Dd Form 2863 - National Call To Service Election Of Options

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NATIONAL CALL TO SERVICE (NCS)
ELECTION OF OPTIONS
PRIVACY ACT STATEMENT
AUTHORITY: Section 510, Title 10, U.S. Code.
PRINCIPAL PURPOSE(S): To document the understanding of members about their enlistment under the National Call to Service
program and document a member's incentive election under this program.
ROUTINE USE(S): This form becomes a part of the Service's Enlisted Master File and Field Personnel File. All uses of the form are
internal to the relevant Service.
DISCLOSURE: Voluntary; however, failure to furnish personal identification information may negate the enlistment application.
1. ENLISTEE IDENTIFICATION DATA
a. NAME (Last, First, Middle)
b. SOCIAL SECURITY NUMBER
c. DATE OF ENLISTMENT (YYYYMMDD)
d. SERVICE
2. SERVICE COMMITMENT
I am enlisting in the United States
this date
(list branch of service)
under the provisions of the National Call to Service program.
I understand that with this enlistment, I incur a total eight-year military service obligation (MSO). This MSO will normally consist of
three phases:
(1) Fifteen (15) months of active duty following completion of initial entry training (to include skill training); followed by
(2) Reenlistment/extension on active duty of at least 24 months, or two (2) years of service in the Selected Reserve;
followed by
(3) Remainder of MSO in either:
- Active Duty,
- Selected Reserve,
- Individual Ready Reserve,
- Other National Service program - AmeriCorps (Subtitle C), AmeriCorps *VISTA and AmeriCorps *NCCC, or other
domestic national service program,
- Any combination of the above.
I understand that I may reenlist/extend (if otherwise eligible) while serving in the active duty phase of the program. An active duty
reenlistment/extension of two (2) years or more will fulfill the Selected Reserve phase of the MSO.
3. INCENTIVE ELECTION
I understand that as a participant in the National Call to Service program, I am entitled to receive an incentive to be awarded as
described below. Entitlement to the incentive is contingent on completion of the active duty phase of the service commitment. I
further understand that this selection of incentive is irrevocable.
I select the following incentive
:
(initial one of the following)
a. A bonus in the amount of $5,000 to be paid at the completion of active duty or reenlistment/extension on active
duty.
$
b. Repayment of my eligible student loans up to a maximum of
at the completion of active
duty or reenlistment/extension on active duty.
c. Educational allowance for twelve (12) months at the rate applicable to participants in the Montgomery GI Bill
under Section 3015(a)(1), 38 USC. May start to use this benefit at any time after completion of active duty
or reenlistment/extension on active duty.
d. Educational allowance for thirty-six (36) months at 50% of the rate applicable to participants in the Montgomery
GI Bill under Section 3015(b)(1), 38 USC. May start to use this benefit at any time after completion of active
duty or reenlistment/extension on active duty.
4. CERTIFICATION AND ACCEPTANCE
I certify that I have carefully read this document and understand the provisions of the National Call to Service program.
I have selected my enlistment incentive. I understand that the selection of enlistment incentive is irrevocable. I further understand
that acceptance of this enlistment incentive requires me to complete the entire 8-year MSO as outlined in
section 2 above. Except as specifically provided for in implementing regulations, failure to complete the MSO will result in
discontinuation of any unpaid incentive and/or recoupment of a previously paid incentive.
a. SIGNATURE OF ENLISTEE
b. DATE SIGNED (YYYYMMDD)
DD FORM 2863, APR 2006
PREVIOUS EDITION IS OBSOLETE.
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