Fillable Printable Application For Full Time National Guard Duty - Counterdrug
Fillable Printable Application For Full Time National Guard Duty - Counterdrug
Application For Full Time National Guard Duty - Counterdrug
CDTF Form 10-8
Page 1
NEW YORK COUNTERDRUG TASK FORCE
Application for Full Time National Guard Duty -
Counterdrug
Announcement Number
Position
Last Name
First Name
MI
Present Address
City State Zip Code
Home Phone Work Phone
Rank
Army Air Force SSN
DOB
Unit
of
Assignment
Section
Unit Location (City) Unit Phone
Primary MOS/AFSC
MOS/AFSC Description
Security Clearance Type/Date PEBD ETS Date
Receiving VA Disability: Y N Open LOD: Y N
Date of Most Recent Military Physical Examination
Total Years of Active Federal Service
Current Status: AGR Tech ADOS M-day
Have you ever worked for CD before? Y N If Yes, When:
You must sign this application. Read the following carefully before you sign.
Personnel Data Privacy Act of 1974 (5 USC 552). This information is used to determine the qualification of persons applying to
voluntarily participate on the Counterdrug Task Force (CDTF). Disclosure is voluntary, however, failure to disclose the requested
information may result in the application being rejected.
Full Time National Guard Duty – Counterdrug (FTNGD-CD) personnel are required to attend unit scheduled IDT’s/UTA’s and 15 days
of Annual Training with their assigned National Guard unit. (Applicants initials )
I understand and agree that any inform
ation provided by me may be investigated as allowed by law. I certify by my
signature that to the best of my knowledge and belief, all of the information on this application is true and complete. I
understand that if selected for employment with the CDTF, I will participate in a drug testing program and undergo a
background investigation. Some assignments also require additional background checks. I understand any false statements
made on this application could lead to non-selection or dismissal from the CDTF.
Signature of Applicant Date
CDTF Form 10-8
Page 2
1.
N
Are you available to work flexible schedules/hours (to include weekends, nights, and TDY travel) Y N
If
no, explain
2.
Fluent
in
other
languages?
Y
N
If
yes,
which
one(s):
3.
N
Have you ever been convicted of, or plea bargained any crime, offense or violation? Y
If yes, please
explain
4.
Are
you
now
facing
legal
action
for
any
offense
or
violation?
(Not
including
traffic violations) Y N
If Yes, Please
explain
5.
Have you ever filed for bankruptcy? Y
If yes, please explain
6.
Are are a US Citizen, Y
N
If you are not a US Citizen, please provide the following.
Place you entered the United States
Country
of
Citizenship
Alien Registration Number
N
7.
Do you have a valid drivers license? Y
N
Unit Representitive or Commander’s Recommendation for
Employment
with the New York
Counterdrug Task Force
(CDT
F)
Name
Personnel on duty with the CDTF are held to high standards based on program requirements and internal policies. Service members
must meet physical fitness and weight control standards, have no disciplinary flags (or unfavorable information file) and receive the
unreserved recommendation of their
unit commander. Please personally certify the following requirements individually:
Rank Unit Unit Phone #
Service member does does not have negative disciplinary actions pending. Certifying Initials
Service member’s current ETS date is
Personnel employed by the CDTF are required to attend 15 days of annual training and all unit training assemblies each
year. Personnel who fail to m
aintain staisfactory attendance should be immediately reported to the CDTF.
Requests for additional annual training days are not automatic and are limited to exceptional cases. Detailed coordination
between the unit commander and the CDTF must be done well in advance.
Extended active duty (EAD) is a privilege not a right. By endorsing below, you are verifying that the individual is a member in good
standing of your unit and consistently participates in drills and annual training. You are giving the member your personal
recommendation for extended active duty. Due to the high visibility and the unique mission of the CDTF we strive to ensure the
highest caliber of soldiers and airmen are employed to represent the New York National Guard.
I recommend this member for CDTF
I do not recommend this member for CDTF
The point of contact regarding this issue is the CDTF Personnel Office at 518-344-3478 or [email protected]
Task Force, ATTN: Personnel (J1)
Authorized Signature
Printed Name, Title and Rank
Date Phone number
Notification of Re sults
NY Counterdrug Full-Time National Guard Duty
PART I - TO BE COMPLETED BY APPLICANT
Position Applying For:_______________________Closing Date:____________________
Full Name: ___________________________________________________________
Mailing Address:___________________________________________________________
__________________________________________________________
Email Add
ress: ___________________________________________________________
I am presently a member of:
NY Army National Guard
NY Air National Guard
Not a member of the New York National Guard
Other______________________
* When submitting documents **Ensure all attachments are uploaded into 1 Attachement only.
DA Form 705 or AF Fitness Results Last two assessments. (If selected for postions, APFT must be current within 6 months of
starting
on orders.
NGB Form 23B (RPAS) (Army) vMPF printout with Point Summary PCARS (Air)
Resume of Civilian and Military Skills
MEDPROS Copy of Medical Protection System Assessment and Individual Readiness (IMR) statusor Airman's Preventive Health
Assessment (If selected PHA must be within 1 year, HIV must be current within 2 Years of start of order)
Three most recent NCOER's / EPR (If applicable)
PART II - TO BE COMPLETED BY J1
You have been selected to fill the position. You will be advised by the selecting official when to report.
Another applicant has been selected to fill the position.
You were rated ineligible/not qualified due to:
Not a current member of the NY National Guard
Over 17 1/2 years federal active service
Failed to provide the necessary documentation (must be current) as annotated:
CD Form 10-8 completed in its entirety (with unit Rep's signature)
DA 705/AF Fitness Results (Last 2)
NCOERs / EPR's (Army) (Last 3)
RPAS/ (Army ) or vMPF w/points PCARS (Air)
Resume
Security Clearance (if applicable)
MEDPROS/IMR
Other:_____________________
Declined
James G Peck Jr, SSG, NYARNG ,
NCOIC Personnel and Administration
NY Counterdrug Task Force
CD Form 10-8, Application for FTNG-CD Position
Verification of Security Clearance (if applicable)
