DA Form 591 Application for Initial (Educational) Delay From Entry on Active Duty and Supplemental Agreement

DA Form 591 or the "Application For Initial (educational) Delay From Entry On Active Duty And Supplemental Agreement" is a Department of the Army-issued form used by and within the United States Military.

The form - often incorrectly referred to as the DD form 591 - was last revised on October 1, 1985. Download an up-to-date fillable DA Form 591 down below in PDF-format or look it up on the Army Publishing Directorate website.

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APPLICATION FOR INITIAL (EDUCATIONAL) DELAY FROM ENTRY ON ACTIVE DUTY AND SUPPLEMENTAL
AGREEMENT
For use of this form, see AR 601-25; the proponent agency is the Office of the Deputy Chief of Staff for Personnel.
DATA REQUIRED BY THE PRIVACY ACT
AUTHORITY:
50 USC App 456(d)(1); 10 USC 275.
PRINCIPAL PURPOSES:
Used to grant initial delay from entry on active duty or active duty for training to ROTC cadets. Delays are
granted in 1-year increments and must be renewed annually.
ROUTINE USES:
Information is used to record periods of delay for ROTC students enrolled in graduate studies.
Information is also used for planning purposes and to schedule delayed officer for initial active duty or
active duty for training. The SSN is used to identify the individual.
DISCLOSURE:
Completing the form is mandatory. Individuals who do not complete the form or similar letter request are
not delayed from entry on active duty or active duty for training.
1. TO:
PART I - PERSONAL DATA (To be completed by applicant)
SECTION A - APPLICANT IDENTIFICATION
2. NAME (Last, first, middle initial)
3. SOCIAL SECURITY NO.
4. PERMANENT HOME ADDRESS (Street, city, state, and ZIP Code)
5. CURRENT MAILING ADDRESS (Street, city, state, and ZIP code)
TELEPHONE NUMBER:
TELEPHONE NUMBER:
6. CURRENTLY PARTICIPATING IN ROTC
SCHOLARSHIP
NONSCHOLARSHIP PROGRAM FOR
YEARS
(Check one)
(Enter 2,3,4, or 5)
7. SELECTED FOR REGULAR ARMY APPOINTMENT
YES
NO
SECTION B - EDUCATION
a. NAME AND LOCATION OF COLLEGE OR UNIVERSITY
8.
UNDER-
GRADUATE
STUDY
d. GRADUATION WAS OR WILL BE
b. MAJOR SUBJECT
c. DEGREE
(Month & year)
a. NAME AND LOCATION OF COLLEGE OR UNIVERSITY
9.
GRADUATE
STUDY
b. MAJOR SUBJECT
c. DEGREE OBJECTIVE
MA or MS
PHD
OTHER (Specify)
SECTION C - DELAY INFORMATION
10. DELAY WILL BEGIN (Month & Year)
11. DELAY WILL END (Month & Year)
12. DEGREE SHOULD BE AWARDED (Month & Year)
13. DATE AVAILABLE FOR ACTIVE DUTY (Month & Year)
14. I agree to the conditions shown on the reverse of this form (Part III) and in the attached supplemental
agreement
.
(DA Form Number)
(Signature of Applicant)
(Date Signed)
PART II - ENROLLMENT VERIFICATION (To be completed by a school official)
15. I hereby certify that the above named applicant is (or will be) enrolled in this institution to pursue full-time graduate study
leading to a
degree in the field of
.
(Type)
(Subject discipline)
The applicant (check appropriate block)
is enrolled
has been accepted for enrollment
will be accepted
for enrollment if he/she has acceptable grades and the required academic hours on the date he/she applies.
Provided he/she made suitable academic progress, he/she should received his/her degree during
(Month & year)
(Signature of school official)
(Official title)
(Date signed)
DA FORM 591, OCT 1985
APD LC v1.01ES
EDITION OF 1 MAR 76 IS OBSOLETE.

Download DA Form 591 Application for Initial (Educational) Delay From Entry on Active Duty and Supplemental Agreement

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