Dd Form 2366 PDF Details

When service members set foot into their journey with the military, one of the critical steps they undergo involves making decisions about their future education. Central to this process is the DD Form 2366, the Montgomery GI Bill Act of 1984 (MGIB) document. This form serves as the foundational piece that records a service member's choice regarding participation in the MGIB, framing their access to educational benefits designed to support their post-service academic goals. The form outlines the responsibility of new recruits to decide on their MGIB participation within 14 days of entering service, ensuring they are informed about their eligibility for either the Montgomery GI Bill benefits or options like Loan Repayment and various College Fund benefits. Not only does it highlight the importance of understanding the offerings, but it also acts as a binding agreement that records a one-time waiver option, should the member choose not to partake in the MGIB entitlements. Additionally, the document is pivotal during separation processing, ensuring that service members are aware of their benefit status upon reenlisting or exiting active duty. Each section of the form, from personal identification to consent signatures, is meticulously designed to safeguard the service member's educational rights and benefits, outlining the steps for eligibility validation through the coordination of the Department of Defense and the Department of Veterans Affairs. Through detailed instructions and comprehensive breakdowns of the service-unique education assistance options and disenrollment statements, DD Form 2366 encapsulates a crucial step in managing the educational benefits that honor the service and sacrifice of military personnel.

QuestionAnswer
Form NameDd Form 2366
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdisenroll, servicemember, MGIB, DVA

Form Preview Example

M ONTGOM ERY GI BILL ACT OF 1 9 8 4 (M GIB)

GENERAL INSTRUCTIONS

PURPOSE: The DD Form 2366 provides an of f icial record of each Service Member' s decision regarding part icipat ion in t he

Mont gomery GI Bill (MGIB) program. It is also used t o ensure

t hat t he member underst ands his/her Mont gomery GI educat ional ent it lement s. College f und benef it s must be list ed on t he of f icial cont ract .

RESPONSIBILITIES AND PROCEDURES

In-Processing. By law , t he DD Form 2366 (Mont gomery GI Bill Act of 1984 (MGIB) must be complet ed and signed by new recruit s w it hin 14 days af t er ent ering t he Service. The complet ed

DDForm 2366 is t he of f icial record of t he member' s decision and becomes a part of his/her permanent personnel record. Each Service Member is t o be inf ormed of his/her eligibilit y f or eit her

t he Mont gomery GI Bill benef it s or eligibilit y f or Loan Repayment and t he Army College Fund (ACF), Navy College Fund (NCF) benef it s or t he Marine Corps College Fund (MCCF). Each member is provided a one-t ime opport unit y t o w aive his/her Mont gomery GI Bill ent it lement . Except ions are Involunt ary Separat ees under PL 101 -510 and Sect ion 561, and Volunt ary Separat ees in accordance w it h PL 102 -484, Sect ion 4404 .

Separation Processing. Milit ary personnel counselors w ill review

DDForm 2366 w it h each member reenlist ing or separat ing f rom act ive dut y t o ensure t hat he/she underst ands t he st at us of his/her eligibilit y and specif ic benef it s. Each member w ill be provided a copy of his/her DD Form 2366 upon separat ion.

Validation of Entitlement. In coordinat ion w it h t he Depart ment of Def ense, t he Depart ment of Vet erans Af f airs independent ly validat es a member' s ent it lement w hen t he member enrolls in an educat ional inst it ut ion.

ITEM 1 . SERVICE M EM BER

a.Name. Print LAST, First , Middle Init ial (and maiden name, if any), Jr., Sr., III, et c.

Examples: (a) SMITH, John R. Jr., (b) JOHNSON, Mary L. (BROWN)

b.Social Security Number (SSN). Ent er t he 9 digit s in t he appropriat e block.

ITEM 2 . STATEM ENT OF UNDERSTANDING

a. Academy/ROTC Scholarship Graduates. To be complet ed f or Service academy and ROTC scholarship graduat e w ho is eligible f or Mont gomery GI Bill benef it s.

(1)Service Member Signat ure. Obt ain signat ure of Academy and ROTC graduat e.

(2)Rank/Grade. Ent er Rank f irst and Grade last .

Example: PVT/E-1

(3)Dat e Signed. Ent er dat e as f ollow s: YYYYMMDD. Example: 20000615

b.Prior Service M ember. To be complet ed by f ormer Service Member.

(1)Service Member Signat ure. Obt ain signat ure of Service Member.

(2)Rank/Grade. Ent er Rank f irst and Grade last . Example: PVT/E-1

(3)Dat e Signed. Ent er dat e as f ollow s: YYYYMMDD. Example: 20000615

ITEM 2 . STATEM ENT OF UNDERSTANDING (Cont inued)

c. All Other Service M embers. Counselor w ill explain all it ems in t his block t o Service member. Service member w ill ensure t hat he/she underst ands all 13 it ems.

(a)Service Member Signat ure. Obt ain signat ure of Service Member.

(b)Rank/Grade. Ent er Rank f irst and Grade last .

Example: PVT/E-1

(c)Dat e Signed. Ent er dat e as f ollow s: YYYYMMDD. Example: 20000615

ITEM 3 . SERVICE UNIQUE EDUCATION ASSISTANCE OPTIONS.

If applicable, ent er t he specif ic Army College Fund, Navy College Fund, Marine Corps College Fund (MCCF), or Loan Repayment Enlist ment Opt ion: include pert inent t erm of service, reserve obligat ion, and milit ary skill inf ormat ion; ref erence ot her relevant enlist ment cont ract appendices. Ensure t hat Service member underst ands prerequisit e requirement s and benef it s. This block should include t he appropriat e enlist ment cont ract f orm number. Service member must be made aw are t hat t he DD Form 2366 is not an enlist ment cont ract .

ITEM 4 . STATEM ENT OF DISENROLLM ENT.

Service counselor w ill ensure t he Service member f ully underst ands t he St at ement of Disenrollment .

a.Date Signed. Ent er dat e as f ollow s: YYYYMMDD. Example: 20000615

b.Rank/Grade. Ent er Rank f irst and Grade last . Example: PVT/E-1

c.Service M ember Signature. Obt ain signat ure of Service member only if he/she elect s t o f orego his/her benef it s. Service counselor w ill ensure t hat t he member f ully underst ands t he consequences of his/her decision.

ITEM 5 . WITNESSING OFFICIAL. Self -explanat ory.

a.Typed or Printed Name. Print LAST, First , Middle Init ial (and maiden name, if any), Jr., Sr., III, et c.

Examples: (a) SMITH, John R. Jr.; (b) JOHNSON, Mary L. (BROWN)

b.Rank/Grade. Ent er Rank f irst and Grade last .

Example: SFC/E-7 or GS 7

c.Signature. Obt ain signat ure of w it nessing of f icial.

d.Date Signed. Ent er dat e as f ollow s: YYYYMMDD. Example: 20000615

COPY DESIGNATIONS: COPY 1 - INSTRUCTIONS

COPY 2 - OFFICIAL M ILITARY/M ASTER FILE COPY 3 - PERSONNEL FILE/SERVICE RECORD COPY 4 - FINANCE

COPY 5 - M EM BER

DD FORM 2 3 6 6 , APR 2 0 0 0

COPY 1 - INSTRUCTIONS

M ONTGOM ERY GI BILL ACT OF 1 9 8 4 (M GIB)

(Chapt er 30, Tit le 38, U.S. Code)

PRIVACY ACT STATEM ENT

AUTHORITY: Chapt er 30, Tit le 38, US Code, Sect ions 3011, 3012, 3018A, and 3018B; and EO 9397 .

PRINCIPAL PURPOSE(S): To est ablish eligibilit y t o part icipat e in t he Mont gomery GI Bill Act of 1984 .

ROUTINE USE(S): Inf ormat ion w ill be used as a resource document indicat ing part icipat ion st at us of each servicemember in t he Mont gomery GI Bill benef it s program. Det erminat ion of part icipat ion st at us or eligibilit y w ill involve comput er mat ching bet w een t he Depart ment of Def ense and t he Depart ment of Vet erans Af f airs using inf ormat ion f rom t his document .

DISCLOSURE: Volunt ary; how ever, f ailure t o provide t he Social Securit y Number and ot her personal inf ormat ion may delay processing of t his f orm and may result in t he respondent being aut omat ically enrolled in t he MGIB.

1 . SERVICE M EM BER (Print )

a. NAM E (LAST, First , Middle Init ial)

b. SOCIAL SECURITY NUM BER (SSN)

2 . STATEM ENT OF UNDERSTANDING

a.ACADEM Y/ROTC SCHOLARSHIP GRADUATES

I am NOT eligible f or t he MGIB because I am a Service Academy graduat e/Reserve Of f icers' Training Corps (ROTC) scholarship graduat e.

(1) SERVICE MEMBER SIGNATURE

(2) RANK/GRADE

(3) DATE SIGNED (YYYYMMDD)

b.PRIOR SERVICE M EM BER

I am NOT eligible f or t he MGIB based upon t his enlist ment because t his is not my init ial ent ry on act ive dut y.

(1) SERVICE MEMBER SIGNATURE

(2) RANK/GRADE

(3) DATE SIGNED (YYYYMMDD)

c.ALL OTHER SERVICE M EM BERS

(1)I am eligible f or t he MGIB based on my init ial ent ry on act ive dut y af t er June 30, 1985 .

(2)I underst and t hat I am aut omat ically enrolled unless I exercise t he opt ion t o disenroll by signing It em 4 below by t he dat e designat ed by my Services.

(3)I underst and t hat UNLESS I DISENROLL f rom t he MGIB, my basic pay w ill be reduced $ 100 per mont h or t he current mont hly rat e f or EACH of t he f irst 12 f ull mont hs of act ive dut y and t his basic pay reduct ion CANNOT be REFUNDED, SUSPENDED OR STOPPED.

(4)I must complet e 36 mont hs of act ive dut y service bef ore I am ent it led t o t he current rat e of mont hly benef it s f or a period of 36 mont hs.

(5)If my obligat ion is less t han 36 mont hs, I underst and t hat I must complet e 24 mont hs of act ive dut y t o receive t he current rat e of mont hly benef it s f or a period of 36 mont hs.

(6)I must complet e 24 mont hs of act ive dut y service and must join and serve honorably in t he Select ed Reserve f or a minimum of 48 mont hs in order t o receive t he current rat e of mont hly benef it s f or members w ho complet ed 36 mont hs of service.

(7)If a non-high school graduat e, I must complet e all high school diploma (or equivalency) requirement s bef ore complet ing my init ial enlist ment ; or if on act ive dut y August 2, 1990, prior t o Oct ober 28, 1994 .

(8)I must use t he MGIB w it hin 10 years of release/discharge f rom act ive dut y or complet ion of Select ed Reserve obligat ion if qualif ying under paragraph (6).

(9)I must receive an HONORABLE discharge f or service est ablishing ent it lement t o t he MGIB.

(10)I may use benef it s in-service af t er 24 mont hs of act ive dut y. Benef it s are limit ed t o t he cost of t uit ion and f ees or t he amount of assist ance aut horized, w hichever is less.

(11)If I die w hile on act ive dut y, or w it hin one year af t er discharge or release f rom act ive dut y if service relat ed, my designat ed

benef iciary(ies)w ill receive t he unused balance of t he money reduced f rom my basic pay f or t he MGIB. This deat h benef it w ill be paid by t he Depart ment of Vet erans Af f airs (DVA).

(12)I cannot receive any combinat ion of DVA benef it s in excess of 48 mont hs and if I have received 12 mont hs or more of benef it s under any ot her VA program, my MGIB benef it s w ill be appropriat ely adjust ed.

(13)My qualif ying period of act ive dut y service w ill not ent it le me t o bot h act ive dut y MGIB and Select ed Reserve MGIB benef its.

(a) SERVICE MEMBER SIGNATURE

(b) RANK/GRADE

(c) DATE SIGNED (YYYYMMDD)

3 . SERVICE UNIQUE EDUCATION ASSISTANCE OPTIONS

4 . STATEM ENT OF DISENROLLM ENT

I DO NOT desire t o part icipat e in t he MGIB. I underst and t hat I WILL NOT be able t o enroll at a lat er dat e.

a. DATE SIGNED (YYYYMMDD)

b. RANK/GRADE

c. SERVICE M EM BER SIGNATURE

a. TYPED OR PRINTED NAM E (LAST, First , Middle Init ial)

5 . WITNESSING OFFICIAL

b. RANK/GRADE c. SIGNATURE

d.DATE SIGNED

(YYYYMMDD)

DD FORM 2 3 6 6 , APR 2 0 0 0

PREVIOUS EDITION MAY BE USED.

COPY 2 - OFFICIAL M ILITARY/M ASTER FILE

M ONTGOM ERY GI BILL ACT OF 1 9 8 4 (M GIB)

(Chapt er 30, Tit le 38, U.S. Code)

PRIVACY ACT STATEM ENT

AUTHORITY: Chapt er 30, Tit le 38, US Code, Sect ions 3011, 3012, 3018A, and 3018B; and EO 9397 .

PRINCIPAL PURPOSE(S): To est ablish eligibilit y t o part icipat e in t he Mont gomery GI Bill Act of 1984 .

ROUTINE USE(S): Inf ormat ion w ill be used as a resource document indicat ing part icipat ion st at us of each servicemember in t he Mont gomery GI Bill benef it s program. Det erminat ion of part icipat ion st at us or eligibilit y w ill involve comput er mat ching bet w een t he Depart ment of Def ense and t he Depart ment of Vet erans Af f airs using inf ormat ion f rom t his document .

DISCLOSURE: Volunt ary; how ever, f ailure t o provide t he Social Securit y Number and ot her personal inf ormat ion may delay processing of t his f orm and may result in t he respondent being aut omat ically enrolled in t he MGIB.

1 . SERVICE M EM BER (Print )

a. NAM E (LAST, First , Middle Init ial)

b. SOCIAL SECURITY NUM BER (SSN)

2 . STATEM ENT OF UNDERSTANDING

a.ACADEM Y/ROTC SCHOLARSHIP GRADUATES

I am NOT eligible f or t he MGIB because I am a Service Academy graduat e/Reserve Of f icers' Training Corps (ROTC) scholarship graduat e.

(1) SERVICE MEMBER SIGNATURE

(2) RANK/GRADE

(3) DATE SIGNED (YYYYMMDD)

b.PRIOR SERVICE M EM BER

I am NOT eligible f or t he MGIB based upon t his enlist ment because t his is not my init ial ent ry on act ive dut y.

(1) SERVICE MEMBER SIGNATURE

(2) RANK/GRADE

(3) DATE SIGNED (YYYYMMDD)

c.ALL OTHER SERVICE M EM BERS

(1)I am eligible f or t he MGIB based on my init ial ent ry on act ive dut y af t er June 30, 1985 .

(2)I underst and t hat I am aut omat ically enrolled unless I exercise t he opt ion t o disenroll by signing It em 4 below by t he dat e designat ed by my Services.

(3)I underst and t hat UNLESS I DISENROLL f rom t he MGIB, my basic pay w ill be reduced $ 100 per mont h or t he current mont hly rat e f or EACH of t he f irst 12 f ull mont hs of act ive dut y and t his basic pay reduct ion CANNOT be REFUNDED, SUSPENDED OR STOPPED.

(4)I must complet e 36 mont hs of act ive dut y service bef ore I am ent it led t o t he current rat e of mont hly benef it s f or a period of 36 mont hs.

(5)If my obligat ion is less t han 36 mont hs, I underst and t hat I must complet e 24 mont hs of act ive dut y t o receive t he current rat e of mont hly benef it s f or a period of 36 mont hs.

(6)I must complet e 24 mont hs of act ive dut y service and must join and serve honorably in t he Select ed Reserve f or a minimum of 48 mont hs in order t o receive t he current rat e of mont hly benef it s f or members w ho complet ed 36 mont hs of service.

(7)If a non-high school graduat e, I must complet e all high school diploma (or equivalency) requirement s bef ore complet ing my init ial enlist ment ; or if on act ive dut y August 2, 1990, prior t o Oct ober 28, 1994 .

(8)I must use t he MGIB w it hin 10 years of release/discharge f rom act ive dut y or complet ion of Select ed Reserve obligat ion if qualif ying under paragraph (6).

(9)I must receive an HONORABLE discharge f or service est ablishing ent it lement t o t he MGIB.

(10)I may use benef it s in-service af t er 24 mont hs of act ive dut y. Benef it s are limit ed t o t he cost of t uit ion and f ees or t he amount of assist ance aut horized, w hichever is less.

(11)If I die w hile on act ive dut y, or w it hin one year af t er discharge or release f rom act ive dut y if service relat ed, my designat ed

benef iciary(ies)w ill receive t he unused balance of t he money reduced f rom my basic pay f or t he MGIB. This deat h benef it w ill be paid by t he Depart ment of Vet erans Af f airs (DVA).

(12)I cannot receive any combinat ion of DVA benef it s in excess of 48 mont hs and if I have received 12 mont hs or more of benef it s under any ot her VA program, my MGIB benef it s w ill be appropriat ely adjust ed.

(13)My qualif ying period of act ive dut y service w ill not ent it le me t o bot h act ive dut y MGIB and Select ed Reserve MGIB benef its.

(a) SERVICE MEMBER SIGNATURE

(b) RANK/GRADE

(c) DATE SIGNED (YYYYMMDD)

3 . SERVICE UNIQUE EDUCATION ASSISTANCE OPTIONS

4 . STATEM ENT OF DISENROLLM ENT

I DO NOT desire t o part icipat e in t he MGIB. I underst and t hat I WILL NOT be able t o enroll at a lat er dat e.

a. DATE SIGNED (YYYYMMDD)

b. RANK/GRADE

c. SERVICE M EM BER SIGNATURE

a. TYPED OR PRINTED NAM E (LAST, First , Middle Init ial)

5 . WITNESSING OFFICIAL

b. RANK/GRADE c. SIGNATURE

d.DATE SIGNED

(YYYYMMDD)

DD FORM 2 3 6 6 , APR 2 0 0 0

PREVIOUS EDITION MAY BE USED. COPY 3 - PERSONNEL FILE/SERVICE RECORD

M ONTGOM ERY GI BILL ACT OF 1 9 8 4 (M GIB)

(Chapt er 30, Tit le 38, U.S. Code)

PRIVACY ACT STATEM ENT

AUTHORITY: Chapt er 30, Tit le 38, US Code, Sect ions 3011, 3012, 3018A, and 3018B; and EO 9397 .

PRINCIPAL PURPOSE(S): To est ablish eligibilit y t o part icipat e in t he Mont gomery GI Bill Act of 1984 .

ROUTINE USE(S): Inf ormat ion w ill be used as a resource document indicat ing part icipat ion st at us of each servicemember in t he Mont gomery GI Bill benef it s program. Det erminat ion of part icipat ion st at us or eligibilit y w ill involve comput er mat ching bet w een t he Depart ment of Def ense and t he Depart ment of Vet erans Af f airs using inf ormat ion f rom t his document .

DISCLOSURE: Volunt ary; how ever, f ailure t o provide t he Social Securit y Number and ot her personal inf ormat ion may delay processing of t his f orm and may result in t he respondent being aut omat ically enrolled in t he MGIB.

1 . SERVICE M EM BER (Print )

a. NAM E (LAST, First , Middle Init ial)

b. SOCIAL SECURITY NUM BER (SSN)

2 . STATEM ENT OF UNDERSTANDING

a.ACADEM Y/ROTC SCHOLARSHIP GRADUATES

I am NOT eligible f or t he MGIB because I am a Service Academy graduat e/Reserve Of f icers' Training Corps (ROTC) scholarship graduat e.

(1) SERVICE MEMBER SIGNATURE

(2) RANK/GRADE

(3) DATE SIGNED (YYYYMMDD)

b.PRIOR SERVICE M EM BER

I am NOT eligible f or t he MGIB based upon t his enlist ment because t his is not my init ial ent ry on act ive dut y.

(1) SERVICE MEMBER SIGNATURE

(2) RANK/GRADE

(3) DATE SIGNED (YYYYMMDD)

c.ALL OTHER SERVICE M EM BERS

(1)I am eligible f or t he MGIB based on my init ial ent ry on act ive dut y af t er June 30, 1985 .

(2)I underst and t hat I am aut omat ically enrolled unless I exercise t he opt ion t o disenroll by signing It em 4 below by t he dat e designat ed by my Services.

(3)I underst and t hat UNLESS I DISENROLL f rom t he MGIB, my basic pay w ill be reduced $ 100 per mont h or t he current mont hly rat e f or EACH of t he f irst 12 f ull mont hs of act ive dut y and t his basic pay reduct ion CANNOT be REFUNDED, SUSPENDED OR STOPPED.

(4)I must complet e 36 mont hs of act ive dut y service bef ore I am ent it led t o t he current rat e of mont hly benef it s f or a period of 36 mont hs.

(5)If my obligat ion is less t han 36 mont hs, I underst and t hat I must complet e 24 mont hs of act ive dut y t o receive t he current rat e of mont hly benef it s f or a period of 36 mont hs.

(6)I must complet e 24 mont hs of act ive dut y service and must join and serve honorably in t he Select ed Reserve f or a minimum of 48 mont hs in order t o receive t he current rat e of mont hly benef it s f or members w ho complet ed 36 mont hs of service.

(7)If a non-high school graduat e, I must complet e all high school diploma (or equivalency) requirement s bef ore complet ing my init ial enlist ment ; or if on act ive dut y August 2, 1990, prior t o Oct ober 28, 1994 .

(8)I must use t he MGIB w it hin 10 years of release/discharge f rom act ive dut y or complet ion of Select ed Reserve obligat ion if qualif ying under paragraph (6).

(9)I must receive an HONORABLE discharge f or service est ablishing ent it lement t o t he MGIB.

(10)I may use benef it s in-service af t er 24 mont hs of act ive dut y. Benef it s are limit ed t o t he cost of t uit ion and f ees or t he amount of assist ance aut horized, w hichever is less.

(11)If I die w hile on act ive dut y, or w it hin one year af t er discharge or release f rom act ive dut y if service relat ed, my designat ed

benef iciary(ies)w ill receive t he unused balance of t he money reduced f rom my basic pay f or t he MGIB. This deat h benef it w ill be paid by t he Depart ment of Vet erans Af f airs (DVA).

(12)I cannot receive any combinat ion of DVA benef it s in excess of 48 mont hs and if I have received 12 mont hs or more of benef it s under any ot her VA program, my MGIB benef it s w ill be appropriat ely adjust ed.

(13)My qualif ying period of act ive dut y service w ill not ent it le me t o bot h act ive dut y MGIB and Select ed Reserve MGIB benef its.

(a) SERVICE MEMBER SIGNATURE

(b) RANK/GRADE

(c) DATE SIGNED (YYYYMMDD)

3 . SERVICE UNIQUE EDUCATION ASSISTANCE OPTIONS

4 . STATEM ENT OF DISENROLLM ENT

I DO NOT desire t o part icipat e in t he MGIB. I underst and t hat I WILL NOT be able t o enroll at a lat er dat e.

a. DATE SIGNED (YYYYMMDD)

b. RANK/GRADE

c. SERVICE M EM BER SIGNATURE

a. TYPED OR PRINTED NAM E (LAST, First , Middle Init ial)

5 . WITNESSING OFFICIAL

b. RANK/GRADE c. SIGNATURE

d.DATE SIGNED

(YYYYMMDD)

DD FORM 2 3 6 6 , APR 2 0 0 0

PREVIOUS EDITION MAY BE USED.

COPY 4 - FINANCE

M ONTGOM ERY GI BILL ACT OF 1 9 8 4 (M GIB)

(Chapt er 30, Tit le 38, U.S. Code)

PRIVACY ACT STATEM ENT

AUTHORITY: Chapt er 30, Tit le 38, US Code, Sect ions 3011, 3012, 3018A, and 3018B; and EO 9397 .

PRINCIPAL PURPOSE(S): To est ablish eligibilit y t o part icipat e in t he Mont gomery GI Bill Act of 1984 .

ROUTINE USE(S): Inf ormat ion w ill be used as a resource document indicat ing part icipat ion st at us of each servicemember in t he Mont gomery GI Bill benef it s program. Det erminat ion of part icipat ion st at us or eligibilit y w ill involve comput er mat ching bet w een t he Depart ment of Def ense and t he Depart ment of Vet erans Af f airs using inf ormat ion f rom t his document .

DISCLOSURE: Volunt ary; how ever, f ailure t o provide t he Social Securit y Number and ot her personal inf ormat ion may delay processing of t his f orm and may result in t he respondent being aut omat ically enrolled in t he MGIB.

1 . SERVICE M EM BER (Print )

a. NAM E (LAST, First , Middle Init ial)

b. SOCIAL SECURITY NUM BER (SSN)

2 . STATEM ENT OF UNDERSTANDING

a.ACADEM Y/ROTC SCHOLARSHIP GRADUATES

I am NOT eligible f or t he MGIB because I am a Service Academy graduat e/Reserve Of f icers' Training Corps (ROTC) scholarship graduat e.

(1) SERVICE MEMBER SIGNATURE

(2) RANK/GRADE

(3) DATE SIGNED (YYYYMMDD)

b.PRIOR SERVICE M EM BER

I am NOT eligible f or t he MGIB based upon t his enlist ment because t his is not my init ial ent ry on act ive dut y.

(1) SERVICE MEMBER SIGNATURE

(2) RANK/GRADE

(3) DATE SIGNED (YYYYMMDD)

c.ALL OTHER SERVICE M EM BERS

(1)I am eligible f or t he MGIB based on my init ial ent ry on act ive dut y af t er June 30, 1985 .

(2)I underst and t hat I am aut omat ically enrolled unless I exercise t he opt ion t o disenroll by signing It em 4 below by t he dat e designat ed by my Services.

(3)I underst and t hat UNLESS I DISENROLL f rom t he MGIB, my basic pay w ill be reduced $ 100 per mont h or t he current mont hly rat e f or EACH of t he f irst 12 f ull mont hs of act ive dut y and t his basic pay reduct ion CANNOT be REFUNDED, SUSPENDED OR STOPPED.

(4)I must complet e 36 mont hs of act ive dut y service bef ore I am ent it led t o t he current rat e of mont hly benef it s f or a period of 36 mont hs.

(5)If my obligat ion is less t han 36 mont hs, I underst and t hat I must complet e 24 mont hs of act ive dut y t o receive t he current rat e of mont hly benef it s f or a period of 36 mont hs.

(6)I must complet e 24 mont hs of act ive dut y service and must join and serve honorably in t he Select ed Reserve f or a minimum of 48 mont hs in order t o receive t he current rat e of mont hly benef it s f or members w ho complet ed 36 mont hs of service.

(7)If a non-high school graduat e, I must complet e all high school diploma (or equivalency) requirement s bef ore complet ing my init ial enlist ment ; or if on act ive dut y August 2, 1990, prior t o Oct ober 28, 1994 .

(8)I must use t he MGIB w it hin 10 years of release/discharge f rom act ive dut y or complet ion of Select ed Reserve obligat ion if qualif ying under paragraph (6).

(9)I must receive an HONORABLE discharge f or service est ablishing ent it lement t o t he MGIB.

(10)I may use benef it s in-service af t er 24 mont hs of act ive dut y. Benef it s are limit ed t o t he cost of t uit ion and f ees or t he amount of assist ance aut horized, w hichever is less.

(11)If I die w hile on act ive dut y, or w it hin one year af t er discharge or release f rom act ive dut y if service relat ed, my designat ed

benef iciary(ies)w ill receive t he unused balance of t he money reduced f rom my basic pay f or t he MGIB. This deat h benef it w ill be paid by t he Depart ment of Vet erans Af f airs (DVA).

(12)I cannot receive any combinat ion of DVA benef it s in excess of 48 mont hs and if I have received 12 mont hs or more of benef it s under any ot her VA program, my MGIB benef it s w ill be appropriat ely adjust ed.

(13)My qualif ying period of act ive dut y service w ill not ent it le me t o bot h act ive dut y MGIB and Select ed Reserve MGIB benef its.

(a) SERVICE MEMBER SIGNATURE

(b) RANK/GRADE

(c) DATE SIGNED (YYYYMMDD)

3 . SERVICE UNIQUE EDUCATION ASSISTANCE OPTIONS

4 . STATEM ENT OF DISENROLLM ENT

I DO NOT desire t o part icipat e in t he MGIB. I underst and t hat I WILL NOT be able t o enroll at a lat er dat e.

a. DATE SIGNED (YYYYMMDD)

b. RANK/GRADE

c. SERVICE M EM BER SIGNATURE

a. TYPED OR PRINTED NAM E (LAST, First , Middle Init ial)

5 . WITNESSING OFFICIAL

b. RANK/GRADE c. SIGNATURE

d.DATE SIGNED

(YYYYMMDD)

DD FORM 2 3 6 6 , APR 2 0 0 0

PREVIOUS EDITION MAY BE USED.

COPY 5 - M EM BER

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2000 conclusion process detailed (stage 1)

2. After the last array of fields is done, you should add the essential details in a SERVICE MEMBER SIGNATURE, b RANKGRADE, c DATE SIGNED YYYYMMDD, SERVICE UNIQUE EDUCATION, I DO NOT desire to participate in, a DATE SIGNED YYYYMMDD, b RANKGRADE, c SERVICE MEMBER SIGNATURE, STATEMENT OF DISENROLLMENT, a TYPED OR PRINTED NAME LAST First, b RANKGRADE, c SIGNATURE, CERTIFYING OFFICIAL, d DATE SIGNED YYYYMMDD, and DD FORM APR so you can proceed to the next stage.

Stage # 2 in completing 2000

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