MEMORANDUM FOR SEE DISTRIBUTION - United States Army
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SAMPLE PACKETMDW Sergeant Audie Murphy BoardEnclosures:CSM Nomination Worksheet1SG Performance TestRecommendation LetterBiographical Fact SheetDA 705 and DA Form 5500/01 DA 5790-R- Weapons Qualification(Body Fat content when applicable)7. Enlisted Records Brief (With color photo)8.DD 2266 Home Town News Release Department of the Army appropriate letterheadDate MEMORANDUM FOR SAMC Selection BoardSUBJECT: Sergeant Audie Murphy Club Nomination and WorksheetNAME: ________________________SSN:_______________RANK: ___ PMOS: ___ SMOS:DATE: ________ UNIT:__________________________________________DUTY PHONE:______MONTHS AT PRESENT JOB:DUTY POSITION AND DATE ASSIGNED:__________________________ _______________________________________________________TIME IN SERVICE:_____ ETS:_________CIVILIAN EDUCATION:_____ MILITARY EDUCATION:_____________ ________________________________________________________________ SECURITY CLEARANCE:________ NO. PERSONS SUPERVISED: CSM NameCSM, USACommand Sergeant Major Department of the Army appropriate letterhead DateMEMORANDUM FOR SAMC Selection BoardSUBJECT: SAMC Performance Test1. The following performance test results are submitted for review.NAME:______________ SSN:__________________ UNIT: ______________ DOR: ______ DOB: ________ETS:_____PMOS:___ NCOES: ________NUMBER OF SOLDIERS SUPV:AWARDS AND DECORATIONS:_______________________________PERSONAL PERFORMANCE ACHIEVEMENTS:______________________________APFT: _____________ WEAPON QUAL:______Candidate has never received an Art. 15 as aN NCo._____(Initial)SUBORDINATE PERFORMANCE ACHIEVEMENTS:___________________________________________________________________________________________________________________ Section APFT Average: ________The following information concerning discipline of subordinates is provided:AWOL #: UCMJ #: DUI #:(Candidate Print & Sign)1SG Signature Block ___________________ 1SG, USA Department of the Army appropriate letterhead Department of the Army appropriate letterheadDate MEMORANDUM FOR RECORDSUBJECT: Sergeant Audie Murphy Club Recommendation for Staff Sergeant XXXXXX1. It is with gratitude and great honor that I recommend SSG xxxx for induction into the prestigious Sergeant Audie Murphy Club. SSG xxxx is a highly skilled Non-Commissioned Officer who embodies the auspicious spirit of Sergeant Audie Murphy himself. SSG xxxx has consistently operated in positions of great responsibility and sought ways to improve the organization, while working for the betterment of the Soldiers in it. 2. SSG xxxx is an outstanding Leader that I can count on without hesitation to take the appropriate actions in the absences of orders. Once SSG xxxx is given a task, I can rest assured the task will be met with outstanding results. He is extremely dedicated to the mission and always places the units, his Soldiers and Army’s needs above his own. He is a valuable asset to the community, always willing to lend a helping hand. 3. SSG xxxx personifies the Army physical standards and always has a personal appearance worthy of emulation. SSG xxxx is an energetic and conscientious NCO who has proven himself as a top performer by being selected as the Group NCO of the Quarter for all four quarters as well as the Group NCO of the Year. He is also extremely dedicated to the professional development of Soldiers, and was directly responsible for shaping and grooming the Soldier who was selected as the Group Soldier of the Year, and also promoted from Specialist to Sergeant. 4. SSG xxxx embodies the four NCO Philosophies: loyalty, discipline, professionalism, and caring that the Sergeant Audie Murphy Club was built upon. I have no reservations that this outstanding NCO will serve as a Sergeant Audie Murphy Club as an ambassador and mentor for the rest of his military career and beyond. 5. The point of contact for this memorandum is the undersigned at 703-xxx-xxxxEXAMPLE R. SMITHCPT, MICommandingBIOGRAPHICAL SKETCH (EXAMPLE)NAME: RANK: DATE OF RANK: DATE OF BIRTH/PLACE OF BIRTH: DATE JOINED ARMY: CIVILIAN EDUCATION:MILITARY EDUCATION: (example format)1997 Basic Combat Training, Fort Leonard Wood, MO1997 Combat Medic Course, Fort Sam Houston, TX2000 Warrior Leaders Course, 7th Army NCO Academy, GE2001 Respiratory Therapist Course, Fort Sam Houston, TX2002 Air Assault Course, Fort Polk, LA2004 Battle Staff Non-Commissioned Officer Course, Fort McCoy, WI2004 Advanced Leaders Course, Fort Sam Houston, TX2005 Basic Airborne Course, Fort Benning, GA2006 Senior Leaders Course, Fort Sam Houston, TXASSIGNMENTS: (example format)1998 2001 2003 2003 Platoon Sergeant2004 S-3 Schools NCO2005 Shift Leader2006 NCOIC, FAMILY: Husband, John Doe, Daughter(2yrs) Jane Doe.AWARDS AND DECORATIONS: (example format)Meritorious Service Medal (1), Army Commendation Medal (2), Army Achievement Medal (4), Good Conduct Medal (3), Global War on Terrorism Service Medal, National Defense Service Medal, Overseas Ribbon, NCO development ribbon with numeral 3, Airborne badge, Air Assault badgeGOALS:Long Term:Short Term:INSERT HERE DA 705 ANDDA 5500-R/ DA 5501-RINSERT HERE DA FORM 5790-RWEAPONS QUALIFICATIONINSERT A COPY OF THE ENLISTED RECORDS BRIEF WITH COLOR PHOTOHOMETOWN NEWS RELEASE INFORMATION1. PAO CODEPRINT OR TYPE - SEND ORIGINAL ONLYFOR RELEASING PUBLIC AFFAIRS OFFICE USE ONLY2. YOUR SOCIAL SECURITY NUMBER (For identification only)PRIVACY ACT STATEMENTAUTHORITY: 5 U.S.C. 301, 10 U.S.C. 8012 and 8034, and EO 9397.PRINCIPAL PURPOSE: To prepare news stories and news releases for distribution and publication by civilian news media to recognize the achievements of Armyand Air Force members. In accordance with the 1974 Privacy Act, you are hereby informed that your Social Security Number on this form is required foridentification use only.ROUTINE USE: Information may be disclosed to civilian news media representatives. Once published, information is considered "Public Domain."DISCLOSURE : Information collected on this form is released over your signature and is voluntary. If you have no objection to the information being released tohometown audiences, sign your name below. Failure to provide the information may mean little or no public news release material can be produced, thusdenying the individual public recognition for personal achievements.3. BRANCH OF SERVICE4. STATUS5. RANK6. PAY GRADE7. FIRST NAME, MIDDLE INITIAL, LAST NAME8. SEXARMYAIR FORCE NAVYMARINE CORPSCOAST GUARDACTIVE RESERVE NATIONALGUARDCIVILIAN9. EVENT (Example: Arrival; Promoted to Sergeant; Received Commendation Medal, etc.- Citation Needed)10. YOUR LIVING PARENTS, STEPPARENTS, GUARDIANS, AUNT/UNCLE/GRANDPARENTS OR ADULT SIBLINGSa.(1) FIRST NAME, MIDDLE INITIAL, LAST NAME(2) RELATIONSHIP TO YOU(3) ADDRESS (Number and Street)(4) CITY(5) STATE(6) ZIP CODEb.(1) FIRST NAME, MIDDLE INITIAL, LAST NAME(2) RELATIONSHIP TO YOU(3) ADDRESS (Number and Street)(4) CITY(5) STATE(6) ZIP CODE11. SPOUSE'S NAME (First, Middle Initial, Last)12. SPOUSE'S LIVING FATHER a. FIRST NAME, MIDDLE INITIAL, LAST NAMEb. ADDRESS (Number and Street)c. CITYd. STATEe. ZIP CODE13. SPOUSE'S LIVING MOTHER a. FIRST NAME, MIDDLE INITIAL, LAST NAMEb. ADDRESS (Number and Street)c. CITYd. STATEe. ZIP CODE14.a. YOUR PRESENT UNIT OF ASSIGNMENT(Do not abbreviate)b. POST OR BASE (Not APO)c. CITYd. STATE OR COUNTRY15. DUTY MOS OR AFSC16. PRESENT JOB TITLE (Full Title - Do not abbreviate)17. TOTAL YEARS MILITARY SERVICE18.a. HIGH SCHOOL GRADUATED FROMb. YEAR GRADUATEDc. CITYd. STATEe. ZIP CODE19. COLLEGES GRADUATED FROMa. COMPLETE NAMEb. DEGREEc. YEAR GRADUATEDd. CITYe. STATEf. ZIP CODE20. REMARKS (Continue on back if necessary)21. SIGNATURE OF PERSON LISTED ABOVE (Authorizing release of this information)22. DATE (YYMMDD)23. DUTY PHONE(DSN or area code) DD FORM 2266, JUN ‘95 ................
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