Thank you for your interest in the Arm the NOSC Recall Program.

Use the format below when applying for a definite recall position.

*** INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED ***

For your reference, links to some of the required enclosures are provided here:

(2) NAVPERS 1306/92 (Rev. 12-03), Special Program Screening Form

(3) NAVPERS 1306/7 (Enlisted Personnel Action Request)

(4) DD Form 2808 (Report of Medical Examination)

(5) DD Form 2807 (Report of Medical History)

(6) Individual Medical Readiness (IMR)

(8) Physical Readiness Information Management System (PRIMS)

DD MMM YYYY

From:RANK First M. Last, USNR, XXX-XX-1234

To:Commander, Navy Personnel Command (PERS-92)

Via:(1) Reserve Unit CO/OIC (First Endorsement)

(2) NRA/NOSC CO (Second Endorsement)

SUBJ:APPLICATION FOR TEMPORARY RECALL FORARMING THE NOSC PROGRAM DUTY ICO (RANK/NAME)

Ref:(a) MILPERSMAN1320-155

Encl:(1)Command Endorsement from Current CO

(2)NAVPERS 1306/92 (Rev. 12-03), Special Program Screening Form

(3) NAVPERS 1306/7 (Enlisted Personnel Action Request)

(4) DD Form 2808 (Report of Medical Examination)

(5) DD Form 2807 (Report of Medical History)

(6) Copy of members Individual Medical Readiness (IMR) Status

(7) Civilian/Military Resume emphasizing Security and Law Enforcement experience

(8)Physical Readiness Information Management System (PRIMS) printout for the last 4 years

(9) Last 4 observed performance evaluations

(X) ATFP Program Manager or NOSC Armed WatchstanderEnclosures (as required by position being applied for)

1. I hereby apply for recall to subject billet. Enclosures (1) through (X) are provided in support of this application and the following notes apply:

  1. I currently hold the following NEC(s):
  1. I will have / will not(circle one) have accrued 16 years or more of active duty service by the billet fill date indicated for this opportunity.
  1. I have been on the following types of active duty orders within the last 5 years: (describe the duration, start and end dates, and type of any active duty orders you have been on including mobilization, definite recall, CANREC, ADT, ADSW).

______

______

  1. I do / do not(circle one) desire a household goods (HHG) move in conjunction with this recall.
  1. I am / am not (circle one) a member of the Individual Ready Reserve (IRR).

2. [Statements about your qualifications for the position].

3. In addition, I make the following certifications:

  1. I certify I have a current Navy Physical Examination in my medical record and that I have no medical condition or legal status that would otherwise preclude my recall to active duty.
  1. I am / am not(circle one) currently identified for involuntary mobilization.
  1. I am / am not(circle one) on the current the Ready Mobilization Pool (RMP) list.

4. I understand that if I am selected for this recall opportunity, my orders to active duty may not be extended at the conclusion of such orders.

5. I understand that if selected and offered orders pursuant to this application, my execution of those orders constitute an active duty agreement under Title 10 United States Code Section 12311 and my early release from active duty may be subject to the process and remedies under the same title, Section 12312.

6. If selected for this recall, I agree to initiate my separation physical examination at least 90 days prior to my expected release from active duty date.

[Signature]

F. M. LAST

Additional enclosures required for application as ATFP Program Manager:

(10)UpdatedMilitaryBiography

(11) ApplicableNEC CertificatesorRecordofQualifications (AT Level II,NSFO,TRASUP,SAMI,etc.)

Additional enclosures required for application as NOSC Armed Watchstander:

(10)Lautenberg Amendment Screening Form (Within 12 months, signed prior to Small Arms Qualification)

(11)OPNAV 5530/1 AA&E Screening form. (Within 12 months, screened prior to Small Arms Qualification)

(12)Oleoresin Capsicum (OC) certification within 3 years

(13)Record of Non-Lethal Weapon refresher training completion (Certificate/FLTMPS) within 12 months

(14)OPNAV/3591 Navy Handgun Qualification Course (NHQC) for M9 pistol with passing score of 180 or better within 12 months

(15)OPNAV/3591 Handgun Practical Weapons Course (HPWC) for M9 pistol with passing score of 12 or better within 12 months

(16) OPNAV/3591 Handgun Lowlight Course (HLC) for M9 pistol with passing score of 12 or better within 12 months

(17)OPNAV/3591 Navy M500 Qualification Course (SPWC) for M500 with passing score of Qual within 12 months

(18) NAVEDTRA 43466-D PQS for 301 M9, 305 M500, and 322 Clearing Barrel Supervisor Watchstations (Cover/FLTMPS)

(19) MA “A” School graduation certificate attached or documentation in FLTMPS (Post Sep-2006 graduates only)

OR….

Security Reaction Force – Basic (SRF-B) completion certificate(s) or documentation in FLTMPS. CIN(s) required are either (A-830-0018), or both (A-830-2216) and (A-830-2217)