“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

Texas State Guard Officer Candidate School Commander and Candidate Application Support Packet

“LEADERSHIP, STARTS HERE!”

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

USE OF YOUR CHAIN-OF-COMMAND IS MANDATORY FOR APPLICATION SUBMITTAL

NO EXCEPTIONS G-1 level personnel ONLY, may contact CW2 Trott with any questions regarding the application. CW2 Gary Trott, TXSG J1 Section Chief, (512) 782-5101, email: gary.trott@ txsg.state.tx.us

COMPLETED PACKETS SHOULD BE FORWARDED AS SOON AS POSSIBLE TO: ORIGINAL APPLICATION PACKETS CAN BE MAILED TO: Texas State Guard Attn: CW2 Gary Trott 2200 WEST 35th ST. BLDG 32 AUSTIN, TEXAS 78703 PACKETS CAN BE HAND DELIVERED TO CW2 TROTT BLDG 32, CAMP MABRY,

OCS OVERVIEW Officer Candidate School (OCS) is a mentally and physically demanding course of instruction designed to develop and assess the leadership potential of Officer Candidates. The program of instruction includes both classroom and field environments and challenges. Candidates that successfully complete the program will be commissioned as Junior Officers in the Texas State Guard. While consideration is given to past experience, graduates will serve in the Civil Affairs branch. The Texas State Guard OCS Program takes eight months to complete and is divided into three phases. Phase I is an intensive two month analysis and practical application in the Foundations of Officership. This is an introduction to the military profession in the Texas State Guard, the role of the junior officer, and basic military leadership. Instruction is given on time management and physical fitness, as well as general military skills. A heavy emphasis is placed on military courtesy, discipline, customs and traditions of the service. In this phase the candidate is evaluated upon demonstrated unit leadership, practical exercises and overall performance. Phase II is a rigorous three months and introduces the candidates to the requirements of a commissioned Junior Officer in the Texas State Guard. This period of time will be used to train Officer Candidates (OC's) in the basics of leadership, and the skills needed to perform as a junior officer in the Civil Affairs branch. This phase will focus on the foundations of basic leadership fundamentals that are central to a commissioned officer's responsibilities. The candidate will learn the functions, duties, and responsibilities of junior leaders. They will continue the development of their leadership skills through practical exercises. Phase III is a three month focus on the TXSG Mission. OCS develops and evaluates leadership in soldiers, sailors, airmen and marines striving to earn their commission in the Texas State Guard. The Capstone interactive leadership course is utilized to prepare candidates for challenges of being commissioned officers in the TXSG. The course discusses various leadership challenges and case studies. A study of military units, with

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

specific emphasis on joint operations involving Army, Air Force, TMAR and TMB assets is presented to Officer Candidates in this final phase. Individuals that apply to Officer Candidate School must be dedicated. OCS is stressful by design, but it is no more demanding than a Basic Training environment. The majority of OCS attrition occurs because soldiers report to Phase I in poor physical condition. It is difficult to demonstrate the ability to lead soldiers if you cannot keep up with them physically. Applicants must be able to pass the Army Physical Fitness Test (TXSG Standards) to go to Phase I. If they cannot, they will not be accepted into the program. As the program progresses, Officer Candidates must successfully perform and pass three additional PT tests, negotiate a confidence course and a leadership reaction course. During most of the physical events they will be evaluated on how they are leading their unit (a mental challenge). **Chapter 15 of the OCS Course Management Plan details the requirements for entry into the OCS program. Officer Candidate School (OCS) Key Points (Reference TXSG 600-10) (1) Process. The member who desires to attend OCS, to earn a commission, is responsible for initiating the application process through the applicants direct Chain of-Command. The process begins when the OCS applicant presents a completed packet with documentation to his/her immediate commander. Regiment, Wings and Brigade Commanders will Board an applicant as required to consider recommendations to JFTX-TXSG-J1 Officer Candidate Review Board. The Major Subordinate Command commander forwards the Board approved packet through the normal chain-of-command. The Officer Candidate Review Board at JFTX-TXSG-J1 must receive the recommendations for the Officer Candidate no later than 45 days prior to the next OCS class start date. All OCS Enlisted NCO/PO applicants will receive the approval of the Senior Enlisted Advisor of their Regt/Wing/Bde via a career counseling session, prior to submission of OCS Packet for consideration. (2) Notification. The Officer Candidate Review Board will notify the JFTX–TXSG-J1 of the personnel accepted into OCS. JFTX–TXSG-J1 will then contact the student with information and will publish orders for the program. (3) Assignment of Officer Candidates (OC). Members appointed to OC rank will be assigned to the OCS for Administrative and TCMJ control. Upon commissioning the OC will be assigned back to the MSC based on FORM 3 assignment request. (4) Use of Waiver. A waiver allows any member to request exemption of one requirement necessary to attain a promotion. Only a member himself or herself can request to use his or her one-time career waiver. The request for waiver must be in writing and state from which requirement the member is requesting exemption. All members are allowed to initiate and use only one waiver during their career in the TXSG. This does not apply to the minimum college credit hours waiver request. Request for waiver will be attached to the promotion request form. Major Subordinate Command commanders are not delegated promotion authority under this paragraph. All requests for waiver will be forwarded to JFTX-TXSG-J1 for approval. (5) Reuse of Waiver. If a member used a waiver in an attempt to attain a promotion and the promotion is denied, the waiver may be used at another time. (6) Waiver of Civilian Education and Federal Service Requirements. All officers, warrant officers, and enlisted personnel appointed/enlisted, in the TXSG, before 1 March 2002 are required to meet current criteria for promotion.

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

CHECKLIST FOR OCS ENROLLMENT AND COMMISSIONING NAME (LAST, FIRST, MI) OFFICER CANDIDATE: ___________________________________ LAST FOUR SSN_________ CURRENT UNIT______________ CLASS #_________ The purpose of this document is to assist the unit in preparing soldiers for school attendance, while providing one single document, with appropriate attachments, for the training institution. This checklist will be completed by appropriate unit personnel, verified and signed by the unit commander. Soldiers reporting for training must have a signed preexecution checklist in his/her possession. Soldiers reporting without the checklist signed by the soldier and unit commander will be returned to their unit. NO EXCEPTIONS! NAME OF UNIT REPRESENTATIVE: ________________________________ TELEPHONE: ______________________ When completed, this APPOINTMENT CHECKLIST is page one of the applicant's packet for OCS. Attach all other required documents in the order listed below. Use of the Automated Officer Appointment package is mandatory. INITIAL LINE

______ PROOF OF US CITIZENSHIP ______ PROOF OF COMPLETION OF BASIC ORIENTATION TRAINING (BOT) OR AN EQUIVILENT BASIC MILITARY SKILLS COURSE ______TXSG AUTOMATED FORM 2 (DATA BASE INPUT FORM). ______TXSG FORM 3 (REQUEST FOR OFFICER PERSONNEL ACTION). ______TXSG FORM 66 (OFFICER QUALIFICATION INDEX).

_____INS FORM 9 (EMPLOYMENT ELIGIBILITY VERIFICATION). ______STANDARD FORM 180 (REQUEST PERTAINING TO MILITARY RECORDS) (PRIOR SERVICE ONLY) ______TXSG REGULATION 10-1, 10-2, 10-3 or 10-4 (UMD), WHICHEVER IS APPLICABLE, SHOWING POSITION MEMBER IS ASSIGNED TO IN RELATION TO OTHER MEMBERS ALREAD ASSIGNED IN THE UNIT.

_____ PROOF OF CURRENT INACTIVE RESERVE MILITARY SERVICE AS EVIDENCED BY ARPC/DARP FORM 249-2c, IF APPLICABLE. (PRIOR SERVICE ONLY) ______ DA FORM 705 WITH PASSING APFT SCORE WITH A MINIMUM SCORE OF 60 POINTS FOR EACH GRADED CATEGORY

(TXSG STANDARDS) WITHIN 60 DAYS START OF OCS (sit-ups,

pushups and 2 mile run)

______ BACKGROUND CHECK PERFORMED WITHIN 60 DAYS OF START OF OCS– TXSG FAST FORM (CRIMINAL HISTORY

RECORD CHECK). (Digital Fingerprinting must be done through MorphoTrust USA (formerly L-1 Identity Solutions) ______ HIGH SCHOOL GRADUATE OR EQUIVILENT ______ COLLEGE TRANSCRIPT: (MIN OF 90 SEM HOURS or equivalent QTR HRS – TRAD) (OFFICIAL COPY REQUIRED)

OFFICIAL TRANSCRIPT _________QTR HRS _________ SEM HRS ________ DEGREE_________ (*COLLEGE MUST BE ACCREDITED BY DEPARTMENT OF EDUCATION STANDARDS) ______ EDUCATIONAL WAIVER FOR MIN OF 60 SEM HOURS or equivalent QTR HRS – TRAD ______ MORAL / CIVIL CONVICTION WAIVERS AS OUTLINED IN TXSG 600-10 ( IF REQUIRED)

DATE COUNSELED ____________ DATE REQUESTED ____________ DATE APPROVED ______________ ______ BIRTH CERTIFICATE (COPY)

DOB:_____________

______ AGE AT COMMISSIONING______ * (NOT TO EXCEED 44 YEARS AND 364 DAYS) ______ NON-PRIOR SERVICE ENLISTMENT PARTICIPATION IN TXSG (MINIMUM OF 2 YEARS) ______ PRIOR SERVICE ENLISTMENT PARTICIPATION IN TXSG (MINIMUM OF 1 YEAR) ______ LETTER(S) OF RECOMMENDATION

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE” ______ CHAPTER 2 COMMISSIONING PHYSICAL (DD 2808/2807-1 MODIFIED) (DATE :__________) (MUST BE WITHIN 3 MONTHS OF APPLICATION) ______ GRADE OF E-4 THROUGH E-6 ______ TEXAS RESIDENT VERIFICATION (60 DAYS PRIOR TO APPLICATION) ______ SSN CARD (COLOR COPY PREFERRED) ______ VALID DRIVERS LICENSE & CONCEALED HANDGUN LICENSE, IF APPLICABLE (COLOR COPY PREFERRED) ______ PROOF OF ACTIVE CHECKING ACCOUNT ______ NO PERMANENT PHYSICAL DISABILITIES/FULL USE OF ALL EXTREMITIES ______ CORRECTABLE VISION AS REQUIRED FOR STATE OF TEXAS DRIVERS LICENSE ______ DA FORM 5500-R OR DA FORM 5501-R (AS REQ.) HT/WT ____/____BODY COMPOSITION _____% MAX ALLOWABLE _____% _______ BE OF SOUND MIND AND FREE OF ANY MENTAL OF EMOTIONAL DISORDERS

______ EMERGENCY CONTACT INFORMATION SHEET & OFFICER CANDIDATE PROFILE SUMMARY ______ APPLICATION FOR ADMISSION TO OCS TRAINING ______ COMMANDER’S UNIT VACANCY STATEMENT ______ CURRENT PHOTOGRAPH IN DUTY UNIFORM (COMBAT DUTY UNIFORM (CDU) OR APPROPRIATE CIVILIAN ATTIRE) FROM THE HEAD TO JUST BELOW THE KNEES. STAND AT A 45° ANGLE TO THE RIGHT WITH LEFT SHOULDER AND/OR RIBBONS CLOSER TO THE CAMERA. SIZE OF PHOTO TO BE 4” x 10”. DIGITAL FILES MAY BE SENT TO THE JFTX-TXSG-J1, BUT NO POLAROIDS OF ANY TYPE ARE CONSIDERED APPROPRIATE. ______ TXSG COMMANDING GENERAL ELIGIBILITY WAIVER (EXCEPTION TO POLICY-CHAPTER 15 AGE, MORAL CHARACTER, BACKGROUND CHECK, MEDICAL) (IF APPLICABLE) ______ MEDICAL WAIVER (AS REQ.) DATE COUNSELED________DATE REQUESTED_______DATE APPROVED ___________ ______ DD 214 (Certificate of release or discharge active duty) / DD 220 (Active duty report) / NGB 22 (Report of separation and record of service) REFLECTING ALL NATIONAL GUARD, USAR & ACTIVE DUTY TOURS (MUST REFLECT COMPLETION OF BMT AND AIT) ______ OCS APPLICANT’S COMMANDERS EVALUATION SHEET

NOTE: Applicants requiring a waiver may attend the TXSG OCS Program pending approval of the waiver. The applicant must sign a counseling statement accepting relief from the course without prejudice if the waiver is disapproved. A copy of the waiver request and the signed counseling statement is maintained in the applicant’s OCS Candidate record.

I have read and been counseled on the above prerequisites and expectations applicable to the course for which I am applying. Attendance at this course and class will not pose any known hardship on me and/or my family that would detract from, or prevent me from, successfully completing course requirements.

Applicant’s Signature: _______________________________ Date: ________________ I have reviewed the above soldier’s qualifications and potential to successfully complete this course; have counseled him/her on these requirements and hereby verify his/her readiness to attend OCS.

_______________________________ Commanding Officer (printed name) _______________________________ Date:________________ Commander Signature DATE LAST UPDATED: 06JUL12

BY: MAJ T. EVANOVICH

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE” OFFICER CANDIDATE PROFILE SUMMARY PRIVACY ACT STATEMENT AUTHORITY: 10 U.S. Code 133, Executive Order 9397, November 22, 1943 (Social Security Number) and Title 10, United States Code, Section 3012 PRINCIPAL PURPOSE: Used by candidate to supply information necessary for student enrollment in the TXSG OCS Program. ROUTINE USE: Used by appropriate authority for administrative processing, provide points of contact in case of emergency and background information essential for student identification. DISCLOSURE: Voluntary; however, failure to complete the form may result in candidate’s rejection for further training. LAST NAME

RANK

FIRST

DOB

COMPONENT

ARMY TMAR

MI

LAST FOUR SSN

RACE

AGE

SIGNATURE

SEX

PROFILES

CAUCASIAN

MALE

BLACK

AIR WING

HISPANIC

TMB

NATIVE AMERICAN

YES

FEMALE SWIM

INJURY: YES

NO

INSECT

ASIAN OTHER___________ MARITAL STATUS

MARRIED

HOT WEAK:_____________

SPOUSE’S NAME

SPOUSE’S DOB

COLD ANNIVERSARY

PREGNANT:

DUE DATE YES

DIVORCED

NO

FOR:__________________

DEPENDENTS’ NAMES

NO DOB

SEPARATED SINGLE

HOME OF RECORD

PHONE

PLACE OF BIRTH NEXT OF KIN AND RELATIONSHIP

PHONE

SPOUSE’S ADDRESS (IF DIFFERENT FROM HOR)

PHONE

TXSG FORM 264-R (Front) APR APRIL 2012 (Previous versions are obsolete)

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE” OFFICER CANDIDATE PROFILE SUMMARY (continued) RELIGION

SPECIAL NEEDS

MILITARY EDUCATION AND SCHOOLS

CIVILIAN EDUCATION AND SCHOOLS INSTITUTION

DEGREE

SUBJECT/DISCIPLINE

BACKGROUND CHECK

AUTO YES

TYPE

NO

YES

NO

COMMENTS: INSURED

COLOR

LICENSE (STATE)

LICENSE (NUMBER)

REGISTRATION (STATE)

REGISTRATION (NUMBER)

PREVIOUS UNIT

MILITARY SERVICE TIME

POST/FORT:

ACTIVE _____YRS _____MOS

GUARD/RESERVE _____YRS _____MOS

DISTINGUISHED RELATIVE(S) OF CANDIDATE: A distinguished relative is an officer, active or retired, of grade O-6 (COL) or higher, an enlisted Soldier of grade E-8 (MSG) or E-9 (SGM), a United States Representative or Senator, or a Federal Civil Service employee with the grade GS-16 or above. The relationship should be in the immediate family (spouse, parent, brother, sister, grandparent, aunt, or uncle). RELATIVE

STATUS/POSITION

TXSG FORM 264-R (Reverse) APRIL 2012 (Previous versions are obsolete)

RELATIONSHIP

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE” OFFICER CANDIDATE SCHOOL APPLICATION CLASS#______________ 1. NAME (Last, First, Middle)

2. GRADE

3. SSN

4. GENDER _____MALE _____FEMALE

5. ORGANIZATION (Include Address & Zip Code)

6. UNIT PHONE

7. HOME OF RECORD (Street, City, State & Zip Code)

8. HOME PHONE/CELL PHONE

9. EMPLOYER (Include Address & Zip Code)

10. EMPLOYER PHONE

11. DOB / AGE

12. ARE YOU A U. S. CITIZEN:

_______________ / ____________ 13. WAIVER(S) REQUIRED: _____YES ______NO IF YES, ATTACH COPY (COPIES)

_____YES ______ NO

___________________________

14. DO YOU HAVE A CHAPTER II PHYSICAL WITHIN SIX MONTHS OF CLASS START DATE: _____ YES ______ NO

15. CURRENT & APPROVED BACKGROUND CHECK? ____ YES _____ NO

16. COLLEGE DEGREE: _____YES _____NO

IF NO, DATE REQUESTED: _________________

LEVEL OF DEGREE: __AA ___AS ___ BA __ BS ___ MS ___MA____PhD

IF NO DEGREE, NUMBER OF COLLEGE CREDITS: ________

TYPE OF CREDITS: _______ QUARTER (or) _______ SEMESTER

NAME OF COLLEGE: (Include Address, City, State & Zip Code)

17. MILITARY BACKGROUND:

IF NO, DATE OF CITIZENSHIP APPLICATION:

FRESHMAN SOPHOMORE JUNIOR SENIOR

PEBD : ________________

_______ _______ _______ _______

TOTAL YEARS OF MILITARY SERVICE: _________________________

PRIMARY MOS: ________________________________________

RANK _____________

DOR ______________

HIGHEST LEVEL OF MILITARY EDUCATION: ____________

18. LAST APFT SCORE: PU _______ SU _______ RUN ______ LAST SEMI ANNUAL WEIGH-IN:

TOTAL: _________ DATE OF TEST: ______________________________

HEIGHT IN INCHES _________ WEIGHT _________

DATE_____________________

PASSED SCREENING WEIGHT _______ YES _______ NO IF OVER SCREENING WEIGHT, PERCENT OF BODY FAT __________% (Attach DA Form 5500 for Males, DA Form 5501 for Females.) 19. WERE YOU EVER REJECTED FOR MILITARY SERVICE OR APPOINTMENT AS AN OFFICER? _____ YES _______ NO HAVE YOU EVER BEEN SEPARATED FROM SERVICE BY RECLASSIFICATION OR BOARD ACTION? _____YES _______NO WERE YOU EVER COURT-MARTIALED? ________ YES

________ NO

HAVE YOU EVER BEEN ARRESTED FOR ANYTHING OTHER THAN A MINOR TRAFFIC VIOLATION? _____ YES _____ NO (If YES, attach statements of circumstances and request for waiver.) 20. ARE YOU PRESENTLY EMPLOYED BY THE TEXAS STATE GUARD ? _________ YES __________NO 21. UNIT COMMANDER'S STATEMENT OF APPLICANT'S LEADERSHIP POTENTIAL: __________________________________________________ ____________________________________________________________________________________________________________________________________

IN SIGNING THIS APPLICATION THE APPLICANT UNDERSTANDS THE HE/SHE IS NO LONGER ELIGIBLE FOR A DIRECT COMMISSION UPON INPROCESSING AT PHASE ONE OF OCS. THE UNDERSIGNED UNIT COMMANDER HAS THOROUGHLY REVIEWED THIS APPLICATION AND THE ENTIRE PACKET FOR COMPLETION AND QUALITY. THIS IS A COMPLETE APPLICATION PACKET: NO WAIVERS ARE PENDING; ONLY APPROVED WAIVERS ARE SUBMITTED TO THE TXSG OCS SELECTION BOARD. AN ORIGINAL CHAPTER 2 COMMISSIONING PHYSICAL AND PROOF OF A FAVORABLE BACKGROUND CHECK MUST BE INCLUDED IN THE PACKET. _______________________________________ SIGNATURE OF APPLICANT

________________ (DATE)

_______________________________________ SIGNATURE OF UNIT COMMANDER

________________ (DATE)

__________________________________________________ PRINTED NAME OF COMMANDER PAGE 1 OF 2 PAGES

TXSG FORM 351a, 24 APR 12 (TXSG OCS) All previous editions of TXSG OCS Applications are SUPERCEDED

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

TXSG OFFICER CANDIDATE SCHOOL APPLICATION: CLASS #________ 21. OFFICER CANDIDATE SELECTION BOARD COMMENTS: _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________

IT IS THE OPINION OF THE OFFICER CANDIDATE TXSG HEADQUARTERS-LEVEL SELECTION BOARD THAT APPLICANT, ____________________________________, (SHOULD) / (SHOULD NOT) BE ENROLLED AS AN OFFICER CANDIDATE IN THE TEXAS STATE GUARD OFFICER CANDIDATE SCHOOL CLASS #12.

THE UNDERSIGNED BOARD MEMBERS HAVE THOROUGHLY REVIEWED THIS APPLICATION AND THE ENTIRE PACKET FOR COMPLETION AND QUALITY. THIS IS A COMPLETE APPLICATION PACKET: ALL REQUESTS FOR WAIVERS ARE SUBMITTERD PER THE MOI AND A COURTESY COPY OF SUBMITTALS IS INCLUDED IN THIS PACKET. AN ORIGINAL CHAPTER 2 COMMISSIONING PHYSICAL AND PROOF THAT A FAVORABLE BACKGROUND CHECK IS GRANTED OR REQUESTED IS INCLUDED IN THE PACKET. THIS APPLICANT RECEIVED COUNSEL EXPLAINING THAT HE/SHE WILL NO LONGER BE ELIGIBLE FOR COMMISSION, EVEN IF ALREADY APPLIED FOR, UPON INPROCESSING AT PHASE ONE OF TXSG OCS. THE TXSG HEADQUARTER-LEVEL SELECTION BOARD UNDERSTANDS THAT IF THIS APPLICANT IS DISENROLLED OR DROPS FROM THE OCS PROGRAM, FOR ANY REASON, THAT THIS APPLICANT WILL RETURN TO HIS/HER ASSIGNED PARENT UNIT AT THEIR ORIGINAL RANK AT TIME OF APPLICATION TO PROGRAM. THE TXSG OCS PROGRAM WILL FORWARD A DISENROLLMENT MEMORANDUM THRU THE TXSG COMMANDING GENERAL’S OFFICE TO THE REGIMENT FOR ANY CANDIDATE DROPPING AFTER OFFICIAL ENROLLMENT DURING PHASE ONE.

TXSG HEADQUARTER-LEVEL OCS SELECTION BOARD ENDORSEMENTS: _______________________________________________ PRINTED RANK AND NAME OF BOARD PRESIDENT (TXSG OFFICER: GENERAL OFFICER ONLY)

____________________________________ SIGNATURE OF BOARD PRESIDENT

_____________ DATE

_____________________________________________ PRINTED RANK AND NAME OF BOARD MEMBER (TXSG OFFICER: FIELD GRADE OR ABOVE)

____________________________________ SIGNATURE OF BOARD MEMBER

_____________ DATE

_____________________________________________ PRINTED RANK AND NAME OF BOARD MEMBER (TXSG OFFICER: FIELD GRADE OR ABOVE)

____________________________________ SIGNATURE OF BOARD MEMBER

_____________ DATE

_____________________________________________ PRINTED RANK AND NAME OF BOARD MEMBER (TXSG SENIOR NCO: CSM/CCM )

_____________________________________ SIGNATURE OF BOARD MEMBER

_____________ DATE

PAGE 2 OF 2 PAGES

TXSG FORM 351a, 24 APR 12 (TXSG OCS) All previous editions of OCS Applications are SUPERCEDED.

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE” OCS APPLICANT’S COMMANDERS EVALUATION SHEET For use of this form, the proponent agency is TXSG PRIVACY ACT STATEMENT

AUTHORITY: Title 5, United States Code, Section 552a, Public Law 93-579. PRINCIPAL PURPOSE(s): To obtain an evaluation from Unit Commander and chain of command endorsements on OCS Applicant. ROUTINE USE(S): Record is to be maintained in candidate training file at the Officer Candidate School until commissioning. DISCLOSURE: Disclosure of information requested in TXSG Form 5339 is mandatory. Failure to provide the requested information will result in non-acceptability of application for attendance at the TXSG Officer Candidate School. THRU: (Immediate Commander) TO: (Appropriate HQ, TXSG Commander)

Under the provisions of TXSG 600-10, request the following named applicant be administratively processed for Officer Candidate School. Applicant will not be reassigned pending disposition of this application. NAME: (Last, First, MI)

LAST FOUR SSN

RANK

DUTIES CURRENTLY BEING PERFORMED BY APPLICANT:

I HAVE INTERVIEWED THE APPLICANT AND THE FOLLOWING IS MY EVALUATION OF THE APPLICANT

DIMENSIONS

RATING

DIMENSIONS

RATING

1. ORAL COMMUNICATION SKILLS

___________

8. DELEGATION

____________

2. ORAL PRESENTATION SKILLS

___________

9. PROBLEM ANALYSIS

____________

3. WRITTEN COMMMUNICATION SKILLS ___________

10. JUDGEMENT

____________

4. INITIATIVE

___________

11. PHYSICAL STAMINA

____________

5. SENSITIVITY

___________

12. TECHNICAL COMPETENCY

____________

6. INFLUENCE

___________

13. MISSION ACCOMPLISHMENT ______ ______

7. PLANNING AND ORGANIZING

___________

REMARKS

CURRENT HEIGHT IN INCHES ______________

CURRENT WEIGHT IN POUNDS __________________

SCORING GUIDELINES 1. OUTSTANDING (O) – Performs better than any other soldier you know. 2. EXCELLENT (E) – Performance equaled by very few other soldiers. 3. ABOVE AVERAGE (AA) – Performs better than most soldiers. 4. AVERAGE (A) – Performs as well as most soldiers. 5. BELOW AVERAGE (BE) – Does not meet minimum performance requirements. TYPED/PRINTED NAME OF UNIT COMMANDER

SIGNATURE OF UNIT COMMANDER

TXSG FORM 5339, APRIL 2012 (Previous versions are obsolete)

DATE

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE” CHAIN OF COMMAND ENDORSEMENTS TYPED/PRINTED NAME OF BATALLION COMMANDER

SIGNATURE OF BATALLION COMMANDER

DATE

SIGNATURE OF REGIMENTAL COMMANDER

DATE

REMARKS: ENDORSE / NOT ENDORSE

TYPED/PRINTED NAME OF REGIMENTAL COMMANDER

REMARKS:

ENDORSE / NOT ENDORSE

J-1 APPLICATION REVIEW TYPED/PRINTED NAME OF J-1 OFFICER

SIGNATURE OF J-1 OFFICER

REMARKS:

TXSG FORM 5339, APRIL 2012 (Previous versions are obsolete)

11

DATE

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

OCS Interview Questionnaire Interviewing OCS applicants is vital to the selection process. The following are intended as open-ended questions to disclose issues or challenges that may hinder an applicant from successfully completing OCS. OCS is deliberately very challenging, time consuming, and stressful. TXSG OCS applicants, as future officers, are held accountable to high standards. Some major difficulties for OCS attendees are listed below and should be discussed with the applicant. These questions are intended to assist the interviewer with informing the candidates of these challenges and should be communicated or expanded based upon the maturity and military experience of the prospect. 1.

Have you incurred any physical injuries since your last medical examination? If so, has a physician evaluated them? Do you have a current, qualifying, chapter 2 physical? Is it an Original?

2.

For female applicants only. Are you pregnant? If so, under AR 40-501, you are medically disqualified from OCS training.

3.

Your immediate family will play a major supporting role during your tenure at OCS. Elaborate on their support and any health problems that you expect you or your family members have that will interfere with your performance at OCS? Are you the sole custodian or guardian of a dependent? If yes, who will take care of your dependents during your training periods?

4.

Are you prepared to accept all aspects of your training, including those you may not like or immediately understand? How many hours of personal time between drills working on OCS and unit-related projects are you willing to do?

5.

OCS requires two physical fitness tests during the course of OCS. What is your Physical Fitness Regime? Describe your current level of physical fitness.

6.

How many college hours do you have completed today? (If more than 90 but less than 120, then inquire: Do you have a plan to complete the remaining hours while you are attending OCS?, Do you require a 60 credit hour waiver?)

7.

Most prospects drop out of OCS in PHASE I, due to personal and financial hardships. What are your current hardships?

8.

Why do you want to become an officer? TXSG OCS, historically experiences more than 50% attrition of its class on the first IDT weekend via Drop on Request (DOR). The most common DOR is that candidates did not realize the time, dedication, and commitment necessary to complete the OCS program. The Senior Officer may wish to elaborate on his/her expectations of the officer candidate and current junior officers.

COMMANDER'S INTERVIEW GUIDE Unit Commander's Guide for Commissioning Program Interview ______Does the soldier meet TXSG height and weight standards? ______Can the soldier pass APFT? ______Is the soldier on a profile? ______Is the soldier flagged? ______Does the soldier meet civilian education requirements for the program (90 Credit hrs or 60 Credit hrs with waiver)? ______Can the soldier be commissioned prior to his/her 45TH birthday, if not will need CG waiver. ______Can soldier attend all OCS drills and complete the course? Historically, attendance issues include civilian education, employee conflicts, family hardships, financial hardships, medical problems, lack of motivation and adaptability, and habitual absenteeism. 12

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

ALL REQUEST FOR WAIVERS ARE THE UNIT OF ASSIGNMENT’S RESPONSIBILITY CG Waiver: ALL WAIVERS MUST BE APPROVED BY THE TXSG COMMANDING GENERAL. If applicable, packet must include a memorandum signed by the CG granting an exception to policy for not having a Chapter 2 physical done prior to the start of OCS. Applicant will be counseled for this deficiency and a copy of the counseling form with CG memorandum will be included in application packet.

BIRTH CERTIFICATE 

Please include a legible copy (DO NOT USE ORIGINAL) of applicant’s birth certificate in the OCS application packet.



Verify age at graduation and annotate on OCS Prerequisite Checklist.



A verification of Birth Form used by recruiters to enlist individual will not be acceptable.



Verify that applicant name is spelled the same as on other documents in the application packet.

NAME CHANGE 

Please include appropriate documents, if applicant has gotten married, divorced, adopted or has gone to court to have his/her name legally changed.

PROOF OF CITIZENSHIP 

Verify that applicant was born in the United States or is a Naturalized citizen.



If applicant was not born in the United States, applicant must produce documentation of being a US citizen (i.e. naturalization papers)



Do not enclose a copy of the naturalization form, instead complete memorandum in accordance with TXSG 600-10.



If applicant is not a US citizen, enclose in packet verification that he/she has applied for US citizenship.

AGE WAIVER, (If Applicable) 

Please include a copy of applicant’s age waiver request memorandum along with the counseling form, in the OCS application packet.



Applicant must be younger than 44 years and 364 days of age on the day of his/her commissioning.



TXSG CG must approve and issue an age waiver if the applicant will be older than 45 on the day of his/her commissioning.

CHAPTER 2 COMMISSIONING PHYSICAL Please make sure copy of physical is legible, and Check the following: 

Date taken: Must be completed within three months of the start of OCS.



Physical has been signed off by licensed physician (MD ONLY).



Individual has passed color vision to include red/green testing.



Look at annotations on physical and medical history to ensure that there are no other waivers needed.

DA FORM 705 (APFT) Card 

The APFT is performed to TXSG Standards. (Timed events – Sit-ups, Push-ups & 2 Mile run. Scored at ½ of U.S. Army standards)



Please include a legible copy of applicants DA FORM 705 card.(Army APFT Card)



APFT must be administered a minimum of 60 days prior to the start of Phase 1.



All information must be filled out ,and “For Record - GO” must be marked in the comments block



HT/WT must be done on the same date as APFT

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“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE” 

IF soldier exceeds weight standards, include a completed DA 5500-R (www.army.mil/usapa/eforms/pdf/A5500_R.PDF) (male) or DA 5501-R (www.army.mil/usapa/eforms/pdf/A5501_R.PDF) (female).



Taping forms must be done on the same date as APFT



If applicant requires additional taping after the date of the APFT, include second form also.



Form(s) must be signed by two individuals

COLLEGE TRANSCRIPT 

Please include a clear and legible copy of the candidates college transcript



Candidate must have completed a 90 semester hours/90 quarter hours at an accredited college for enrollment, or 60 semester hours/60 quarter hours with an education waiver request



Multiple transcripts are acceptable for enrollment

EDUCATION WAIVER (If Applicable) 

Please include a copy of applicant’s education credit hours waiver request memorandum along with the counseling form, in the OCS application packet.



Candidate must have completed a minimum of 60 semester hours/60 quarter hours at an accredited college for enrollment

PROOF OF BASIC TRAINING/BOT 

Please include NGB 22, DD 214, DD 220 and any other documentation reflecting all TXSG, National Guard, United States Reserve and/or Active Duty Time.



On all forms check to make sure the applicant has an honorable discharge



Other areas to check are to see what type of reentry code applicant has been given. Verify that individual will not need a waiver to be commissioned.



If applicant needed waiver to re-enlist, he/she will need another waiver approved for commissioning.

SOCIAL SECURITY CARD Please include the following letter signed by the unit commander, along with a legible copy of the applicants Social Security Card.

VERIFICATION OF SOCIAL SECURITY CARD DD-MONTH-YYYY I have this date verified that the following Social Security Number ###-##-#### is identical to the number listed on the Social Security Card issued to First Middle Last. Commanders Name Unit

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TEXAS MILITARY FORCES (Your Unit Name) TEXAS STATE GUARD 2200 W . 35 T H STREET , AUSTIN, TEXAS 78763 - 5218 Unit Symbol

Date

MEMORANDUM THRU FIRST ADDRESSEE_________________________ SECOND ADDRESSEE______________________ FOR OCS Commander, Texas State Guard, Attn: COL Tom Hamilton, 2200 W. 35th Street Austin, TX 78763-5218 SUBJECT: APPLICATION FOR OCS

1. Forwarded herewith is the OCS Application packet for__________________________________________. 2. I have conducted a personal interview and recommend approval of this application. 3. I would want an applicant of his/her caliber to serve as an officer in my command upon completion of OCS training. 4. The applicant has demonstrated adequate military leadership potential and possesses the desire and determination to complete the prescribed course.

3 Encls Commanders Endorsement Birth Certificate Copy of Social Security Card

STEPHEN F. AUSTIN CPT, CA, TXSG Commanding

NOTE: Commanders in the Chain of Command must endorse application.

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TEXAS MILITARY FORCES (Your Unit Name) TEXAS STATE GUARD 2200 W . 35 T H STREET , AUSTIN, TEXAS 78763 - 5218 Unit Symbol

Date

MEMORANDUM THRU, Texas State Guard, Attn: CW2 Gary Trott, 2200 W. 35 th St. Austin, TX 78763-5218 MEMORANDUM FOR, Office of the TXSG Commanding General, ATTN: (J1) SUBJECT: REQUEST FOR WAIVER OF MAXIMUM AGE TO ENTER OCS TRAINING

1. Request Waiver of Maximum Age be granted for (Rank, Name, SSN) to enter OCS. (Rank and Name) was born on (Day, Month, Year) and would graduate on approximately (Day, Month, Year). He/she will be (years) and (months) old by graduation. 2. (Use this paragraph to justify the Request for Waiver. Describe the qualities of disposition, character and abilities that you feel warrant the granting of a waiver to this individual.) 3. POC is the undersigned at (###) ###-####.

1 Encls Birth Certificate (copy)

FOR THE COMMANDER: STEPHEN F. AUSTIN CPT, CA, TXSG Commanding

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TEXAS MILITARY FORCES (Your Unit Name) TEXAS STATE GUARD 2200 W . 35 T H STREET , AUSTIN, TEXAS 78763 - 5218 Unit Symbol

Date

MEMORANDUM THRU, Texas State Guard, Attn: CW2 Gary Trott, 2200 W. 35th St. Austin, TX 78763-5218 MEMORANDUM FOR, Office of the TXSG Commanding General, ATTN: (J1) SUBJECT: REQUEST FOR WAIVER OF MINIMUM COLLEGE CREDIT HOURS TO ENTER OCS TRAINING

1. Request Waiver of Minimum College Credit Hours be granted for (Rank, Name, SSN) to enter OCS. (Rank and Name) understands that he/she must meet the educational requirements for promotion as outlined in TXSG Reg. 600-10. 2. (Rank and Name) has earned a minimum of 60 college credit hours from an accredited institution. 2. (Use this paragraph to justify the Request for Waiver. Describe the qualities of disposition, character and abilities that you feel warrant the granting of a waiver to this individual.) 3. POC is the undersigned at (###) ###-####.

1 Encls College Transcripts (official copy)

FOR THE COMMANDER: STEPHEN F. AUSTIN CPT, CA, TXSG Commanding

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TEXAS MILITARY FORCES (Your Unit Name) TEXAS STATE GUARD 2200 W . 35 T H STREET, AUSTIN, TEXAS 78763 - 5218 REPLY TO ATTENTION OF

(Office Symbol)

(Date)

MEMORANDUM THRU, Texas State Guard, Attn: CW2 Gary Trott, 2200 W. 35th St. Austin, TX 78763-5218 MEMORANDUM FOR, The TXSG Commanding General, ATTN: TXSG Staff Surgeon. SUBJECT: MEDICAL WAIVER REQUEST FOR COMMISSIONING.

1. I request that a Medical waiver be granted for commissioning for OC (Last Name, First Name, SSN). 2. The following is pertinent information on the applicant: a. Summary of Civilian Employment. b. Summary of Educational Background. c. Summary of Military Background. 3. Brief description of the Candidate's positive attributes to justify granting a waiver for commission. 4. POC for this request is the undersigned at (###) ###-####.

Encl. 1- Copy of Chapter 2 Physical

STEPHEN F. AUSTIN CPT, CA, TXSG Commanding

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“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

FREQUENTLY ASKED QUESTIONS BY OCS APPLICANTS Q) What will my rank be while attending the Officer Candidate School? A) You will be promoted to the rank of Officer Candidate, E-6. While enrolled in OCS, you will wear OCS insignia in place of your enlisted rank and will be referred to as “Candidate.” (Note: Promotions are submitted just prior to attending Phase 1, usually during the month of October. All soldiers enrolled in OCS, regardless of prior rank and duty status will be administratively promoted to the rank and MOS of “Candidate”). Q) What are the requirements for age? A) You may not be less than 18 Years old in order to apply for a commission, and not older than 44 years and 364 days at the time of commissioning. Q) Do I have to attend monthly training assemblies (“Drill” or “IDTs”) with my own unit? A) No, you will attend drill (IDT) at Camp Mabry, Austin, Texas. Q) What type of commission will I receive? A) You will be commissioned into the Texas State Guard as a junior officer. (2LT, Ensign) Q) In what branch would I be commissioned? A) You will be commissioned into the Civil Affairs branch. Q) What happens to me if I drop out or fail out of OCS? A) You will return to your original status and rank with your unit. You will be counseled by several members of the chain of command, return all items issued by OCS, and contact your parent unit chain of command. Simultaneously, OCS will initiate a memorandum for record through the OCS Detachment Commander to the General Officer in your Chain of Command to your parent unit chain of command. Reapplying for subsequent OCS classes will be handled on a case by case basis and a new application packet boarded by HQ, TXSG will also be required. Q) What happens if I have to miss training? A) OCS requires that you attend all training assemblies. If you cannot make training events on time, you should reconsider applying for OCS. Q) How much time is required for preparation? A) If you study as much as one-half hour for every hour of training, you should pass without any difficulty. However, you must plan to study. You will also be required to prepare yourself, your equipment, and communicate with your candidate chain of command and project teams prior to drills. Q) Why is OCS demanding and stressful? A) The purpose of OCS is to develop and assess potential future commissioned officers. The OCS staff must assess the leadership potential of the candidates in a stressful yet professional environment. This includes physical and mental stress in garrison and field situations. While OCS is demanding, any candidate who applies the Army Values to every aspect of this transformation process has an excellent chance to graduate and receive a commission. Experience has shown that the vast majority of the candidates who do not complete the program withdraw voluntarily due to personal reasons that are not related to the OCS curriculum. Q) What are the general demographics of an OCS class? A) A class is typically made up of an equalized mixture of prior-service National Guard/Army/Navy/Marine/Air Force, non-prior-service TXSG members, 18-44 year-old, males and females. Each class varies in areas of strength and improvements and usually develops its own personality. Individual candidates come to the program for different and personal reasons, but soon after OCS begins, all are united as one team with the same goals and standards in mind. Q) What is my service obligation after commissioning? A) Three years. Although the TXSG is a volunteer organization, it is requested that each candidate, upon commissioning remain in the TXSG for three years. Q) What are the training dates for OCS? A) The initial training weekend is 281700SEP12. Future training dates will be scheduled, and posted, but will typically be aligned with the TXSG HQ drill dates unless otherwise specified. 19

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

PREPARING THE OCS STUDENT AUTOBIOGRAPHY SUBJECT AREA: Written Communication. ASSIGNMENT: Write an OCS Student autobiography of 4-5 pages (1000 words max.) ASSIGNMENT INFORMATION: a. Substance: Generally speaking, a writer reflects upon and describes his/her life, or part of it, in an autobiography. For your first assignment as an OCS student, we ask that you write an OCS Student autobiography, focusing on that part of your life which has led you to consider becoming a TXSG Officer. Here are some suggestions for proceeding with this assignment: (1) Present vital statistics: date, place of birth, places of residence, schools you have attended, family background, and prior military service or experiences. (2) Describe special events in your life; relate circumstances and happenings that make you different, that help make you what you are, and that you expect your audience to find memorable. (3) Tell what you expect to contribute to society through gaining an education and what you may contribute by completing OCS requirements and gaining a commission.

NOTE: One of your principle writing tasks is to develop a fluid, readable narrative of your life, so do not merely list responses to these suggested questions. Instead, weave your responses into a narrative story of your life and your expectations in life and how this relates to your goal of earning a commission in the military.

b. Format: Final paper will computer-printed on one side only. Number each page (except the first page-cover sheet) on the center bottom of the page. The cover sheet format is provided. Your autobiography will start on the second page and be numbered "1" in the numbering sequence of all the remaining pages. c. Fasten a ¾ length photo of yourself, head to knees, (3” x 5” or 4” x 6” photos or digital camera printouts on high-quality paper are acceptable) in uniform (ACUs) to the bottom of the cover sheet. Use "Scotch Magic Tape" to fasten photo to cover sheet. Local policy/SOP may require your class to schedule a date for all of you to take photos together, or you may wish to get together with classmates and take each other’s picture. d. Evaluation: OCS Staff members will evaluate your autobiography. The OCS Selection Board of Officers will read and review your autobiography to formulate initial opinions about you. Your autobiography will be judged on four criteria: content, organization, readability, and presentability. Evaluators will consider the following questions as they make their evaluation: (1) Substance. How much specific detail have you used? (Generally, the more detail the better) How appropriate is the detail? How well does the reader get to "know" you, solely on the bases of your autobiography? (2) Organization. Does your paper develop smoothly? Does each part relate well with the rest of your paper? Do you relate your earlier life to your present situation in college? Do your expectations regarding the future emerge clearly from what you reveal of your past and present? (3) Style. Have you used effective transitions? Have you written directly? Have you chosen familiar, unpretentious vocabulary? Have you avoided long, cumbersome sentences? On the other hand, have you also avoided an extended series of very simply structured sentences? Has your punctuation assisted rather than hindered or confused your reader? Overall, have you observed the conventions of standard written English? (4) Correctness. Is your text carefully proofread, and free of typographical errors? Have used the proper format? Is your text neat, and free of smudges and wrinkles? e. Acknowledgements: Most writers benefit from various kinds of assistance. Most texts are read in draft form by trusted readers who offer suggestions for improving the text. Also, many writers use proofreaders and typists. Many colleges have tutorial services or writing centers where students can get individual assistance in writing. All 20

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE” writers have an ethical obligation to acknowledge all such forms of assistance. If you need or want assistance in writing your autobiography, do not hesitate in obtaining it. However, you must understand that the substance and content of your autobiography must be your own work. If you receive help in preparing your autobiography, then you must acknowledge it on your cover sheet as such: ______(Name/Title)_____ read an early draft of my autobiography and offered recommendations. _____(Name/Title)_____ proofread my final draft and/or the final text. _____(Name/Title)_____ typed or word-processed my final text.

If you received no assistance, simply write "none" below the acknowledgements entry on the cover sheet.

Cover Sheet Format

OCS Student Autobiography by NAME: (Last, First, Middle) OCS Program (State) OCS Class Number Date Prepared OCS Student Autobiography Acknowledgements: By Last Name, First Name

Candidate Photo

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“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

TEXAS MILITARY FORCES (Your Unit Name) TEXAS STATE GUARD 2200 W . 35 T H STREET , AUSTIN, TEXAS 78763 - 5218

REPLY TO ATTENTION OF (Office Symbol)

(DD MMM YYYY)

MEMORANDUM FOR Commander, OCS, 2200 W. 35th Street, Austin, TX 78763-5218 SUBJECT: Height and Weight Verification 1. The following individual was verified for height and weight on (DD MMM YYYY) in accordance with AR 600-9 and OCS Procedures for OCS Class 12. a. b. c. d. e. f. g. h. i.

Name: Rank: SSN: Height: Age: Weight: Max Weight: Body Fat %: Max Allowed BF%:

(Last, First MI) (Rank) (???-??-????) ??” ?? ??? ??? ??.?? % ?? %

2. I certify that this Soldier is in accordance with AR 600-9. 3. POC for this memorandum is the undersigned at 512-???-????.

STEPHEN F. AUSTIN CPT, CA, TXSG Commanding

EXAMPLE Ensure that a memorandum similar to this one is completed by your Commander and forwarded with your packet.

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“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

2200 W . 35 T H

TEXAS MILITARY FORCES (Your Unit Name) TEXAS STATE GUARD STREET , AUSTIN, TEXAS 78763 - 5218

REPLY TO ATTENTION OF (Office Symbol)

(DD MMM YYYY)

MEMORANDUM FOR The Texas State Guard Commanding General, 2200 W. 35th Street, Austin, TX 78763-5218 SUBJECT: Request for Waiver of Civil Conviction for OCS Enrollment

1. OC (First MI Last), (Social Security Number), (Unit), was convicted of a civil offense per the attached court documents. OC (Last) complied with the court’s final judgment by (Your Punishment). His/Her background is now clear and awaiting disposition of his/her security clearance. Request a waiver of this civil conviction for appointment as a Second Lieutenant upon completion of the Officer Candidate School (OCS) program. 2. (Give a 3-5 sentence summary of the Soldier’s military accomplishments and leadership abilities) 3. There is no record of indebtedness, questionable character traits, non-judicial punishment, problems with civilian employment, or lack of substantive support by the chain of command. His/Her military experience, leadership abilities, and professional qualifications uniquely suit him/her to make a significant contribution as a commissioned officer and leader of Soldiers upon completion of OCS. 4. Please forward one copy of the approval/disapproval to the OCS Office and one to my office. POC for this request in the undersigned at (phone number) or via email at ([email protected])

4 Encls 1. SM Court Documents 2. SM Statement of Circumstances 3. SM Request

STEPHEN F. AUSTIN CPT, CA, TXSG Commanding

EXAMPLE - Commander writes this request. - Forward this memorandum, the court documents, Statement of Circumstances, SM’s Request Memo, to OCS with the SM’s packet. - CIVIL CONVICTION WAIVERS ARE REQUIRED FOR ANY CIVIL CONVICTION TO INCLUDE CONVICTIONS THAT WERE DEFERRED, OR ADJUDICATED. 23

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

2200 W . 35 t h

TEXAS MILITARY FORCES (Your Unit Name) TEXAS STATE GUARD STREET , AUSTIN, TEXAS 78763 -5218

REPLY TO ATTENTION OF (Office Symbol)

(DD MMM YYYY)

MEMORANDUM FOR Commander, (Your Unit), (Your Unit’s Address), (Tour Unit’s City), TX (Your Unit’s Zip Code) SUBJECT: Soldier’s Request for Waiver of Civil Conviction for OCS Enrollment

1. I, OC (First MI Last), (Your Social Security Number), (Your Unit), was convicted of a civil offense per the attached court documents. I complied with the court’s final judgment by (Your Punishment). My background is now clear and awaiting disposition of my security clearance. I request a waiver of this civil conviction for appointment as a Second Lieutenant/Ensign upon completion of the Officer Candidate School (OCS) program. 2. (Give a 3-5 sentence summary of your military accomplishments and leadership abilities) 3. I attached copies of all related court documents and a memorandum for record stating the circumstances that caused the incident, resulted in charges, and led to the resolution of the incident. In my Statement of Circumstances I also included what I learned from the incident. 4. POC for this request in the undersigned at (your phone number) or via email at ([email protected]).

2 Encls 1. Court Documents 2. Statement of Circumstances

JOHN D. DOE OC, TXSG

EXAMPLE - Ensure that a memorandum similar to this one is completed by you and NOT your Commander. Forward this memorandum, the court documents, and the Statement of Circumstances to your Company Commander. Your Company Commander will write another memorandum that is similar and states that you are of good morale character and should be commissioned as an officer in the Texas State Guard. - CIVIL CONVICTION WAIVERS ARE REQUIRED FOR ANY CIVIL CONVICTION TO INCLUDE CONVICTIONS THAT WERE DEFERRED, OR ADJUDICATED.

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TXSG OCS PACKING LIST (Not all inclusive) MINIMUM QUANTITY 1 each 5 each 1 each 1 pair 1 each 1 pair 1 each 1 each 1 pair 1 each 1 each 1 each 3 pair 2 pair 4 each

ITEM DESCRIPTION HOME STATE S-1 / ADMIN ISSUED ITEMS Identification Card, Military Orders, OCS Attachment CLOTHING Belt, Trousers Boots, Combat, Tan Cap, ACU Gloves, Shell, Black Leather w/ inserts (Optional) Coat, ACU (Temp & HW) (As Required) Jacket, IPFU or Sweat Jacket, PFU (Optional) Pants, IPFU or Sweat Pants, PFU (Optional) Shirt, long sleeve, IPFU (not used with PFU) Shirt, short sleeve, IPFU, or Shirt, PFU Shorts, black, IPFU or Shorts, gray, PFU Socks, black Trousers, ACU Undershirt, Tan INDIVIDUAL EQUIPMENT Foot Locker Bag, Sleeping (Mummy or MSS) Bag, Waterproof Bag, Laundry Compass, Lensatic (FUNCTIONAL) Cup, Canteen Flashlight, (w/ all lenses and batteries, LED preferred) Jacket, Wet Weather Poncho Bee-sting allergy kit (by prescription) Trousers, Wet Weather Pen, Black, ball-point Pen, Sharpie, fine point, black Book, Memo 3.5” x 4.5” Marker, Permanent, Black Notebook, Steno Type Paper, Loose Leaf Index Cards, 3” x 5” (100 per pack) Pencil, mechanical Insignia, OCS, non-subdued ACU (on cap) Insignia, OCS, subdued ACU Lipstick, Anti-Chap Pre-Sun 32spf, 4 oz Whistle, Plastic, Black or Dark Green

1 each 1 each 1 each 1 each 1 each 1 each 1 each 1 each 1 each 1 each 1 pair 3 each 2 each 2 each 1 each 1 each 1 pack 2 packs 2 each 2 sets 2 sets 1 each 1 each 1 each MINIMUM ITEM DESCRIPTION QUANTITY 1 each Camelback (Camo or black) OR 2qt canteen 1 each Athletic Supporter 3 each Brassiere, Athletic/Sports type (Female) 25

“STANDARDS, HONOR & INTEGRITY - NO COMPROMISE”

1 pair 1 pair 2 pair 2 pair 1 kit

3 each 2 each 6 each 3 each 1 each 1 each 1 set 4 each

Shoes, Running Shoes, shower Laces, Combat Boot (spares) Socks, White, Running (no logos or stripes; length = between ankle & mid-calf) Toilet Articles, (as required): toothbrush, toothbrush case, toothpaste, soap, soap dish, shaving gear, mirror, comb or small brush, feminine hygiene articles, dental floss, mouthwash, antiperspirant. Towel, Bath Washcloth Undergarments Padlock, combination (SERVICEABLE, must fit on foot locker) Watch, Wrist Sewing Kit Civilian clothes (worn in transit) Spare batteries for flashlight Money to cover incidental expenses – do not bring excessive amounts of money to training.

What not to bring:           

 



Aerosol articles of any type (only exception is shaving cream) No over the counter medications (prescription medications can be brought but they will be turned over to the medical staff for your consumption per labeled directions) No weapons of any type (This does not include knifes with a blade length less than 5 ½’inches ) No personal listening devices (i.e. IPODs) Personal/private firearms Ammunition Pyrotechnics Knifes with blades longer than 5 ½ ” Any dietary supplement ALL carbonated beverages such as coca cola products are prohibited during OCS. Cosmetics, perfumes, colognes, fragranced lotions, soaps, and hair care products are not authorized for wear or use until Senior Phase (Ph.III) privileges are granted. All items not listed are hindrances. If there are items in question that may be authorized but not listed; they can be purchased locally once the list is approved by your commander. Tobacco products of any type Filled in Operations Order, FRAGO or ANNEX Formats, CASH OVER $100

26