sample ecp application documents/op7... · web viewthe applicant has served in this command ____...

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COMMAND LETTERHEAD 1040 Admin (Date) SECOND ENDORSEMENT on (Grade, Full Name)’s ECP application 1040 of (date) From: Commanding General, (Division, Wing, Group, etc.) To: Commanding, General, Marine Corps Recruiting Command (ON/E) Subj: APPLICATION FOR THE ENLISTED COMMISSIONING PROGRAM 1. Forwarded, recommended with enthusiasm, confidence, or reservation. 2. Any other comments desired. R. E. MARINE

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Page 1: SAMPLE ECP APPLICATION Documents/OP7... · Web viewThe applicant has served in this command ____ months and has ____ months remaining on current enlistment or extension thereof. 5

COMMAND LETTERHEAD

1040 Admin (Date)

SECOND ENDORSEMENT on (Grade, Full Name)’s ECP application 1040 of (date)

From: Commanding General, (Division, Wing, Group, etc.)To: Commanding, General, Marine Corps Recruiting Command (ON/E)

Subj: APPLICATION FOR THE ENLISTED COMMISSIONING PROGRAM 1. Forwarded, recommended with enthusiasm, confidence, or reservation.

2. Any other comments desired.

R. E. MARINE

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COMMAND LETTERHEAD 1040 Admin (Date)

FIRST ENDORSEMENT on (Grade, Full Name)’s ECP application 1040 of (date)

From: Commanding Officer, (Unit)To: Commanding, General, Marine Corps Recruiting Command (ON/E)Via: (1) Commanding Officer, (Battalion, Squadron, etc.) (2) Commanding General, (Division, Wing, Group, etc.) Subj: APPLICATION FOR THE ENLISTED COMMISSIONING PROGRAM 1. The information contained in the basic application and the enclosures thereto has been verified with records on file in this command and are correct. The applicant meets the basic eligibility requirements (except for (type of waiver)) for the Enlisted Commissioning Program. 2. The height and weight of the applicant are (inches) and (pounds) (include BF% if over ht/wt). Applicant (does/does not) meet the medical and/or dental qualifications. The applicant last took the PFT on (date within 6 months of application) and the CFT on (date) and obtained the following scores:

Pull ups/Flex Arme Hang 20 (100) Crunches 100 (100) Run 18:00 (100) Total (300) (1st Class)

CFT Total score (274) (1st Class)

3. Provide a recommendation statement using one of the following categories:

a. Recommended with enthusiasm. b. Recommended with confidence. c. Recommended with reservation. d. Not recommended.

(The recommendation must be fully justified by the commanding officer. Provide an analysis of the applicant’s potential for commissioned service and any waiver requested.)

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Subj: APPLICATION FOR THE ENLISTED COMMISSIONING PROGRAM

4. The applicant has served in this command ____ months and has ____ months remaining on current enlistment or extension thereof.

5. I have screened the applicant for body markings and he/she does/does not have body markings. (If yes) I have viewed the applicant’s body markings (specify the body markings. Photographs and a written description of the body markings are provided as an enclosure, and they (are/are not) within the Marine Corps standards per the Marine Corps Uniform Regulations and MARADMIN 029/10.

6. (List Marines name) has met all requirements for security clearance eligibility per SECNAVINST 5510.30A and current MARADMIN. (Include one of the following applicable paragraphs):

a. The applicant has a current secret clearance eligibility as of (date).

b. A request for a secret security clearance eligibility determination was submitted to the Department of the Navy Central Adjudication System (JPAS) on (date). (Use for Applicants who have a completed NACLC, but do not have the Minimum secret security clearance eligibility).

c. The applicant’s NACLC was initiated on (date). (Use this Paragraph if the applicant does not have an investigation that supports secret clearance eligibility).

7. Unit telephone number and point of contact: (Indicate your administrative office’s commercial and DSN numbers.)

(Signature of CO)

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COMMAND LETTERHEAD

1040 Admin

(Date)

From: Grade, Full Name, Last4SSN/PMOS, USMC(R)To: Commanding General, Marine Corps Recruiting Command (ON/E), 3280 Russell Road, Quantico, VA 22134-5103Via: Chain of Command (to include CG level endorsement)

Subj: APPLICATION FOR THE ENLISTED COMMISSIONING PROGRAM

Ref: (a) MCO 1040.43A (b) (List applicable MARADMIN announcing the board)

Encl: (1) MCRC Regular Officer (ON/E) Application and Program Information Sheet (2 pages) and statements as app (2) Academic Certification Form (3) Official Transcripts w/Proof of Degree (4) Certified copies of official SAT or ACT score (5) Reports of Medical Examination and Medical History (6) Statement of Understanding Regarding Dental Requirements Prior to Attending Officer Candidates School (7) Report of Interview Board Report (8) Handwritten Statement (9) Service Agreement (10) Photographs (Promotion, PT gear and tattoos, if app) (11) SRB pages 3, 11, and 12 (if applicable) (12) MCTFS Screens: BIR, BTR, ROS, AWARDS and EDU (13) Proof of security clearance (14) Tattoo Statement of Understanding (15) Tattoo Screening Form (16) List any additional enclosures that apply

1. I request to be considered for the Enlisted Commissioning Program and assignment to Officer Candidates School. Per the references, enclosures (1) through (XX) are submitted.

2. In this paragraph, any applicant that requires a waivermust request the waiver and provide justification. (Ex. “I am eligible except for age waiver). If no waivers are required, omit this paragraph.

3. In this paragraph, an applicant for an aviation guarantee must state whether or not there is a willingness to accept a

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ground commission in the event there are no aviation vacancies or the applicant is not found to be best qualified for aviation.Subj: APPLICATION FOR THE ENLISTED COMMISSIONING PROGRAM

If the applicant is willing to accept a ground commission, submit both the aviation and ground service agreements. (Note: Aviation physicals should be provided to MCRC 4 months prior to date of application when possible or with the application. Include physical with application.)

Signature of Applicant

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ACADEMIC CERTIFICATION FOR ENLISTED COMMISSIONING PROGRAM----------------------------------------------------------------NAME OF STUDENT | SOCIAL SECURITY NUMBER

|___________________________________|____________________________COLLEGE OR UNIVERSITY

________________________________________________________________ This is to certify that the above named subject:

Was _____ / Was not _____ a regularly enrolled full-timestudent at this institution.

The above-named student completed requirements for thefollowing degree:

_____ Associate _____ Baccalaureate _____ Masters

Date of completion of degree requirements: _______________

The below information is required to determine this student's eligibility for admission to, or retention in, the U.S. Marine Corps Enlisted Commissioning Program:

MAJOR SUBJECT ___________________________________ TOTAL NUMBER OF HOURS ATTEMPTED _________________ TOTAL NUMBER OF HOURS COMPLETED _________________ TOTAL NUMBER OF GRADE POINTS ACHIEVED ___________ CUMULATIVE GRADE POINT AVERAGE (GPA) ____________

AT THIS INSTITUTION A GPA OF ___________________ IS EQUIVALENT TO A "C.”

SAT SCORE: MATH __________ VERBAL ___________ ACT SCORE: MATH __________ ENGLISH __________

It is requested that a certified copy of the student's transcript be returned with this form.

REMARKS:SIGNATURE ____________________________

PLEASE TITLE ____________________________ AFFIXSEAL DATE ____________________________

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COMPLETE MAILING ADDRESSOF COLLEGE/UNIVERSITYINCLUDING ZIP

Dear Registrar,

The student whose name appears on the enclosed form has applied for enrollment in the U.S. Marine Corps Enlisted CommissioningProgram. Since a minimum grade point average is required for admission to, or retention in our programs, I am requesting your cooperation in furnishing essential information on this individual's academic status.

I realize many demands are made upon your time, but please be assured the Marine Corps relies on this information in the decision process.

Enclosed is an addressed, postage-free envelope for your convenience in returning this form.

Sincerely,

=================================================================I am aware of the provisions of the Family Education RightsAct. I hereby authorize the release of the requested information and an official transcript directly to the Marine Corps agency indicated on this form.

______________________ ________________________ ______(Signature of Witness) (Signature of Applicant) (Date)

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STATEMENT OF UNDERSTANDING REGARDING DENTAL REQUIREMENTS PRIOR TO ATTENDING OFFICER CANDIDATES SCHOOL

I have been advised by my Commanding Officer (CO)/Officer Selection Officer (OSO)/Marine Officer Instructor (MOI)/ Inspector-Instructor (I-I) that it is my personal responsibility to ensure that all dental defects are corrected and orthodontic appliances are removed prior to reporting to training. Failure to obtain a dental examination from a qualified dentist and correction of any deficiencies to include caries (cavities), partial plates, caps, root canals, and extractions may be grounds for my disenrollment prior to the commencement of training at Officer Candidates School, Quantico, Virginia.

__________________________ (Applicant's signature)

__________________________ (Date)

Witnessed by:_______________ __________________________ (CO/OSO/MOI/I-I)

(The cursory dental check received at a Military Entrance Processing Station (MEPS) does not constitute a proper dental examination per the medical provisions of an Officer CandidatesProgram.)

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Date

SAMPLE INTERVIEW BOARD REPORT

(To be completed by the local interview board on each applicant for the Enlisted Commissioning Program.)

1. Command convening board: _________________________ (List full address) _________________________ _________________________

2. Name of applicant: ________________________________________ (Last) (First) (M.I.)________________________________________________________________ (Grade) (SSN) (MOS)

3. Date of present grade: ________________

4. The applicant named above appeared before the interview board on (date) and the following comments constitute the members opinion of a majority.

a. MANNER, APPEARANCE, BEARING: (Comment appropriately on the applicant's military presence, personal appearance, and bearing. Is it above, below, or at the standard generally expected of a Marine officer?)

b. VOICE, LANGUAGE, EXPRESSION, ALERTNESS, ABILITY TO COMMUNICATE: (Comment appropriately on the applicant's ability to project clear, concise and intelligent expression. Does the applicant readily understand the meaning of questions?)

c. PROFESSIONAL KNOWLEDGE: (Comment on the applicant's military proficiency, general knowledge of the Marine Corps, social, and civic awareness.)

d. SELF-CONFIDENCE, PERSONALITY, MOTIVATION: (Comment on the applicant's degree of self-confidence, exhibited personality, and motivation for commission.)

e. OTHER QUALIFICATIONS: Identify qualifications not previously reported, that would be of particular value as a Reserve officer.

5. RECOMMENDATION: (Name of Applicant) is recommended with

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(enthusiasm) (confidence) (reservation) or (not recommended) for assignment to Officer Candidates School in order to obtain a commission as a second lieutenant in the U.S. Marine Corps Reserve. (Make a summary evaluation of the applicant's qualifications and potential for commissioned service.)

6. MEMBERS OF THE INTERVIEW BOARD:

Member: (Full name, grade, component)

Member: (Full name, grade, component)

Member: (Full name, grade, component)

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SERVICE AGREEMENT ENLISTED COMMISSIONING PROGRAM (GROUND OFFICER) ================================================================ 1. In connection with my application for enrollment in the ENLISTED COMMISSIONING PROGRAM (GROUND OFFICER) of the United States Marine Corps, I hereby acknowledge:

a. That final approval of my nomination for enrollment in the Enlisted Commissioning Program, as an officer candidate, will be determined by the Commandant of the Marine Corps.

b. That upon reporting to an officer candidate class, I will be required to participate in training for a minimum period of seven weeks, unless sooner disenrolled for cause, before any voluntary request for disenrollment will be considered.

c. That, as a regular Marine, if I fail to satisfactorily complete the requirements for appointment to commissioned grade or request disenrollment from an officer candidate class prior to acceptance of a commission, I will be required to complete my enlistment contract, including any extension thereof and any obligated period of extended active duty.

d. That, as a reserve Marine, if I am released from the AR Program to attend OCS, I realize if I fail to satisfactorily complete the requirements for appointment to commissioned grade or request disenrollment from an officer candidate class prior to acceptance of a commission, I will not be returned to active duty with the AR Program. I understand my status will be that of a member of the Individual Ready Reserve.

e. That, upon satisfactory completion of all requirements, I will accept appointment to commissioned grade in the United States Marine Corps Reserve, if a commission is tendered to me.

f. That:

(1) A commission in the Marine Corps Reserve is for an indefinite term and is held during the pleasure of the President;

(2) Upon acceptance of a commission, I will be required to serve at least eight years in the Marine Corps Reserve from date of appointment to commissioned grade;

(3) Any portion of this eight-year period not served on active duty will be served on inactive duty as a member of the

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Marine Corps Reserve; and

(4) A resignation of my reserve commission submitted prior to completion of this eight-year period will normally be rejected and, after this period, may be accepted or rejected by the President as the needs of the service may then require.

g. Upon acceptance of appointment to commissioned grade, I will be further assigned to The Basic School for commissioned officer training.

h. Assignment to an officer candidate class should not be construed as approval for future assignment to flight or aviation training.

i. Sections 671a and 671b of Title 10, United States Code, currently provide as follows:

(a) "671a. Members: Service extension during war. Unless terminated at an earlier date by the Secretary concerned, the period of active service of any member of an armed force is extended for the duration of any war in which the United States may be engaged and for six months thereafter.

(b)"671b. Members: Service extension when Congress is not in session.

"(a) Notwithstanding any other provision of law when the President determines that the national interest so requires, he may, if Congress is not in session, having adjourned sine die, authorize the Secretary of Defense to extend for not more than six months enlistments, appointments, periods of active duty, periods of obligated service or other military status, in any component of the Armed Forces of the United States, that expire before the thirtieth day after Congress next convenes or reconvenes.

"(b) An extension under this section continues until the sixtieth day after Congress next convenes or reconvenes or until expiration of the period of extension specified by the Secretary of Defense, whichever occurs earlier, unless sooner terminated by law or Executive Order."

j. Federal statutes and pertinent regulations applicable to personnel in the Marine Corps may change without notice and that such changes may affect my status as an officer candidate or commissioned officer and obligations to serve as such.

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2. I consent to serve on extended active duty, as a commissioned officer, for a minimum of three and one-half years from the date of appointment to commissioned grade, and understand that a request for release from active duty prior to completion of this period will be rejected. 3. I have read and completely understand the meaning and content of the above. Furthermore, I have read and understand the current Marine Corps Order pertaining to this program. No promises, either written or oral, have been made to me in connection with my application for enrollment in the Enlisted Commissioning Program (Ground Officer) except as specified above. I acknowledge receipt of a copy of this document.

Signature of Witnessing Officer Applicant's Signature

__________________________________ _____________________________Typed Name, Grade, Witness Typed Name, SSN4 of Applicant

____________ Date

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SERVICE AGREEMENT ENLISTED COMMISSIONING PROGRAM (NAVAL AVIATOR) (IF APPLICABLE)================================================================

1. In connection with my application for enrollment in the ENLISTED COMMISSIONING PROGRAM (NAVAL AVIATOR) of the United States Marine Corps, I hereby acknowledge:

a. That, final approval of my application for enrollment in the Enlisted Commissioning Program (Naval Aviator), as an officer candidate, will be determined by the Commandant of the Marine Corps.

b. That, upon reporting to an officer candidate class, I will be required to participate in training for a minimum period of seven weeks, unless sooner disenrolled for cause, before any voluntary request for disenrollment will be considered.

c. That, as a regular Marine, if I fail to satisfactorily complete the requirements for appointment to commissioned grade or request disenrollment from an officer candidate class prior to acceptance of a commission, I will be required to complete my enlistment contract, including any extension thereof and any obligated period of extended active duty.

d. That, as a reserve Marine, if I am released from the AR Program to attend OCS, I realize if I fail to satisfactorily complete the requirements for appointment to commissioned grade or request disenrollment from an officer candidate class prior to acceptance of a commission, I will not be returned to active duty with the AR Program. I understand my status will be that of a member of the Individual Ready Reserve.

e. That, upon satisfactory completion of all requirements, I will accept appointment to commissioned grade in the United States Marine Corps Reserve, if a commission is tendered to me.

f. That:

(1) A commission in the Marine Corps Reserve is for an indefinite term and is held during the pleasure of the President;

(2) Upon acceptance of a commission, I will be required to serve at least eight years in the Marine Corps Reserve from date of appointment to commissioned grade;

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(3) Any portion of this eight-year period not served on

active duty will be served on inactive duty as a member of the Marine Corps Reserve; and

(4) A resignation of my reserve commission submitted prior to completion of this eight-year period will normally be rejected and, after this period, may be accepted or rejected by the President as the needs of the service may then require.

g. Upon successful completion of the officer candidate course and acceptance of appointment to commissioned grade, I will be further assigned MOS 7599 (Naval Aviator Student) and will be assigned to The Basic School for commissioned officer training prior to my assignment to flight training.

h. Upon successful completion of the Basic School, I will be assigned to Student Naval Aviator Training, provided I am physically qualified for such assignment at that time.

i. Sections 671a and 671b of Title 10, United States Code, currently provide as follows: (1) "671a. Members: service extension during war. Unless terminated at an earlier date by the Secretary concerned, the period of active service of any member of an armed force is extended for the duration of any war in which the United States may be engaged and for six months thereafter.

(2) "671b. Members: service extension when Congress is not in session.

"(a) Notwithstanding any other provision of law when the President determines that the national interest so requires, he may, if Congress is not in session, having adjourned sine die, authorize the Secretary of Defense to extend for not more than six months enlistments, appointments, periods of active duty, periods of obligated service or other military status, in any component of the Armed Forces of the United States, that expire before the thirtieth day after Congress next convenes or reconvenes.

"(b) An extension under this section continues until the sixtieth day after Congress next convenes or reconvenes or until expiration of the period of extension specified by the Secretary of Defense, whichever occurs earlier, unless sooner terminated by law or Executive Order."

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j. Federal statues and pertinent regulations applicable to personnel in the Marine Corps may change without notice and that such changes may affect my status as an officer candidate or commissioned officer and obligations to serve as such. 2. I consent to serve on extended active duty, as a commissioned officer, for the following minimum periods and understand that a request for release from active duty prior to completion of these minimum periods will normally be rejected:

a. Ninety-six months from date of designation as a Naval Aviator for any type model aircraft.

3. I have read and completely understand the meaning and content of the above. Furthermore, I have read and understand the current Marine Corps Order pertaining to this program. No promises, either written or oral, have been made to me in connection with my application for enrollment in the Enlisted Commissioning Program (Naval Aviator) except as specified above. I acknowledge receipt of a copy of this document.

_______________________________ _______________________Signature of Witnessing Officer Signature of Applicant

_________________________________ _______________________Typed Name, Grade of witness Typed Name, SSN of Applicant

________Date

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SERVICE AGREEMENT ENLISTED COMMISSIONING PROGRAM (NAVAL FLIGHT OFFICER) (IF APPLICABLE)================================================================

1. In connection with my application for enrollment in the ENLISTED COMMISSIONING PROGRAM (NAVAL FLIGHT OFFICER) of the United States Marine Corps, I hereby acknowledge:

a. That, final approval of my application for enrollment in the Enlisted Commissioning Program (Naval Flight Officer), as an officer candidate, will be determined by the Commandant of the Marine Corps.

b. That, upon reporting to an officer candidate class, I will be required to participate in training for a minimum period of seven weeks, unless sooner disenrolled for cause, before any voluntary request for disenrollment will be considered.

c. That, as a regular Marine, if I fail to satisfactorily complete the requirements for appointment to commissioned grade or request disenrollment from an officer candidate class prior to acceptance of a commission, I will be required to complete my enlistment contract, including any extension thereof and any obligated period of extended active duty.

d. That, as a reserve Marine, if I am released from the AR Program to attend OCS, I realize if I fail to satisfactorily complete the requirements for appointment to commissioned grade or request disenrollment from an officer candidate class prior to acceptance of a commission, I will not be returned to active duty with the AR Program. I understand my status will be that of a member of the Individual Ready Reserve.

e. That, upon satisfactory completion of all requirements, I will accept appointment to commissioned grade in the United States Marine Corps Reserve, if a commission is tendered to me.

f. That:

(1) A commission in the Marine Corps Reserve is for an indefinite term and is held during the pleasure of the President;

(2) Upon acceptance of a commission, I will be required to serve at least eight years in the Marine Corps Reserve from date of appointment to commissioned grade;

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(3) Any portion of this eight-year period not served on active duty will be served on inactive duty as a member of the Marine Corps Reserve; and

(4) A resignation of my reserve commission submitted prior to completion of this eight-year period will normally be rejected and, after this period, may be accepted or rejected by the President as the needs of the service may then require.

g. Upon successful completion of the officer candidate course and acceptance of appointment to commissioned grade, I will be further assigned MOS 7578 (Student Naval Flight Officer) and will be assigned to The Basic School for commissioned officer training prior to my assignment to flight training.

h. Upon successful completion of the Basic School, I will be assigned to Student Naval Flight Officer training, provided I am physically qualified for such assignment at that time.

i. Sections 671a and 671b of Title 10, United States Code,

currently provide as follows:

(1) "671a. Members: service extension during war. Unless terminated at an earlier date by the Secretary concerned, the period of active service of any member of an armed force is extended for the duration of any war in which the United States may be engaged and for six months thereafter.

(2) "671b. Members: service extension when Congress is not in session.

"(a) Notwithstanding any other provision of law when the President determines that the national interest so requires, he may, if Congress is not in session, having adjourned sine die, authorize the Secretary of Defense to extend for not more than six months enlistments, appointments, periods of active duty, periods of obligated service or other military status, in any component of the Armed Forces of the United States, that expire before the thirtieth day after Congress next convenes or reconvenes.

"(b) An extension under this section continues until the sixtieth day after Congress next convenes or reconvenes or until expiration of the period of extension specified by the Secretary of Defense, whichever occurs earlier, unless sooner terminated by law or Executive Order."

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j. Federal statues and pertinent regulations applicable to personnel in the Marine Corps may change without notice and that such changes may affect my status as an officer candidate or commissioned officer and obligations to serve as such. 2. I consent to serve on extended active duty, as a commissioned officer, for seventy-two months from date of designation as a Naval Flight Officer and understand that a request for release from active duty prior to completion of this minimum period will normally be rejected. 3. I further agree that in the event I am separated from flight training as a result of flight failure, practical work failure, or physical disqualification, I will serve on active duty in a commissioned status for a period of four years from the date initially assigned to active duty as a commissioned officer.

4. I further agree that in the event I am separated from flight training as a result of my own request or by reason of academic failure, I will serve on active duty in a commissioned status for a period of four years from the date initially assigned to active duty as a commissioned officer, plus an extension of active service equal to the time spent in flight training.

5. I have read and completely understand the meaning and content of the above. Furthermore, I have read and understand the current Marine Corps Order pertaining to this program. No promises, either written or oral, have been made to me in connection with my application for enrollment in the Enlisted Commissioning Program (Naval Flight Officer) except as specified above. I acknowledge receipt of a copy of this document.

_______________________________ _______________________ Signature of Witnessing Officer Signature of Applicant

_________________________________ _______________________Typed Name, Grade of witness Typed Name, SSN of Applicant

____Date

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ECP APPLICATION CHECKLISTRANK/NAME __________________ AGE _____ WAIVER TYPE ___________ (age at time of commissioning)General Qualifications

___ Active Duty Regular Marine Corps and Marine Corps Active Reserve

___ Selected Marine Corps Reserve___ Citizen of the United States___ Must be capable of obtaining a satisfactory national agency

check and be eligible to receive a SECRET clearance___ Has not failed to complete any previous military officer

Programs___ On most recently administered, must have obtained a first

class physical fitness test (PFT) score of 225 or higher on the PFT and a first class combat fitness test score

___ Must have achieved one of the following aptitude test scores from same test: ___ AFQT – minimum score of 74.

___ SAT – minimum combined Math and Critical Reading score of 1000 from same test.

___ ACT – minimum composite score of 22. ___ Must be at least 21, but less than 30 years of age for Ground by date of commissioning. Age waivers will be up to 35 for ground and 29 for aviation.

___ Applicants with dual citizenship are required to include a statement in their application stating their willingness to renounce their dual citizenship if selected for program along with submittal of certificate of birth and evidence of U.S. citizenship, dual citizens. Marines must provide: 1. Foreign born passport translated into English 2. Renouncement statement page 11 3. Proof of foreign passport destruction or

Academics

____Academic Certificate with school seal ____Proof of Bachelors degree (nationally or Regionally accredited/degree conferred must be on official transcripts)

Tattoos, Brandings, Piercings

___ Commanders must screen all body markings.___ Applicants with body markings, which include tattoos,

brandings, body piercing, and body mutilation, must include as enclosures in their application close up photo(s) of each body marking addressing the content (what the body marking is and what it means), location, size, number of body markings and date body marking was made. In addition, submit full length photo(s) of applicant in physical training gear (green shorts, green t-shirt) from each angle (both sides-front- back). Females may not send photos taken in their sports bras. A written description detailing criteria cited by this paragraph of body markings located in private areas

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and a drawing of the tattoo is required.

Service Requirements

___ Marines must have a minimum of 1 year of active Marine Corps service and 12 months remaining on current enlistment or extension at the date of application.

Precommissioning Training Agreement

___ Must have a National Agency Check and Letter from Security Manager.

___ Must have a credit check or higher level security investigation prior to commissioning.

Precommissioning Physical

Forms DD 2808 and 2807 or SF88 and 93

If applicant is applying for aviation, ensure physical is typed and all supporting documents pertaining to aviation physical are included. (Note: Aviation physicals must be provide with application for board 1, and provided to MCRC (ON/E) four months prior to the application deadline for boards 2 and 3.)

All physicals must include the following to be complete:

____All post and pre op reports (if you have received PRK or LASIK surgery. Include 3 month, 6 month, and 9 month follow- ups for PRK/LASIK surgery.)

____Current eye exam must be 20/20 (if not, it must be corrected to 20/20 to include manifest eye refraction, distant and near vision (uncorrected and corrected)).____Blood pressure (if blood pressure is ove 140, need a 3 day blood pressure check taken 3 consecutive days).____Blood type ____Height and Weight____Urinalysis (albumin, sugar, specific gravity) (if there is a trace in urine, repeat urinalysis)____Current HIV results____Females (Pap and HCG results)____Dental Class – type 1 or 2____Feet (circle one – normal arch etc.)____Hearing <50 (if not, need audio consult)____Ensure all pages have date, name, and ssn4____Ensure medical officer sign and date the physical (include their stamp)____Block 74a for qualification needs to be checked on DD 2808____Include all paperwork pertaining to any type of surgery, and any abnormalties checked and clearance.

ENCLOSURES

____Endorsements from chain of command____Physical Fitness Test (PFT) (included on first endorsement. PFT must be within 6 months at time of board convening date.

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First class PFT score must total 225 or higher. Must also Include a first class combat fitness test score.____Application letter with enclosures____Waiver request for age (at least 21 and less than 30 (waivered to 35 legally) for Ground applicants, at least 21 and less than 27 1/2 (considered up to age 29 at time of commissioning) for Aviation applicants), tattoos, drugs, prior program, time- in-service, test scores, credit hours, etc. must be requested in application letter.____Photograph (1 in application and copy sent to MMSB by applicant (no older than 12 months @ time board convenes) Photos must be taken in Service “C” for males, Service “C” with slacks for females, and utilities minus the utility blouse for deployed Marines who do not have the service “C” uniform with left shoulder forward)____Service agreement (Signed) (Ground (add NFO and/or SNA service agreement if applicable)____College transcripts____MCRC information sheet and privacy act (include date of commissioning and marital status)____Statement for any “yes” answers on application form (drug and arrest must include date, what type, how many times, total amount of

fines paid, results of arrest (Marine needs to state if they were convicted, what was the sentence, and provide arrest documentation, and proof it has been cleared, etc.)

____Check for multiple waivers (app ltrs, end, etc)____Physical (Aviation physicals must be approved 4 months prior to applying)____Dental statement of understanding____Interview board (interview by three officers (one with court martial convening authority)____100 word statement (Minimum 100 words)____Certified copy of NAVMC 118 (3)____Certified copy of NAVMC 118 (11)

Page 11 must include the following fraternization paragraph:

“I have read and understand the Marine Corps policy on fraternization. I understand that, as a commissioned or warrant officer, I will be requried to conduct myself as an officer with respect to all enlisted personnel, of any service, at all times. Specifically, I understand that I may have to make significant changes in my current personal relationships with other service members if I become an officer. I also understand that fraternization does not make an exception for preexisting relationships other than marriages that took place prior to my date of commission or appointment to warrant officer or other family relationships, such as that between parents and children or between siblings.” __________________________ (Applicant’s signature)

____Commanding Officers are required to enter the following administrative remarks (page 11) entry in the service record book:

“(List Marine’s Name) has met all requirements for

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security clearance eligibility per SECNAVINST 5510.30B and MARADMIN 458/04.”

_______________________________________ Commanding Officer’s signature and date

____If applicant has dual citizenship, the following statement must be provided on the (page 11):

“I hereby agree to renounce my (list foreign country) citizenship with all rights and privileges, if selected for

(name of program). (If applicable) I further agree to turn in my (identify foreign country) passport to (list foreign country)

Embassy and provide receipt to my commanding officer, if selected for (name of program).”

___________________________ Marine’s signature and date

____Certified copy of NAVMC 118 (12) (UPB if applicable)____Certified copy of BIR/BTR (or test score page if scores are not on BTR. May be pulled from MCTFS.)____MCTFS AWARDS page____Certified copy of education record ____Certified copy of record of service____Photos of tattoos/Photos in PT gear taken at all angles w/meaning of tattoos (Drawings of tattoos in private areas are acceptable. No sports tops allowed for females.)____Letters of recommendations____Evidence of qualifying test scores____Citizenship (Check for dual citizenship) and proof of security investigation (Code on BIR/BTR, or NAC initiated, person summary from JPAS, or letter from security manager____Ensure comp code is 11 for Active Duty (see BIR/BTR)____AR Marines must include SOU for conditional release (DD Form 368) (see schedule MARADMIN) on page 11 entry____Time-in-service____SOU for tattoos/tattoo screening form

____Results of arrest (Marine needs to state if they were convicted? What was the sentence? Provide arrest documentation, total fines, and proof it has been cleared.) ____Ensure aviation selection test battery scores (if applicable) are included with application. Scores are as follows:

____ Academic Qualification Rating (AQR) 4 ____ Pilot Flight Aptitude Rating (PFAR) 6 ____ Flight Officer Flight Aptitude Rating (FOFAR) 6

(Note: OMPF’s must be updated with all pertinent information to include all enlistment contracts, etc. Marines must also update the OMPF’s with birth certificate, marriage certificate, and/or divorce decree, proof of name change, and any other pertinent information proving name change.)