DA Form 5435-1 Statement of Understanding - the Selected Reserve Montgomery Gi Bill Kicker Program (10 Usc 16131)

DA Form 5435-1 - also known as the "Statement Of Understanding - The Selected Reserve Montgomery Gi Bill Kicker Program (10 Usc 16131)" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 5435-1 - was last revised on February 1, 2016. Download an up-to-date fillable PDF version of the DA 5435-1 down below or look it up on the Army Publishing Directorate website.

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STATEMENT OF UNDERSTANDING - THE SELECTED RESERVE MONTGOMERY GI BILL
KICKER PROGRAM (10 USC 16131)
For use of this form, see AR 621-202; the proponent agency is DCS, G-1.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Title 10, USC 3013, Secretary of the Army: AR 621-202, Education, Army Educational Incentives and Entitlements
AUTHORITY:
and Student Loan Repayments Program Records: and E.O. 9397, as amended.
To explain obligation and eligibility requirements for entitlement under the Selected Reserve (SELRES)
PRINCIPAL PURPOSE:
Montgomery GI Bill (10 USC 16131) and to ensure that your understanding of these conditions is a matter of
record. To determine Servicemember's qualification for selective reenlistment bonuses.
ROUTINE USES:
In addition to those disclosures generally permitted under 5 USC 552 of the Privacy Act of 1974, these records
contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 USC 552(a)(7),
(b)(3), (e)(3)(c), and (e)(4)(d). DoD "Blanket Routine Uses" set forth at the beginning of the Army's compilation of
systems of records notices also apply to this system. The Department of Veterans Affairs provides payroll
information for members who participated in making contributions to the Veterans Education Assistance Program
(VEAP), and the Montgomery GI Bill (MGIB) Program.
Disclosure of your SSN is voluntary, however, if not provided, could result in misplacement of records.
DISCLOSURE:
SECTION l - APPLICABILITY
This statement of Understanding will be completed by all eligible persons enlisting in the SELRES of the Army (ARNG or USAR) for the
incentive under the Montgomery GI Bill-Selected Reserve (MGIB-SR) Kicker Program.
SECTION ll - INSTRUCTIONS
The service representative is responsible for reading and explaining the MGIB-SR Kicker requirements outlined on this form. Following the
reading, explanation, and affixing of proper signatures, a copy of this form will be stapled to each copy of the DD Form 1966, for ARNG and for
USAR personnel.
SECTION lll - ACKNOWLEDGMENT
, for entitlement to the MGIB-SR Kicker, I hereby acknowledge that I meet
In connection with my enlistment/reenlistment in the
)
(ARNG or USAR
the following eligibility criteria (The applicant will initial the applicable paragraphs):
ENLISTED SOLDIERS:
1.
I am enlisting/reenlisting in the ARNG/USAR with assignment to a unit of the SELRES for a minimum of 6 years.
Incentive entitlement is based on-
a. Assignment to a high-priority unit authorized by HQDA for the MGIB-SR Kicker.
(Enter complete unit identification and UIC)
b. Assignment to a unit (not high-priority) authorized by HQDA for the MGIB-SR Kicker in a MOS that is authorized by
HQDA for the MGIB-SR Kicker.
(Enter MOS and complete unit identification and UIC)
2.
I am a secondary school diploma graduate, or I am currently attending high school and expect to graduate before I enter
the second phase of initial active duty for training (IADT) under the split-training option.
3.
a. I have scored 31 or higher on the Armed Forces Qualification Test (AFQT).
b. I have scored 50 or higher on the AFQT for membership in the ARNGUS.
4.
I have completed IADT or I will complete the second phase of IADT prior to becoming eligible for the MGIB-SR Kicker
incentive.
5.
I meet the eligibility requirements to receive basic MGIB or MGIB-SR benefits or I will be eligible upon completion of IADT.
COMMISSIONED OFFICERS/CANDIDATES:
6.
I am a lieutenant eligible for MGIB or MGIB-SR basic benefits and do not have a baccalaureate degree. I have signed a
DA Form 5447 (Officer Service Agreement) to serve in the
(USAR/ARNGUS) for 6 years.
7.
I am a lieutenant and will become eligible for MGIB or MGIB-SR basic benefits after I complete the Officer Basic Course. I
will become eligible for the MGIB-SR Kicker incentives at the same time. I have signed a DA Form 5447 to serve in the
(USAR/ARNGUS) for 6 years.
8.
I am eligible for the MGIB or MGIB-SR basic benefits and completed the Federal Officer Candidate School (OCS) Program
on or after 1 October 1999. I have signed a DA Form 5447 to serve in the
(USAR/ARNGUS) for 6 years.
9.
I am eligible for the MGIB or MGIB-SR basic benefits and qualify to participate in a State OCS Program currently in
phase II or III (completed the first annual training period) and have agreed to reenlist/extend my current enlistment to serve not less than
6 years in the
(USAR/ARNGUS).
NAME
SSN
DA FORM 5435-1, FEB 2016
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