DA Form 591C Rotc Supplemental Service Agreement (Army Chaplaincy)

DA Form 591C - also known as the "Rotc Supplemental Service Agreement (army Chaplaincy)" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 591C - was last revised on October 1, 1985. Download an up-to-date fillable PDF version of the DA 591C below or request a copy through the chain of command.

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ROTC SUPPLEMENTAL SERVICE AGREEMENT
(ARMY CHAPLAINCY)
(TO ROTC CONTRACTS EXECUTED PRIOR TO 1 JUN 84)
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 OF 1974
50 USC App 456(d)(1); 10 USC 275.
AUTHORITY:
Used as a supplement to DA Form 591 and to show agreement to accept commission as an officer in the U.S. Army Reserve
PRINCIPAL PURPOSES:
and to participate in the USAR. It is also used to establish the obligation incurred by individuals pursuing religious studies in
preparation for the Army chaplaincy.
ROUTINE USES:
Information is used to establish and record the obligation incurred by individuals studying for the Army chaplaincy. The SSN
is used to identify the individual.
DISCLOSURE:
It is mandatory that students preparing for the Army chaplaincy complete DA Form 591c. Failure to complete this form will
make you ineligible for consideration for this delay.
This information should be carefully studied before acknowledging.
Sign all copies and attach one DA Form 591c to each copy of DA Form 591.
1. In consideration of my request for an educational delay to prepare for the Army chaplaincy, I understand and agree to
comply with the following service requirements if my request is granted.
a. To faithfully pursue a full-time course of religious study in preparation for the Army chaplaincy.
b. To apply for appointment or transfer to the Chaplains Branch within three (3) years following graduation from the
seminary, or ordination, whichever is later.
c. To be appointed as an officer in the Chaplains Branch if qualified and accepted.
d. To serve a minimum period of three (3) consecutive years in either the Active Reserve or the Active Army as may be
determined by the Department of the Army.
2. Unless I secure written approval from a recognized ecclesiastical endorsing agency, my detail to the Staff Specialist
(Chaplain Candidate) Branch will be revoked and my educational delay will be terminated at the end of my first year in the
seminary.
3. Transfer to the Chaplains Branch with or without concurrent active duty is contingent upon my receiving written
endorsement from a recognized ecclesiastical endorsing agency.
4. If I should withdraw from the course of study for which delay was approved, or withdraw form the seminary without
enrolling in another recognized seminary within a 1-year period, I agree to comply with the following active duty and Reserve
participation requirements. Service will be performed in the USAR branch in which originally appointed from the ROTC,
unless otherwise directed by the Department of the Army.
A period of (6) years as a commissioned officer to include not less than (3) consecutive years of active duty and the
remainder in the Ready Reserve.
5. If I am not required to serve on active duty, I agree to serve a period of from 3 to 6 months of active duty for training.
Upon release from active duty for training, I will serve satisfactorily in the Ready Reserve until the 8th anniversary date of
my original appointment, unless sooner discharged by proper authority.
6. I agree and consent to the terms of this agreement. I understand that this supplemental agreement will become invalid
if I am accepted as a participant in any other officer procurement program, or appointed in the Regular Army and
required to execute a different service agreement.
NAME
(Typed or Printed)
SOCIAL SECURITY NUMBER
SIGNATURE
DATE SIGNED
EDITION OF NOV 79 IS OBSOLETE.
DA FORM 591c, OCT 1985
APD LC v1.01ES
ROTC SUPPLEMENTAL SERVICE AGREEMENT
(ARMY CHAPLAINCY)
(TO ROTC CONTRACTS EXECUTED PRIOR TO 1 JUN 84)
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 OF 1974
50 USC App 456(d)(1); 10 USC 275.
AUTHORITY:
Used as a supplement to DA Form 591 and to show agreement to accept commission as an officer in the U.S. Army Reserve
PRINCIPAL PURPOSES:
and to participate in the USAR. It is also used to establish the obligation incurred by individuals pursuing religious studies in
preparation for the Army chaplaincy.
ROUTINE USES:
Information is used to establish and record the obligation incurred by individuals studying for the Army chaplaincy. The SSN
is used to identify the individual.
DISCLOSURE:
It is mandatory that students preparing for the Army chaplaincy complete DA Form 591c. Failure to complete this form will
make you ineligible for consideration for this delay.
This information should be carefully studied before acknowledging.
Sign all copies and attach one DA Form 591c to each copy of DA Form 591.
1. In consideration of my request for an educational delay to prepare for the Army chaplaincy, I understand and agree to
comply with the following service requirements if my request is granted.
a. To faithfully pursue a full-time course of religious study in preparation for the Army chaplaincy.
b. To apply for appointment or transfer to the Chaplains Branch within three (3) years following graduation from the
seminary, or ordination, whichever is later.
c. To be appointed as an officer in the Chaplains Branch if qualified and accepted.
d. To serve a minimum period of three (3) consecutive years in either the Active Reserve or the Active Army as may be
determined by the Department of the Army.
2. Unless I secure written approval from a recognized ecclesiastical endorsing agency, my detail to the Staff Specialist
(Chaplain Candidate) Branch will be revoked and my educational delay will be terminated at the end of my first year in the
seminary.
3. Transfer to the Chaplains Branch with or without concurrent active duty is contingent upon my receiving written
endorsement from a recognized ecclesiastical endorsing agency.
4. If I should withdraw from the course of study for which delay was approved, or withdraw form the seminary without
enrolling in another recognized seminary within a 1-year period, I agree to comply with the following active duty and Reserve
participation requirements. Service will be performed in the USAR branch in which originally appointed from the ROTC,
unless otherwise directed by the Department of the Army.
A period of (6) years as a commissioned officer to include not less than (3) consecutive years of active duty and the
remainder in the Ready Reserve.
5. If I am not required to serve on active duty, I agree to serve a period of from 3 to 6 months of active duty for training.
Upon release from active duty for training, I will serve satisfactorily in the Ready Reserve until the 8th anniversary date of
my original appointment, unless sooner discharged by proper authority.
6. I agree and consent to the terms of this agreement. I understand that this supplemental agreement will become invalid
if I am accepted as a participant in any other officer procurement program, or appointed in the Regular Army and
required to execute a different service agreement.
NAME
(Typed or Printed)
SOCIAL SECURITY NUMBER
SIGNATURE
DATE SIGNED
EDITION OF NOV 79 IS OBSOLETE.
DA FORM 591c, OCT 1985
APD LC v1.01ES

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