Form 35r - Virginia Defense Force Promotion Screen Board Report

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VIRGINIA DEFENSE FORCE
PROMOTION SCREEN BOARD REPORT
To: Headquarters_____________________________________________________________Virginia Defense Force
From: Personnel Screening Board, __________________________________________________________ VDF
Subject: Personnel Action Request for Appointment/Promotion
______________________________________________________________________________________________
(Last Name, First, M.I.)
(VDF ID No.)
(Current Rank)
(Unit)
We, the undersigned commissioned/non-commissioned officers being directed by Order #__________________
dated ___________, published by HQ, __________________VDF to serve as a screening board to review all personnel
action requests submitted within said command for the period _______________to _______________, state that after having
been duly sworn to execute this duty in an objective, fair, and impartial manner, make the following report:
A. (
) APPOINTMENT
We have interviewed the applicant and have reviewed all of the documentation of qualifications submitted as required
according to VDF Regulations 601-100 and 624-1 on ___________, 20_____, and hereby find the applicant:
QUALIFIED/RECOMMENDED
(
)
Recommend Rank ___________
UNQUALIFIED/NOT RECOMMENDED (
)
Reason for disqualification: ____________________________________________________________________________
B. (
) PROMOTION
We have examined and reviewed all of the documentation of Time in Grade, Time in Service, drill attendance,
recommendations and other required criteria according to VDF Reg Regulations 601-100 and 624-1,
on _____________, 20____, and hereby find this applicant:
QUALIFIED/RECOMMENDED
(
)
Recommend Rank ___________
UNQUALIFIED/NOT RECOMMENDED (
)
Reason for disqualification: ____________________________________________________________________________
We certify that the action taken upon the stated request was given all due consideration and study based upon all materials
submitted in the applicant’s package, and based upon all orders, instructions and published regulations in force at the time of
the review, as directed by Headquarters, George Washington Division, Virginia Defense Force, or TAGO-VA.
Additional remarks:
OFFICIAL USE ONLY:
1.
(P)_______________________________________________________ _______________________________
(Last Name, First, M.I.) (Rank) (VDF ID)
(UNIT)
(Signature)
2.
(M)_______________________________________________________ _______________________________
(Last Name, First, M.I.) (Rank) (VDF ID)
(UNIT)
(Signature)
3.
(M)_______________________________________________________ _______________________________
(Last Name, First, M.I.) (Rank) (VDF ID)
(UNIT)
(Signature)
4.
(M)_______________________________________________________ _______________________________
(Last Name, First, M.I.) (Rank) (VDF ID)
(UNIT)
(Signature)
VDF Form 35R (10AUG10)
Appendix H

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