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ARMY National Guard Warrant Officer Predetermination Checklist Applicant’s Name: MOS: _________ Updated: 01 MAR 17 PREDETERMINATION PACKET: All documents should be legible, single-sided, and in the following order: CCWO Letter of Recommendation (include request for prerequisite waivers) (USAREC Form 3.3) Senior Warrant Officer Letter of Recommendation (USAREC Form 3.3) with email address and phone number Company Commander Letter of Recommendation (or applicable Company Grade UCMJ authority (USAREC Form 3.3) with email address, phone number and the following required statement : “I CERTIFY THAT (NAME &_RANK) SUCCESSFULLY PASSED THE ARMY PHYSICAL FITNESS TEST CONSISTING OF PUSH-UPS, SIT-UPS AND THE TWO MILE RUN WITH A SCORE OF (SCORE) ON (DATE); THE VERIFIED HEIGHT IS (FEET & INCHES) AND THE VERIFIED WEIGHT IS (LBS).” Battalion Commander Letter of Recommendation (or applicable Field Grade UCMJ authority) (USAREC Form 3.3) with email address and phone number Resume (USAREC Form 3.2) (Summary, Signature and date signed must be included) ERB/ORB (Certified within 6 months of submisison include most recent NCOES/OES level. No board brief) Evaluations (All NCOERs/OERs and all AERs (1059s) in order newest to oldest) Security clearance memorandum (Minimum Interim Secret/Interim Top Secret based on WO MOS) Other/Supporting Documentation: Other MOS required documents including (Appraisals, Civilian Evaluations, Portfolios, DD214s, Awards) English credit document – if required TABE (Test of Adult Basic Education) score document – if required Request for Prerequisite Waiver from Soldier - if applicable REQUIRED: This section is to be completed and authenticated by the Warrant Officer Strength Manager (WOSM) CERTIFYING OFFICIAL (printed name and title): SIGNATURE: DATE: DSN PHONE #: COMM PHONE# EMAIL OPTIONAL: This section may be completed authenticated/reviewed by the Command Chief Warrant Officer (CCWO) REVIEWER(printed name and title): SIGNATURE *Not all WO MOS require college credits or a degree; however, if applicant has either, it is strongly encouraged to submit. See WWW.GOWARRANTNOW.COM for current requirements College Transcript(s)* if applicable Copies of Professional Certificates (Licenses or Certificates issued to Engineers, Mechanics, etc GT score verification/REDD report ( Sister Service Applicants and Education Office retests) DA Form 7434-Application for US Army Marine Certification (880A, 881A)

ARMY National Guard Warrant Officer … National Guard Warrant Officer Predetermination Checklist ... SUCCESSFULLY PASSED THE ARMY PHYSICAL FITNESS TEST CONSISTING OF PUSH-UPS,

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ARMY National Guard Warrant Officer Predetermination Checklist

Applicant’s Name:

MOS: _________ Updated: 01 MAR 17

PREDETERMINATION PACKET: All documents should be legible, single-sided, and in the following order:

CCWO Letter of Recommendation (include request for prerequisite waivers) (USAREC Form 3.3)

Senior Warrant Officer Letter of Recommendation (USAREC Form 3.3) with email address and phone number

Company Commander Letter of Recommendation (or applicable Company Grade UCMJ authority (USAREC Form 3.3) with email address, phone number and the following required statement :

“I CERTIFY THAT (NAME &_RANK) SUCCESSFULLY PASSED THE ARMY PHYSICAL FITNESS TEST CONSISTING OF PUSH-UPS, SIT-UPS AND THE TWO MILE RUN WITH A SCORE OF (SCORE) ON (DATE); THE VERIFIED HEIGHT IS (FEET & INCHES) AND THE VERIFIED WEIGHT IS (LBS).”

Battalion Commander Letter of Recommendation (or applicable Field Grade UCMJ authority) (USAREC Form 3.3) with email address and phone number

Resume (USAREC Form 3.2) (Summary, Signature and date signed must be included)

ERB/ORB (Certified within 6 months of submisison include most recent NCOES/OES level. No board brief)

Evaluations (All NCOERs/OERs and all AERs (1059s) in order newest to oldest)

Security clearance memorandum (Minimum Interim Secret/Interim Top Secret based on WO MOS)

Other/Supporting Documentation:

Other MOS required documents including (Appraisals, Civilian Evaluations, Portfolios, DD214s, Awards)

English credit document – if required

TABE (Test of Adult Basic Education) score document – if required

Request for Prerequisite Waiver from Soldier - if applicable

REQUIRED: This section is to be completed and authenticated by the Warrant Officer Strength Manager (WOSM)

CERTIFYING OFFICIAL (printed name and title): SIGNATURE: DATE: DSN PHONE #: COMM PHONE# EMAIL

OPTIONAL: This section may be completed authenticated/reviewed by the Command Chief Warrant Officer (CCWO) REVIEWER(printed name and title): SIGNATURE

*Not all WO MOS require college credits or a degree; however, if applicant has either, it is strongly encouraged to submit.See WWW.GOWARRANTNOW.COM for current requirements

College Transcript(s)* if applicable

Copies of Professional Certificates (Licenses or Certificates issued to Engineers, Mechanics, etc

GT score verification/REDD report ( Sister Service Applicants and Education Office retests)

DA Form 7434-Application for US Army Marine Certification (880A, 881A)

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