Us Navy Application Form – Fill Out and Use This PDF

OPNAVINST 1420.1B 14 DEC 09

personnel and Selected Reserve (SELRES) personnel in their commands following the instructions in enclosure (1) unless specified.

5.Letters. The following documents are available from the Seaman to Admiral-21 (STA-21) Web site (https://www.sta- 21.navy.mil/): STA-21 Application Data Letter, Commanding Officer’s Recommendation Letter, Nomination Review Board Chairperson Recommendation Letter, Interview Verification Letter, STA-21 Application Checklist. (Samples of these documents can be found in chapter 8 of this instruction.)

6.Records Management. Records created as a result of this

instruction, regardless of media and format, shall be managed in accordance with Secretary of the Navy Manual 5210.1.

7.Forms

a.The following forms are available from the Department of Defense Forms Web site http://www.dtic.mil/whs/directives/infomgt/forms/formsprogram:

(1)DD 372 (Mar 2008) Verification of Birth.

(2)DD 1966/1 (Nov 2003) Record of Military Processing- Armed Forces of United States.

(3)DD 2807-1 (Mar 2007) Report of Medical History.

(4)DD 2808 (Oct 2005) Report of Medical Examination.

b.The following forms are available on Naval Forms OnLine https://navalforms.daps.dla.mil/web/public/home:

(1)OPNAV 1420/1 (Rev Jan 2008) Officer Programs Application (instructions for completing OPNAV 1420/1 are available in chapter 2 of enclosure (1)).

(2)OPNAV 5520/20 (Rev Oct 1979) Certificate of Personnel Security Investigation, Clearance and Access.

(3)NAVPERS 1070/10 Officer Photograph Submission Sheet.

(4)NAVPERS 1070/604 (Rev Mar 2005) Enlisted Qualifications History.

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OPNAVINST 1420.1B 14 DEC 09

(5)NAVPERS 1070/605 (rev Jul 2006) History of

Assignments.

(6)NAVPERS 1070/613 (Rev Jul 2006) Administrative Remarks (samples of completed NAVPERS 1070/613 can be found in sections 9 through 25 of chapter 8 of this instruction).

(7)NAVPERS 1070/621 (Rev Jan 2000) Agreement to Extend

Enlistment.

(8)NAVPERS 1070/622 (Rev Aug 2007) Agreement to Recall or Extend Active Duty.

(9)NAVPERS 1070/884 (Rev Oct 2006) Officer Photograph Submission Sheet.

(10)NAVPERS 1610/2 (Rev Mar 2002) Fitness Report and Counseling Record (E7-O6).

(11)NAVPERS 1616/25 (Rev Mar 2002) Evaluation Report and Counseling Record (E1-E6).

(12)NAVPERS 6110/2 (Rev Jan 98) Risk factor Screening Test Results.

(13)NAVCRUIT 1131/5 (Rev Aug 2007) Interviewer’s Appraisal Sheet.

c.The following forms are available on the COMNAVCRUITCOM http://www.cnrc.navy.mil/publications/forms.htm:

(1)NAVCRUIT 1131/104 (Rev Jan 2008) United States Navy Tattoo Screening Certificate.

(2)NAVCRUIT 1131/12 (Rev Oct 2006) Anthropometric Measurements.

d.The following forms are available on the GSA Forms Web

site http://www.gsa.gov/Portal/gsa/ep/formslibrary.do?formType=SF:

(1)SF 86 (Rev Sep 1995) Questionnaire for National Security Position.

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OPNAVINST 1420.1B

14 Dec 09

(2)SF 88 (Rev Oct 1994) Medical Record-Report of Medical

Examination.

(3)SF 93 (Rev Jun 1996) Re90rt of Medical History.

and !Education)

Distribution:

Electronic only via Department of the Navy Issuances Web site

http,lldoni . daps.dla.milll

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OPNAVINST 1420.1B 14 DEC 09

ENLISTED TO OFFICER

COMMISSIONING PROGRAMS

APPLICATION ADMINISTRATIVE

MANUAL

Enclosure (1)

OPNAVINST 1420.1B 14 DEC 09

TABLE OF CONTENTS

CHAPTER TITLE

1Introduction

2Officer Programs Application Instructions

3U.S. Naval Academy (USNA) and Naval Academy Preparatory School (NAPS) Programs

4Officer Candidate School (OCS) Program

5Medical Enlisted Commissioning Program (MECP)

6Medical Service Corps In-service Procurement Program (MSC IPP)

7Limited Duty Officer (LDO) and Chief Warrant Officer (CWO) Programs

8Seaman to Admiral-21 (STA-21) Program

APPENDIX TITLE

AUSNA Applicant Checklist and Supporting Documents

BNROTC Affiliated Universities by State

CChecklist for OCS and ODS Applicants

DChecklist for Medical Commissioning Program (MCP)_ Applicants

EChecklist for Medical Service Corps In-service Procurement Program (MSC IPP) Applicants

FChecklist for Limited Duty Officer (LDO)/Chief Warrant Officer (CWO) Applicants

GChecklist for Seaman to Admiral-21 (STA-21) Applicants

HOfficer Communities and Designators List

OPNAVINST 1420.1B 14 DEC 09

CHAPTER 1

INTRODUCTION

Purpose. To provide concise information on each commissioning program open to enlisted personnel. This introduction will be useful to the individual interested in officer programs as well as career counselors and other advisors or mentors in the chain of command. Additional chapters of this manual provide the specific eligibility criteria and must be carefully reviewed when applying for an officer program.

1.The U.S. Naval Academy (USNA) and Naval Academy Preparatory School (NAPS) (chapter 3).

a.General Information

(1)USNA, located in Annapolis, MD, offers an outstanding opportunity for qualified young men and women to embark on careers as officers in the Navy or Marine Corps. Students at USNA are midshipmen, U.S. Navy, receiving pay of a midshipmen plus tuition, room, and board. Candidates report to the USNA in late June or early July for Plebe Summer. The academic curriculum focuses primarily on technical fields of study such as engineering, math, and physics, which lead to appointments in the Unrestricted Line (URL) communities of the Navy including Surface Warfare, Submarines, Aviation, Special Warfare (SPECWAR) and Explosive Ordnance Disposal (EOD). A number of appointments in the U.S. Marine Corps are also offered to those qualified. A Bachelor of Science (B.S.) degree is awarded upon graduation. Graduates are commissioned as ensigns, U.S. Navy, or as second lieutenants, U.S. Marine Corps. The minimum service obligation is 5 years active duty and 3 years Individual Ready Reserve upon initial appointment as an officer.

(2)NAPS provides intensive instruction and preparation for the academic, military and physical training curricula at USNA. NAPS students are in an active duty enlisted status. The school convenes in July of each year and runs through May of the following year. NAPS is located on board Officer Training Command (OTC), Newport, RI. Upon successful completion of NAPS, appointments to USNA are offered and those who accept the appointment report in late June or early July with the incoming class.

OPNAVINST 1420.1B 14 DEC 09

(3)More information about USNA and NAPS can be obtained by visiting USNA’s Web site at www.usna.edu, or by contacting the fleet coordinator at (410) 293-1840/DSN 281.

b.Basic Eligibility Requirements. Applicants must be:

(1)Citizens of the United States. This cannot be

waived.

(2)Of good moral character and have no record of disciplinary action within 3 years prior to application.

(3)At least 17 years of age and must not have passed their 23rd birthday on Induction Day (the day midshipmen report to USNA and take their oath of office as midshipmen) of the year entering USNA. This is a statutory requirement and cannot be waived.

(4)Unmarried, not pregnant, and have no incurred obligations of parenthood.

(5)Physically qualified.

(6)Officially nominated from the Secretary of the Navy (SECNAV) or one of the many nomination sources available.

(7)Recommended by their CO.

c.Additional academic and program eligibility requirements, along with the application procedures, are specified in greater detail in chapter 3 of this manual.

2.Officer Candidate School (OCS) Program (chapter 4)

a.General Information

(1)OCS is an initial commissioning program for individuals possessing at least a baccalaureate degree from an accredited institution. Selectees for OCS may choose, depending upon individual qualifications, designators within the URL, Restricted Line (RL), and certain staff corps designators. Appendix H of this manual provides a description of the designators open to qualified candidates. OCS is a 12-week program of concentrated officer training and indoctrination located at OTC, Newport, RI.

OPNAVINST 1420.1B 14 DEC 09

(2)Enlisted applicants selected for the program that are in paygrade E4 or below are designated officer candidates and advanced to paygrade E5 upon reporting to OCS. Enlisted applicants in paygrade E5 and above are designated officer candidates in their present paygrades. Graduates of OCS are appointed as ensigns, U.S. Navy, and incur a minimum active duty obligation of 4 years. Certain designators incur greater minimum active duty obligation because of follow-on training required for that designator.

b. Basic Eligibility Requirements. Applicants must be:

(1)Citizens of the United States. This cannot be

waived.

(2)Of good moral character and have no record of disciplinary action within 3 years of application.

(3)Possess a baccalaureate degree or advanced degree from an accredited institution.

(4)At least 19 years old and meet designator specific age limitations, which are outlined in reference (p).

(5)Meet specific program qualifications and aptitude

scores.

(6)Physically qualified and meet two consecutive

“good-low” final Physical Readiness Test (PRT) scores prior to entry into the program.

(7)Recommended by their CO.

c.Application Deadline. Applications are accepted continuously throughout the year.

d.Additional academic and program eligibility requirements are specified in greater detail in chapter 4.

3.Medical Enlisted Commissioning Program (MECP) (chapter 5)

a.General Information

(1)MECP is a Nurse Corps (NC) commissioning opportunity. It provides a pathway for active duty enlisted personnel of all ratings, who possess some college credit, to obtain a baccalaureate degree in nursing and ultimately a commission in

OPNAVINST 1420.1B 14 DEC 09

the NC. This program is not intended to serve as a precursor to medical school, or for physical therapy, physician assistant, or other health care specialties.

(2)Selectees for the program will participate in a nationally accredited academic program leading to a baccalaureate degree in nursing. MECP students receive full pay and allowances for their enlisted paygrades and are eligible for advancement while in college. The student pays tuition, fees, books, and other expenses incurred while participating in MECP. If eligible, students may use the Veterans Educational Assistance Program (VEAP) or Montgomery Government Issue Bill (MGIB) educational benefits; however, students are not eligible for benefits under the tuition assistance program. The selectee may seek financial assistance from other sources.

(3)Selectees are required to complete degree requirements in not more than 36 consecutive calendar months and attend school on a full-time, year-round basis beginning in the fall of the year selected.

(4)Graduates from MECP are commissioned as ensigns, in the NC, U.S. Navy, and incur an 8-year military service obligation of which a minimum of 4 years must be served on active duty.

b.Basic Eligibility Requirements. Applicants must be:

(1)Citizens of the United States. This cannot be

waived.

(2)Of good moral character and have no record of disciplinary action within the 3 years prior to application.

(3)Serving on active duty in the U.S. Navy, U.S. Marine Corps, or U.S. Navy Reserve. Reservists on Active Duty for Special Work (ADSW), 1-, 2- or 3-year recalls and Canvasser Recruiters (CANREC) are not eligible for the program.

(4)Able to complete the nursing degree requirements and be commissioned prior to their 42nd birthday.

(5)A high school graduate or hold a General Equivalency Diploma (GED) and be scholastically qualified.