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Warrant Officer
 Application Checklist

Download Checklist here

All documents should be single-sided copies and in the following order:

Name: ________________________________________

___ DA Form 61 enclosed (with HT/WT and APFT statement, signed as shown on the web site example)

___ Security clearance memo (DO NOT SEND DA Form 873, minimum Interim Secret clearance required - JPAS form

preferred, but the security memo will be accepted if your are not in JCAVS system)

___ Company Commander letter of recommendation (or applicable Company Grade UCMJ authority)

___ Battalion Commander letter of recommendation (or applicable Field Grade UCMJ authority)

___ Senior Warrant or other required letter if applicable as listed on the web site

___ Resume enclosed (see example for format)

___ Statement of understanding enclosed (a copy of this memo is on the web site)

___ ERB or equivalent document (used to verify DOB, GT, AFS, and ETS)

___ Transcripts enclosed if the applicant is claiming to have college credits

___ DA Form 160-R enclosed (ensure that you sign it and block 9a is checked)

___ DA Form 4989-R enclosed (aviator only, with commander's signature)

___ DA Form 6256 enclosed stating AFAST score of 90+ (aviator only)

___ Physical enclosed (Class-I Aviation - max age is 18 months for aviator, all others is 24 months)

___ Microfiche (Hard Copy documents are acceptable - should include minimum of all NCOERs and AERs)

___ Moral waiver request if required (as identified in blocks 26 on DA Form 61)

___ Age waiver request enclosed if required (max age is 29 for aviators, 36 for SF and 46 for all others)

___ Prerequisite waiver request enclosed if required (verify with MOS on web site)

___ AFS waiver request enclosed if required (12 years for all MOS)

___ Official photo or professional equivalent (if deployed, include a photo in desert BDUs)

Additional supporting documents:

___ MILPO letter or this checklist endorsed by PSB or S-1 is acceptable (validating soldier is not flagged or barred)

___ Conditional Release enclosed if you are not an active duty Army applicant

___ English credit document if required (250N, 251A, 254A, 420A, 920A, 920B, 921A, 922A, 923A)

___ TABE score document if required (880A, 881A)

___ Body fat worksheet enclosed (if required)

___ Mail Completed Application to:

HEADQUARTERS US ARMY RECRUITING COMMAND

ATTN RCRO-SM-A 1307 THIRD AVENUE

FORT KNOX KY 40121-2725

PSD/MPD personnel or the Battalion S-1 may complete this checklist and authenticate below in lieu of preparing

a separate endorsement. I certify that servicemember is not flagged and is eligible to apply for this program.

REVIEWER (printed name and title): _____________________________________________________

SIGNATURE: _________________________________________________ DATE: _________________

DSN PHONE #: _____________________________COMM PHONE #: __________________________

EMAIL: ______________________________________________________________________________

 

 

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