NGB FORM 594-1, 20100811 (EF) (IMT) ANNEX ______ DD FORM

ANNEX ______ DD FORM 4/DA FORM 4836
The proponent agency is NGB-ARH. The prescribing directive is the ARNG (FY) Enlistment Criteria Policy.
1. I hereby agree to amendment of my previous Agreement as follows and understand that:
a. I (am) (am not) required to complete basic training prior to enrollment in the Advanced ROTC Course.
b. I am required to apply for enrollment in the Advanced ROTC Course, if not already enrolled, within 1 year from the date of this Amendment.
c. Should I be a member of the USAR Control Group (ROTC), I will be discharged from the USAR Control Group (ROTC) and transferred for enlistment /
reenlistment in the ARNG.
d. Should I later be awarded an Army ROTC scholarship, which does not provide for Reserve Forces Duty (RFD), or is not a 2 year Junior Military College
Scholarship, I will be discharged from the ARNG and transferred for assignment to the USAR Control Group (ROTC) prior to acceptance of such scholarship.
e. I may not, when a commissioned officer, apply credits which stem from enlisted service performed concurrently with Advanced ROTC Course training toward
computation of length of service for any purpose.
f. I will volunteer for comissioning under the ROTC Early Commissioning Program if upon completion of the ROTC Advanced Course I am not scheduled to
receive, within 8 months, a baccalaureat degree.
g. Upon becoming a SMP participant, I must have 4 years remaining on my original or extended enlistment / reenlistment contract in the Selected Reserve from
date of enrollment in the SMP.
h. Unless I obtain a Guaranteed Reserve Forces Duty (GRFD) contract prior to enrollment in Advanced ROTC, I will serve with the ARNG after commissioning
until I obtain a baccalaureate degree. Upon obtaining the degree, I will then be selected for either Reserve Forces Duty or Extended Active Duty according to the
needs of the service. GRFD cadets with a dedicated ARNG scholarship, must serve their commitment in the ARNG.
2. Additional details of my participation in the SMP outlined in the remarks section.
3. My enlistment / reenlistment in the ARNG is for the purpose of directly participating in the Simultaneous Membership Program. As a participant in the SMP,
I understand that:
a. If I fail to apply for enrollment in the Advanced ROTC Course, as required I will:
Be deleted from the SMP
Be retained in the enlisted grade held prior to participation in the SMP
Be required to execute the terms of my enlistment / reenlistment agreement excluding this amendment, and
Complete Basic Training (BT) and Advanced Individual Training (AIT) if not previously completed.
b. If I apply for enrollment in the Advanced ROTC Course, but fail to be accepted, then I may:
(1) Elect deletion from the SMP in order to continue in an enlisted status as if I had failed to apply ro enrollment (para. 3a,above), or
(2) Elect discharge as a Reserve of the Army and as a member of the ARNG.
c. If I am enrolled in the Advanced ROTC Course and fail to volunteer for ECP, and as required, fail to accept a commission or fail to be tendered a commission,
then I will be deleted from the SMP and be required to continue in an enlisted status as if I had failed to apply for enrollment (para. 3a, above).
4. As a current ARNG member, my original enlistment / reenlistment agreement is to be held in abeyance in order that I may participate in the SMP. As a participant
in the SMP, I understand that a. Upon acceptance into SMP, I am not eligible to continue in the ARNG Incentive Program. (Refer to applicable Incentive agreements for Termination and
Recoupment terms)
b. If I am disenrolled from or I fail to complete the Advanced ROTC Course, or fail to be tendered a commission or accept a commission, or fail to volunteer for the
ROTC Early Commissioning Program, then provisions of para. 3a, above, apply.
NGB FORM 594-1, 20100811 (EF) (IMT)
Page 1 of 2
5. My acceptance into the SMP is based on my desire to volunteer for the program which requires enlisted status for eligibility.
6. I certify that I have carefully read and understand this document. Any questions I had were explained to my satisfaction. I fully understand that only those
agreements in Section A and __________ of this document, or those recorded and acknowledged by me, will be honored. Any other promise, representation, or
commitment made to me for the Simultaneous Membership Program is written in my handwriting, or here waived. (If none, write "NONE").
(Include brief description of any recorded document other than this agreement.)
Typed Name and Grade of Unit Commander:
Commander Signature & Date:
Typed Name of Applicant:
Applicant Signature & Date:
Unit Name and Address (For which enlisted):
(Include Officer Trainee Position Paragraph and Line Number):
NGB FORM 594-1, 20100811 (EF) (IMT)
Page 2 of 2