Ftngdos/fte Checklist
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1FTNGDOS/FTE CHECKLIST
FULL TIME NATIONAL GUARD DUTY FOR OPERATIONAL SUPPORT (FTNGDOS
FULL TIME NATIONAL GUARD DUTY MOBILIZATION AUGMENTEE (FTNGDMA)/FTE
32 USC §502(f)(2) IAW NGB POLICY MEMORANDUM #13-020 (FTNGDOS)
Name: __________________________________________
Last 4 SSN: ______________________Orders Type: _________________
E-Mail: _________________________________________
Duty Location: ______________________________________
The Soldier will not qualify for sanctuary as a result of the operational support order unless a waiver is applied for through ARNG-HRH and
approved by DARNG prior to the issuance of the order.
Is not currently serving on other ADOS/FTNGDOS orders that may cause the member to exceed 1,095 cumulative days (3 years) as a result
of this duty within the preceding 4 year window. - AGR end strength cap (as described by NGB Policy)
NOTE: Requires NGB waiver to exceed 1,095 days (3 years) of cumulative duty within a 1,460 day (4 year) window; days will not be
exceeded unless approval is gained by end date of current duty (Use DA Form 1058-1R for waiver requests). Exceeding 1,095 days will
require a General Officer letter of acknowledgement (see ARH #09-009).
Is not a Permanent Technician or AGR (Must attain waiver approved by the Adjutant General)
Is not currently serving on other FTNGDOS orders that will cause the member to exceed 2190 days (6yrs) as a result of this duty that would
qualify for separation pay.
Is not within 6 months of MRD/ETS on the report day of the tour, unless waived.
Must meet the medical retention standards IAW Chapter 3, AR 40-501.
Meets height and weight requirements in accordance with AR 600-9.
Is within commuting distance of the assigned duty station. – No paid PCS allowed.
If female, NEGATIVE pregnancy test within 15 days of order start date. Per AR 40-501 pregnancy is a disqualifying factor for entry on any
duty greater than 30 days and for tour renewals.
Human immune-deficiency virus (HIV) showing “green” in MODS (MEDPROS IMR).
Is not under a suspension of favorable personnel actions per AR 600-8-2, Suspension of Favorable Actions (flagged).
APPLICATION FORMS ( The following documents must be returned with this checklist unless noted where applicable)
1
TAGMA Form 102-10R, Signed off by Sub- Major Command (block 16)
FTNGDOS/FTNGD/MA/OS Checklist signed by the Applicant, Supervisor, Battalion, Program Manager and/or Hiring Official
DA Form 1058-R
NGB Form 1058-1R and GO Letter of Acknowledgement if over 1,095 rule
Retirement Points Accounting Statement NGB 23A (RPAS)
Current MEDPROS IMR with current PHA date, PULHES, and HIV (current within 2 years)
Applicant Personal Qualification Record (PQR) showing current home of record
DA Form 705 within 6-months of start (Used to validate HT/WT and flagging action IAW NGB Policy)
ATTRS Screen ( ONLY submitted for military schooling in excess of 15 days) and AFCOS Orders Query (for determining
separation pay)
Statement identifying family members receiving BAH. Per 37 USC §421. Only one Service member may receive BAH at the dependant
rate. Refer to Joint Travel Regulation Chapter 10 part B. for exceptions.
Security Clearance memorandum from CDR found at:
DA Form 1506 Computation of Length of Service for Pay purposes (if applicable)
“I understand that the position to which I am applying is temporary in nature and that it is against policy for anyone to offer or promise
full-time employment as a result of this temporary tour. Furthermore, I understand that funding is not available for PCS or TDY travel,
that I must reside within commuting distance of my assigned duty station, that I must exhaust any accrued leave (use or lose), and that
temporary employment can be terminated or may not be renewed due to funding.”
Applicant Signature: ______________________________________________
Date: __________
Supervisor Signature: _____________________________________________
Date: __________
Battalion AO Signature: ___________________________________________
Date: __________
Brigade AO Signature: ____________________________________________
Date: __________
Hiring Agency/Program Manager: ______________________
POC: ________________________
Phone: ________________
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