspirational motivation, etc…) - To be filled out by StateCCM
Signature Command Chief
cc: Each Individual
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Minimum Scores to be considered for Promotion: TSgt ‐ MSgt…………………………..> 50 pts MSgt ‐ SMSgt………………………> 60 pts SMSgt ‐ CMSgt……………………>70
Attachment 7, SNCO Board Member Score Sheet Candidates Rank, First and Last Name: ________________________________________ Board Members Rank, First and Last Name: ___________________________________ Signature: ________________________________
Candidates Total Points_____________
Category Criteria Max Pts
Points Earned Notes
Education CCAF or equivalent = 10 Bachelors = 15 Graduate level and above = 20
20 Degree_______________= ______ total pts Points are given to highest degree held
Other SEJPME I = 5 SEJPME II = 5 Other Professional Development Courses, minimum of 2 = 5
15 SEJPME I = _____ pts SEJPME II = _____pts Other (see notes) minimum of 2 = _____pts
total pts _____
For other Professional Development Courses review HIANG Enlisted Development Team Review Board Worksheet.
Fitness Assessment
All excellent = 20 Passing + excellent = 15 All passing = 10
20 Last 3 assessments: Circle one from all 3
E/P/F E/P/F E/P/F
total pts _____
The Passing + Excellent is a combination of all 3, can have one passing and two excellent or two excellent and one passing. Any failures will result in Zero Points
Awards/ Decorations
Achievement = 5 Commendation/Air Medal = 10 MSM = 15
15 Highest Dec____________= Total Pts ____ Can be from any branch of service and is the highest award within the last 3 years
Evaluation Met expectations = 3 Exceeds some = 4 Exceeds most = 5
Points per EPR (last three) Pts are x 2
30 Last 3 Evaluations: _______________=____pts _______________=____pts _______________=____pts
x 2 total pts ______
Add up all the points for the last 3 EPRs and then multiply by 2. For example; SrA John Doe received three “exceeds most” his score would be 30 (5+5+5) x 2 = 30. SrA Jane Doe received two exceeds most and one exceed some her score would be (5+5+4) x 2 = 28
ATTACHMENT 8
PROMOTION EVALUATION SCORE SHEET – CONSOLIDATED
Evaluation Criteria Board President Board Member 1 Board Member 2
NAME:
Education
Other
Performance Fitness Assessment
Award
EPR
TOTAL SCORE
BOARD PRESIDNET NAME (Print):
SIGNATURE: DATE:
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Attachment 9 - Enlisted Force Development Team Review Board Worksheet RANK/NAME
DOR Unit
MEMBERS'S MILITARY CAREER GOALS SHORT - TERM
LONG - TERM
PARTICIPATION AND MEMBERSHIP WING INSPECTION TEAM
Previous Member
Current member
Are you Interested in Joining?
HONOR/COLOR GUARD
Previous Member
Current member
Are you Interested in Joining?
FIRST SERGEANT
Previous 1st Sergeant
Current 1st Sergeant
Are you Interested in becoming a 1st Sgt
BASE LEVEL COUNCILS (NCO, TOP 3, Chiefs) (check all that apply)
Previous or Current Board Member
Past Council Member
Are you interested in Joining
DIVERSITY ORGANIZATIONS (Check all that apply)
HNGEA
Are you interested in joining
HIGHER EDUCATION DEGREEES CCAF/ASSOCIATE'S
Completed
Enrolled
BACHELOR'S DEGREE
Completed
Enrolled
MASTER'S DEGREEE
Completed
Enrolled
DOCTORATE DEGREE
Completed
Enrolled
PROFESSIONAL MILITARY EDUCATION COMPLETED ALS NCO ACADEMY SNCO ACADEMY CEC (E9) CLC (E9)
MENTORSHIP SECTION
Are You a Formal/Informal Mentor?
Do you have a Formal/Informal Mentor?
FORCE DEVELOPMENT TOURS
NGB State Development Tour: 2-4 Years(E7-E9) Completed No Interested
Joint Force Headquarters: 40-90 Days (E6-E7) Completed No Interested
ARE YOU INTERESTED IN A CEREER CHANGE?
YES If Yes, please NO elaborate
OTHER INFROMATION
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PROFESSIONAL DEVELOPMENT COURSES COMPLETED
KEYSTONE Strategic Mindset Seminar (SMS)
SEJPME 1 (E5-E7) Contemporary Base Issues
SEJPME 2 (E8-E9) Reserve Comp. National Sec Crse (E8-E9)
AFSO 21 SLD Exec Course (E9) Defense Support of Civ Auth (E7-E9)
NATO SNCO Orientation Course (E7-E9) Defense Support of Civ Auth 2 (E8-E9)
CCAF Prof Manger Cert. (E7-E9) Leadership Team Awareness Sem
INLEAD Seminar (E7-E8) Additional Duty First Sergeant Symposiums
Enterprise Leadership Seminar (ELS) Enterprise Perspective Seminar (EPS)
ANG CMSgt Orientation Course (CMSOC) Leading Strategically (LS)
CMSgt Leadership Course (CLC) Nat & Inter Sec Ldship Seminar (NISLS)
Sister Service SNCOA Continuous Process Improvement for Exe
Attended PACE Seminar (all ranks) Command CMSgt Trng Course (CCMSTC)
FEMA IS-100 (E5 & above) Command CMSgt Trng Course (ANG CCMSTC)
FEMA IS-200 (E5 & above) Defense Support of Civ. Auth 1 (E7-E8)
FEMA IS-700 (E5 & above) Defense Equal Opport. Mgmt. Course (E9)
Emotional Intelligence (EI/EQ) Regional Semianrs
Leadership Challenge Program 1 (E5-E6) Four Lenses Training (all ranks)
Leadership Challenge Program 2 (E7-E8) Future Leadership Seminars, training etc.
Leadership Challenge Program 3 (E7-E9) Defense Support of Civ. Auth 2 (E8- E9)
Add Additional Courses not listed here
Supervisor's Assessment Rank/Name, Ext., Cell
Commander's Assessment Rank/Name, Ext., Cell
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ATTACHMENT 10
e-Kokua and Ho’ohiki MEMORANDUM FOR 154 FSS FROM: ________________________ SUBJECT: Background Check ________________________ 1. A review of the eCourt Kokua and Ho’ohiki websites of Hawaii State Judiciary System has been conducted for SrA Mouse. The following criminal or civil infractions listed below are from member’s current Date of Enlistment 12 Apr 2013 to present. Member is currently ______in good/_____not in good standing and has been recommended for promotion. eCourt Kokua and Ho reflects the following: Add applicable data from the websites 2. I acknowledge that I have reviewed member’s eCourt Kokua and Ho’ohiki record for my Commander’s indorsement. I have also reviewed AFI 36-2502, Table 10.1 Eligibility Criteria for ANG Enlisted Promotions and AFI 36-2502, Table 10.2 ANG Promotion Ineligibility Factors to ensure member meets requirements for promotion.
__________/CSS
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NGB FORM 36-11, 20110901 (EF) (PREVIOUS EDITIONS ARE OBSOLETE.) Page______of______
STATEMENT OF UNDERSTANDING FOR EXCESS/OVERGRADE CONDITION
As applicable, this form must be completed and submitted with an AF 2096.
The proponent agency is NGB/A1. The prescribing directive is ANGI 36-2101.
PRIVACY ACT STATEMENT
A. INDIVIDUAL IDENTIFICATION
B. EXCESS OR OVERGRADE ASSIGNMENT INFORMATION
1. AUTHORITY: 32 USC Section 502(d)(1), and Executive Order 9397.2. PURPOSE: Used to document the placement of an Air National Guard member into an excess or overgrade condition. This form will be placed inthe member's personnel record.3. ROUTINE USES: None.4. DISCLOSURE: Voluntary; However, failure to provide your social security number may result in delayed notification of the assignment process.
POSITION NUMBER:
EXCESS OR OVERGRADE CODE: IAW ANGI 36-2101, APPLICABLE TABLE & RULE: EXPIRATION DATE:
DAFSC: UMD GRADE:
NAME: SSN: GRADE: UNIT:
EFFECTIVE DATE:
C. EXCESS/OVERGRADE ASSIGNMENT INFORMATION
SIGNATURE OF UNIT COMMANDER:
SIGNATURE OF MPF REPRESENTATIVE:
EXCESS
OVERGRADE
"I understand that prior to my expiration date of the OVERGRADE condition, my unit and I share the responsibility to locate and place me in a validposition (within the AFS for which I am currently qualified) commensurate with my current grade. If a valid position is not available by my expirationdate, I further understand one of the following will apply only if in the best interest of the ANG:1) Retrained into another AFS and reassigned to a vacant position commensurate with my grade2) Administratively demoted to the authorized grade of current position IAW ANGI 36-2503 (enlisted only)3) Involuntarily separated from the Air National Guard IAW AFI 36-32094) Unit commander may request an extension of overgrade expiration date
"I understand that prior to my expiration date of the EXCESS condition, my unit and I share the responsibility to locate and place me in a valid position(within the AFS for which I am currently qualified) as the sole incumbent commensurate with my current grade. If a valid vacant position is notavailable by my expiration date, I further understand one of the following will apply only if in the best interest of the ANG:1) Retrained into another AFS and reassigned to a vacant position commensurate with my grade2) Administratively demoted to the authorized grade of current position IAW ANGI 36-2503 (enlisted only)3) Involuntarily separated from the Air National Guard IAW AFI 36-32094) Unit commander may request an extension of the excess expiration date
D. CERTIFICATION
COPIES: ORIGINAL - UNIT FILE, 1 - MEMBER
I certify, that I was briefed concerning my newly assigned Condition Code (Excess and/or Overgrade Code) and was counseled by my unit commander concerningthe significance of this code, its expiration date and, as a consequence, the impact it can potentially have on my Air National Guard career.
SIGNATURE OF MEMBER: DATE:
DATE:
DATE OF MILPDS UPDATE:
(MEMBER MUST INITIAL APPLICABLE CONDITION CODE BLOCK BELOW)
INCENTIVE
"I understand that if I am serving in an incentive obligation period, and a valid vacancy is not available in the duty AFSC for which I received theincentive prior to my expiration date (if an extension to my expiration date is not granted) I will forfeit all incentives and may face recoupment of theunearned portion I have received."
ATTACHMENT 11
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ATTACHMENT 12
MEDICAL REVIEW – 4 COMPONET EXEMPTIONS IN 24 MONTHS
MEMORANDUM FOR MEDICAL PROVIDER
FROM: ____________________
SUBJECT: Medical Review for 4 component exemptions in 24 months.
1. IAW AFI 36-2905, Sec 2.25.11, please review ____________________ (members name) forreceiving four component exemptions in 24 months.
2. Member's Exemptions were reported during the following Fitness Assessments.Filled in by Unit CC/CCF/UFPM
Date of Fitness Assessment For this test, member was:
Exempt from run/ walk.
exempt from sit- u s.
exempt from push- Exempt from abdominal circumference measurement.
3. Per Sec 5.2.2, please review the member during the annual PHA and refer to the DAWG forevaluation as appropriate IAW AFI 10-203, AFI 48-123, and AFI 41-210.
4. Any questions or concerns, please contact the UFPM, (Name, phone, email.)
Commander
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1st Ind, MEDICAL PROVIDER To: Enter Squadron this is from /CC(F) 1. 154 MDG received request for Medical Review. Members is/ is not referred to the Deployment Activity Working Group.
Signature & Stamp of Medical Provider and Date
This document may contain information which must be protected IA W AFI 33-332 and DOD Reg 5400. I I; Privacy Act of 1974 as amended 5 U.s.c. 552a applies, and is For Official Use only (FOUO). RECIPIENT IS RESPONSIBLE FOR SAFEGUARDING AND MAINTAININvq
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