NGB Form 34-1 PDF Details

The Ngb 34 1 form serves as a comprehensive application for those seeking Active Guard/Reserve (AGR) positions, highlighting its significance in the process of determining applicant eligibility and qualifications. Drafted by ARNG-HRH and governed by directives including NGR (AR) 600-5 and ANGI 36-101, the form is integral for applicants to convey personal, educational, and military backgrounds meticulously. This structure not only aids in the administrative evaluation process but also ensures applicants understand the importance of transparency and accuracy in their submissions. Voluntary disclosure is emphasized, underscoring the form's role in facilitating the selection of qualified individuals for AGR roles, while also maintaining a strict privacy act statement to protect applicant information. The form's detailed sections—from personal information, education and special qualifications, employment history, to military history and personal background questionnaire—require a thorough and honest portrayal of the applicant’s qualifications and history, reflecting the rigorous standards expected of AGR position candidates. Additionally, the certification and authority for release information section underscores the form's legal implications, mandating honesty and completeness in all aspects of the application.

QuestionAnswer
Form Name Ngb 34 1 Form
Form Length 3 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 45 sec
Other names ngb 34 1, IMT-V1, ngb 34 1 fillable pdf, ent

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Page 1 of 3

APPLICATION FOR ACTIVE GUARD/RESERVE (AGR) POSITION

The proponent agency is ARNG-HRH. The prescribing directive is NGR (AR) 600-5 / ANGI 36-101

PRIVACY ACT STATEMENT

AUTHORITY: Title 32 USC 502(f), AR 135-18, NGR (AR) 600-5, ANGI 36-101.

PRINCIPAL PURPOSE: To provide information for use in determining eligibility/qualifications for Active Guard/Reserve (AGR) positions. A copy will be provided to the applicant. The original will be maintained by the human resources office for state records. For organizational use only.

ROUTINE USES: None.

DISCLOSURE: Voluntary; however, if not provided you will not be considered for the AGR program.

POSITION ANNOUNCEMENT #:

 

POSITION TITLE:

 

 

 

 

 

 

 

 

 

NAME: (Last, First, Middle)

 

 

 

 

DATE OF BIRTH: (yyyymmdd))

 

 

 

 

 

 

CURRENT HOME ADDRESS:

(Street, City, State, Zip Code)

 

 

HOME PHONE:

 

 

 

 

 

 

OFFICE PHONE:

 

 

 

 

 

 

(Enlisted)

DATE OF ENLISTMENT:

GRADE:

MOS/SSI/AFSC:

ETS DATE:

 

 

 

 

 

 

(Officer/WO)

DATE OF FEDERAL RECOGNITION:

GRADE:

BRANCH:

MRD DATE:

 

 

 

 

 

 

SECURITY CLEARANCE:

 

 

 

 

 

SECTION I - EDUCATION AND SPECIAL QUALIFICATIONS

1.COLLEGE OR UNIVERSITY: (Officer Applicants - Accredited Colleges only)

Name, City & State

Date From

Date To

Degree Program

Credit Hours Quarter/Semester

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chief Undergraduate Subject:

Chief Graduate Subject:

2.OTHER SCHOOLS OR TRAINING: (Vocational, Trade or Business)

Name, City & State

Date From

Date To

Course Title

Hours Completed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.SKILLS AND QUALIFICATIONS: Special skills and qualifications with office machines (Word Processing - WPM), wheel and track vehicles, etc. Also list any licenses or certificates held (Pilot, Nurse).

SECTION II - EMPLOYMENT HISTORY

May we contact your present employer regarding your character, qualification, and record of employment?

 

 

CHECK ONE:

YES

NO

(A "NO" answer will not affect your consideration for employment.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. NAME AND ADDRESS OF EMPLOYER:

 

DATES EMPLOYED

 

AVERAGE HRS. PER WEEK

 

 

FROM

TO

 

 

 

 

 

 

 

 

 

 

TITLE OF POSITION:

IMMEDIATE SUPERVISOR

& PHONE NUMBER:

 

NUMBER OF

EMPLOYEES YOU SUPERVISED:

 

 

 

 

 

 

 

 

TYPE OF BUSINESS:

YOUR REASON FOR LEAVING:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESCRIPTION OF WORK: (Describe your specific responsibilities and accomplishments)

NGB Form 34-1, 20131111

(PREVIOUS EDITONS ARE OBSOLETE.)

Page 1 of 3

 

 

 

 

 

 

 

 

Page 2 of 3

 

SECTION II - EMPLOYMENT HISTORY (Continued)

 

 

 

 

 

 

OTHER EMPLOYMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

May we contact WKLV employer regarding your character, qualification, and record of employment?

 

 

CHECK ONE:

YES

NO

(A "NO" answer will not affect your consideration for employment.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. NAME AND ADDRESS OF EMPLOYER:

 

DATES EMPLOYED

 

AVERAGE HRS. PER WEEK

 

 

 

 

 

 

 

 

 

 

FROM

 

TO

 

 

 

 

 

 

 

 

 

 

TITLE OF POSITION:

IMMEDIATE SUPERVISOR

& PHONE NUMBER:

 

 

NUMBER OF

EMPLOYEES YOU SUPERVISED:

 

 

 

 

 

 

 

 

 

TYPE OF BUSINESS:

YOUR REASON FOR LEAVING:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESCRIPTION OF WORK: (Describe your specific responsibilities and accomplishments)

S

SECTION III - MILITARY HISTORY

 

1.MILITARY SERVICE:(Start with most recent service and show changes in grade and duty in reverse chronological order.)

FROM

TO

AC

ARNG/ANG

RC

GRADE

ORGANIZATION

DUTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. MILITARY TRAINING:

FORMAL MILITARY SCHOOLING COMPLETED

COURSE TITLE AND NUMBER

DURATION OF COURSE

CORRESPONDENCE COURSES

 

WEEKS

DAYS

COURSE/SUBCOURSE TITLE

COURSE HOURS

 

3.MILITARY QUALIFICATIONS (List any primary MOS/SSI which has been awarded on orders.)

MOS/SSI/AFSC

DATE AWARDED INDICATE HOW QUALIFICATIONS WERE OBTAINED (Service School, On the Job Training, Civilian Experience, etc.)

4. INDICATE ANY ON THE JOB TRAINING WHICH IS QUALIFYING FOR AN MOS/SSI WHICH HAS NOT YET BEEN AWARDED ON ORDERS.

DUTY MOS/SSI/AFSC

EXACT TITLE OF POSITION

FROM

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NGB Form 34-1, 20131111

(PREVIOUS EDITONS ARE OBSOLETE.)

Page 2 of 3

Page 3 of 3

SECTION IV - PERSONAL BACKGROUND QUESTIONAIRE

(All Applicants Must Complete) Utilize the Continuation/Remarks section to fully explain any "YES" answers (except 9 & 10). YES NO Attach a seperate sheet of paper if more space is necessary.

1. Within the last five years, have you been fired for any reason?

2. Within the last five years, have you quit a job after being notified that you would be fired?

3. Have you ever been convicted, forfeited collateral, or now under charges for any felony or firearms or explosives offense against the law?

4.During the past seven years, have you been convicted, imprisoned, on probation or parole, or forfeited collateral or are you now under charges for any offense against the law not included in Question 3?

5. While in the military, have you ever been convicted by a General Court Martial?

6. Does the United States Government employ, in a civilian capacity or as a member of the Armed Forces, any relative of yours by blood or marriage?

7.Do you receive or are you entitled to receive federal, military retired or retainer pay, service annuities, or other compensation based upon military, federal, civilian service, or eligible for immediate federal civil service?

8. Have you ever been removed from military service due to unsuitability?

9.Will you be able to complete a minimum of 5 years of continuous AGR Service prior to completing 18 years of Active Federal Service or your Mandatory Removal Date (MRD)?

10.Are you a candidate for an elected office, holding a civil office (full or part-time) or engaged in partisan political activities as defined in

AR 600-20/ANGI 36-101/DoD Directive 1344.10, Political Activities by Members of the Armed Forces on Active Duty?

11.Have you been involuntarily removed from unit (Selected Reserve) service based on maximum years of service, qualitative retention or selective retention board action?

12.Have you been involuntarily removed from unit (Selected Reserve) service for cause or been relieved for cause from any duty assignment, including but not limited to relief from command in the past year?

13. Do you currently possess or is a report of suspension of favorable actions pending?

14. Have you voluntarily separated from the AGR Program in any state for one or more days within the past year? (ARNG Applicants Only) 15. Have you been voluntarily separated from the AGR Program or voluntarily separated in lieu of adverse action?

16.(OFFICERS AND WARRANT OFFICERS ONLY.) Have you been non-selected for promotion as not best qualified for promotion board convened by Headquarters, or Department of the Army Headquarters, within the past 12 months?

17. Have you met the minimum requirement for each fitness component by scoring an overall score of 75 points or higher, per AFI 36-2905.

SECTION V - CONTINUATION/REMARKS

Use the Continuation/Remarks section to fully explain any "YES" answers (except 9 & 10). Attach a seperate sheet of paper if more space is necessary.

SECTION VI - CERTIFICATIONS AND AUTHORITY FOR RELEASE INFORMATION

I have completed this application with the knowledge and understanding that any or all items contained herein may be subject to investigation. I consent to the release of information concerning my capacity and fitness by employer, educational institution, law enforcement agencies, and other individuals and agencies to personnel specialists for purpose of employment. I also understand that a false answer to any question in this application may be grounds for not being employed, or for being released after I begin work.

I certify that all of the statements made by me are true, complete, and correct to the best of my knowledge and belief and are made in good faith.

SIGNATURE:

DATE:

NGB Form 34-1, 20131111

(PREVIOUS EDITONS ARE OBSOLETE.)

Page 3 of 3

How to Edit NGB Form 34-1 Online for Free

It is quite simple to fill in the MRD. Our PDF tool was made to be easy-to-use and assist you to fill out any document easily. These are the four actions to take:

Step 1: Locate the button "Get Form Here" and press it.

Step 2: So, you're on the document editing page. You may add text, edit current information, highlight particular words or phrases, insert crosses or checks, add images, sign the template, erase unneeded fields, etc.

The PDF template you wish to create will include the following parts:

ngb empty spaces to fill out

Provide the demanded data in the field Chief Undergraduate Subject, Chief Graduate Subject, OTHER SCHOOLS OR TRAINING, Vocational Trade or Business, Name City State, Date From, Date To, Course Title, Hours Completed, SKILLS AND QUALIFICATIONS Special, SECTION II EMPLOYMENT HISTORY, May we contact your present, CHECK ONE, YES, and NAME AND ADDRESS OF EMPLOYER.

part 2 to finishing ngb

You'll need to insert particular particulars inside the area OTHER EMPLOYMENT, May we contact cidcidcidcid, CHECK ONE, YES, NOcid, cid NAME AND ADDRESS OF EMPLOYER, DATES EMPLOYED, AVERAGE HRS PER WEEK, TITLE OF POSITION, IMMEDIATE SUPERVISOR PHONE NUMBER, NUMBER OF EMPLOYEES YOU SUPERVISED, FROM, TYPE OF BUSINESS, YOUR REASON FOR LEAVING, and DESCRIPTION OF WORK Describe your.

step 3 to filling out ngb

The space MILITARY TRAINING FORMAL MILITARY, COURSE TITLE AND NUMBER, DURATION OF COURSE WEEKS, DAYS, CORRESPONDENCE COURSES, COURSESUBCOURSE TITLE, COURSE HOURS, MILITARY QUALIFICATIONS List any, MOSSSIAFSC, DATE AWARDED, and INDICATE HOW QUALIFICATIONS WERE is going to be where one can include all parties' rights and responsibilities.

Filling in ngb stage 4

End up by reading the following fields and completing them correspondingly: INDICATE ANY ON THE JOB TRAINING, DUTY MOSSSIAFSC, EXACT TITLE OF POSITION, FROM, NGB Form, PREVIOUS EDITONS ARE OBSOLETE, and Page of.

Finishing ngb stage 5

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