DA Form 5685 "New Specialized Training Assistance Program (New Strap) Service Agreement"

DA Form 5685 - also known as the "New Specialized Training Assistance Program (new Strap) Service Agreement" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 5685 - was last revised on February 1, 2016. Download an up-to-date fillable PDF version of the DA 5685 down below or look it up on the Army Publishing Directorate website.

ADVERTISEMENT

Download DA Form 5685 "New Specialized Training Assistance Program (New Strap) Service Agreement"

1265 times
Rate
(4.5 / 5) 212 votes
CONTROL NUMBER
NEW SPECIALIZED TRAINING ASSISTANCE PROGRAM (New STRAP)
SERVICE AGREEMENT
For use of this form, see AR 621-202; the proponent agency is DCS, G-1
DATA REQUIRED BY THE PRIVACY ACT OF 1974
10 U. S. C. 2128
AUTHORITY:
To explain the obligation and training requirements incurred by participation in the New STRAP and to ensure that
PRINCIPAL PURPOSE:
agreement to these conditions is a matter of record. Confirmation of obligation and training requirements incurred by
participation in the New STRAP; occasionally used as a basis of suspension, termination, and recoupment if the
conditions and requirements are not met.
ROUTINE USES:
The DoD Blanket Routine Uses apply to this collection. For use the Department of Veteran Affairs.
Disclosure of requested information is voluntary, however, if not provided your application can not be processed or
DISCLOSURE:
approved.
APPLICANT'S LAST NAME
FIRST
MIDDLE
I. APPLICABILITY
THIS AGREEMENT WILL BE COMPLETED BY ALL SELECTED APPLICANTS FOR THE New STRAP
II. INSTRUCTIONS
The service representative is responsible for explaining the New STRAP requirements and obligations outlined on this form. Following the
explanation and affixing of proper signatures, a copy will be submitted to the New STRAP Manager at U.S. Army Health Professional Support
Agency, ATTN: SGPS-PD, 5109 Leesburg Pike, Falls Church, VA 22041-3258 for certification and appropriate distribution. Copies will be
filed in the officer's official military records.
III. ACKNOWLEDGEMENT
In connection with my selection to participate in the New STRAP, I hereby acknowledge that I meet the following
eligibility criteria:
1.
I am a citizen of the United States of America.
2.
Upon acceptance into the New STRAP, I will accept an appointment as a Reserve of the Army officer, if
tendered, with assignment to the Medical Corps or Army Nurse Corps in a grade determined appropriate
by the U.S. Army, for service in the Ready Reserve (either ARNG or USAR). (If I am currently a Reserve
commissioned officer assigned to the Medical Corps or Army Nurse Corps, as appropriate, no new
appointment will be tendered.)
3.
I have a current and valid license to practice, if required.
4.
If I am currently a commissioned officer, I have not twice failed to be recommended for promotion to the
next higher grade, nor was I not recommended for promotion to the next higher grade by the last board of
officers which considered my records from in or above the promotion zone.
5.
I will be able to fulfill the Ready Reserve obligation I will incur by my participation in the New STRAP prior
to my mandatory removal from active duty based on age or length of service.
6.
I have been accepted for, or I am attending in good standing, the approved course of specialized
advanced training in the critical medical or nursing specialty listed below, at the institutions indicated:
IV. OBLIGATION
As a participant in the New STRAP receiving financial assistance during my specialized training program I
agree to --
1.
Comply with and meet all academic, medical, administrative, and other standards and requirements
outlined in my specialized training program and applicable regulations, directives and instructions issued
by the U.S. Army.
2.
Advise the New STRAP Manager and my commander of any changes in my status which may affect my
eligibility to receive financial assistance.
Page 1 of 5
DA FORM 5685, FEB 2016
PREVIOUS EDITIONS ARE OBSOLETE
APD LC v1.01ES
CONTROL NUMBER
NEW SPECIALIZED TRAINING ASSISTANCE PROGRAM (New STRAP)
SERVICE AGREEMENT
For use of this form, see AR 621-202; the proponent agency is DCS, G-1
DATA REQUIRED BY THE PRIVACY ACT OF 1974
10 U. S. C. 2128
AUTHORITY:
To explain the obligation and training requirements incurred by participation in the New STRAP and to ensure that
PRINCIPAL PURPOSE:
agreement to these conditions is a matter of record. Confirmation of obligation and training requirements incurred by
participation in the New STRAP; occasionally used as a basis of suspension, termination, and recoupment if the
conditions and requirements are not met.
ROUTINE USES:
The DoD Blanket Routine Uses apply to this collection. For use the Department of Veteran Affairs.
Disclosure of requested information is voluntary, however, if not provided your application can not be processed or
DISCLOSURE:
approved.
APPLICANT'S LAST NAME
FIRST
MIDDLE
I. APPLICABILITY
THIS AGREEMENT WILL BE COMPLETED BY ALL SELECTED APPLICANTS FOR THE New STRAP
II. INSTRUCTIONS
The service representative is responsible for explaining the New STRAP requirements and obligations outlined on this form. Following the
explanation and affixing of proper signatures, a copy will be submitted to the New STRAP Manager at U.S. Army Health Professional Support
Agency, ATTN: SGPS-PD, 5109 Leesburg Pike, Falls Church, VA 22041-3258 for certification and appropriate distribution. Copies will be
filed in the officer's official military records.
III. ACKNOWLEDGEMENT
In connection with my selection to participate in the New STRAP, I hereby acknowledge that I meet the following
eligibility criteria:
1.
I am a citizen of the United States of America.
2.
Upon acceptance into the New STRAP, I will accept an appointment as a Reserve of the Army officer, if
tendered, with assignment to the Medical Corps or Army Nurse Corps in a grade determined appropriate
by the U.S. Army, for service in the Ready Reserve (either ARNG or USAR). (If I am currently a Reserve
commissioned officer assigned to the Medical Corps or Army Nurse Corps, as appropriate, no new
appointment will be tendered.)
3.
I have a current and valid license to practice, if required.
4.
If I am currently a commissioned officer, I have not twice failed to be recommended for promotion to the
next higher grade, nor was I not recommended for promotion to the next higher grade by the last board of
officers which considered my records from in or above the promotion zone.
5.
I will be able to fulfill the Ready Reserve obligation I will incur by my participation in the New STRAP prior
to my mandatory removal from active duty based on age or length of service.
6.
I have been accepted for, or I am attending in good standing, the approved course of specialized
advanced training in the critical medical or nursing specialty listed below, at the institutions indicated:
IV. OBLIGATION
As a participant in the New STRAP receiving financial assistance during my specialized training program I
agree to --
1.
Comply with and meet all academic, medical, administrative, and other standards and requirements
outlined in my specialized training program and applicable regulations, directives and instructions issued
by the U.S. Army.
2.
Advise the New STRAP Manager and my commander of any changes in my status which may affect my
eligibility to receive financial assistance.
Page 1 of 5
DA FORM 5685, FEB 2016
PREVIOUS EDITIONS ARE OBSOLETE
APD LC v1.01ES
LAST NAME
This includes my training program status and academic standing, health status, and personal information
status to include marital status, address, and telephone number.
3.
Remain in the Ready Reserve. It is my option to participate as a member of a troop program unit of the
ARNG or USAR, as an individual mobilization augmentee (IMA), or as a member of the Individual Ready
Reserve (IRR). However, once I have selected my option, I may not change my election without the
express written consent of the New STRAP manager. I further agree to participate in the designated
training applicable to my assignment and otherwise maintain membership in good standing in the Ready
Reserve.
4.
Continue to participate in the New STRAP and complete my specialized training unless I am terminated
by Headquarters, Department of the Army for any of the reasons cited in Section VI of this agreement.
If I am terminated for a reason under Section VI I may be ordered to reimburse the U.S. Government in
an amount equal to the total amount of the stipend paid to me, including any applicable accrued interest
at the current interest rate, or I may be required to serve on active duty for 1 year for each year (or part
thereof) for which I received a stipend. In the event that my participation in New STRAP is terminated
and the Secretary of the Army (or his designated representative) orders me to active duty in lieu of
reimbursement, I agree to serve 1 year of active duty for each year or part thereof for which I received
a stipend under New STRAP. Also, I may be required to remain in the Ready or Selected Reserve, as
applicable under the terms of this agreement, in lieu of being ordered to active duty, and I may be
required to reimburse the U.S. Government for the total amount of the stipend paid to me even though I
have been required to remain in the Ready or Selected Reserve.
5.
Incur an obligation to serve in the Ready or Selected Reserve on successful completion of the specialized
training program in return for the financial assistance I receive under the New STRAP. I hereby further
agree to fulfill my service obligation, after I complete my specialized training, in
(the applicant must
--
initial the appropriate selection)
a.
(initial) the IRR. By accepting this agreement I will be entitled to a monthly stipend
during my specialized training program at the rate of 1/2 of that paid to officers participating in the
Armed Forces Health Professions Scholarship Program (see sec V below). In return, I will serve 2
years in the IRR for each year or part thereof for which I received a monthly stipend. I also agree to
serve not less than 30 days of initial active duty training (IADT) and not less than 5 days of active
duty for training (ADT) each year during the period of required service.
b.
(initial) a troop program unit of the ARNG or USAR or as an individual mobilization
augmentee (IMA). By accepting this agreement I will be entitled to a monthly stipend during my
specialized training program at the rate paid to officers participating in the Health Professions
Scholarship Program (see sec V below). In return, I will serve 2 years in a troop program unit of the
ARNG or USAR or as an IMA for each year or part thereof during which I received a monthly stipend.
I also agree to serve not less than 12 days of ADT each year during the period of required service.
6.
(The service representative will provide the applicant with the information necessary for entry
in the following blanks.) I am scheduled to commence participation in the New STRAP on
. I am scheduled to complete my specialized training and New STRAP
participation on
. Therefore, if I receive a stipend during this
period, the service obligation I incurred by participation in the New STRAP will end on
. The statutory military service obligation that I incurred on initial entry
in the U.S. Armed Forces under section 651, title 10, United States Code (10 USC 651), ended
on
, or will end on
. I will be required to fulfill the
terms of this agreement even if the term of service extends beyond the termination of my statutory
military service obligation.
On successful completion of my specialized training and New STRAP participation, I further understand and
agree that I will not begin discharging my New STRAP obligation until successful completion of the specialized
training and that such discharge will continue, uninterrupted until my obligation is fully satisfied unless I am sooner
separated or discharged at the discretion of HQDA, or unless the method of satisfaction of my obligation is altered
by my voluntary participation in other educational training programs, or by a change of component or duty status.
I further agree that --
1.
After completion of the specified training, if I fail to maintain satisfactory participation in the Ready
Reserve, I may be subject to disciplinary action under the Uniform Code of Military Justice and to such
administrative measures or sanctions as may be appropriate under existing regulations, including
subjection to recoupment of the total amount stipend paid to me plus applicable interest and that I may be
ordered to active duty for a period not to exceed 2 years.
Page 2 of 5
DA FORM 5685, FEB 2016
APD LC v1.01ES
LAST NAME
2.
After completion of the specified training, if I am voluntarily or involuntarily ordered to active duty (including
service in an Active Guard Reserve (AGR) status), such service will satisfy my Ready Reserve obligation
under this agreement, as follows:
a.
One whole year of service on active duty will satisfy the incurred obligation for each year, or each
fraction of a year, for which I received financial assistance under the New STRAP. Time spent in
graduate professional education (for example, residencies, fellowships) while on active duty, will not be
creditable toward satisfying the obligation I incurred under this agreement. Service on active duty for
periods of less than a whole year will not receive 1-for-1 credit, but will be credited as though it was
service not on AD.
b.
If I serve part of my obligation on active duty and part of my obligation in the Ready Reserve not on
active duty, each such period of duty will be computed at the rate stipulated in this agreement (i.e., 1
complete year of active duty for 1 year of financial assistance or 2 years of nonactive service for 1 year
of financial assistance).
c.
Periods of duty on annual training (AT), ADT, active duty for special work, or temporary tour of active
duty, as described in AR 135-200 and AR 135-210, will not be computed as active duty for the purpose
of permitting satisfaction of my obligation on a 1-for-1 basis. Such tours of duty will satisfy my obligation
on the same basis and at the same rate as service in a TPU, the IRR, or as an IMA, not on active duty
(that is, 2 years of service for each year of participation).
V. ENTITLEMENT
If I continue to meet the eligibility criteria that I acknowledge in section III above, have agreed to fulfill the terms of
my obligation, and am accepted into the New STRAP, I am eligible for a monthly stipend at the rate, or at half the
rate, paid to participants in the Armed Forces Health Professions Scholarship Program, according to the terms of
the obligation I have agreed to (para 5, IV above). The amount of the monthly stipend paid to officers in the Armed
Forces Health Professions Scholarship Program is prescribed by the Department of Defense Military Pay and
Entitlements Manual, part 8, chapter 5. This rate is subject to annual increases on 1 July of each year, as
determined by the Secretary of Defense. I understand that --
1.
Payment of the stipend commences on the date that all of the following conditions are met:
a.
I am appointed a commissioned officer designated or assigned for service in the Medical Corps or
Army Nurse Corps as appropriate to the training in which I am participating;
b.
I am assigned to the Ready Reserve, and that I am not serving on AGR status;
c.
This service agreement is completed and appropriate signatures are affixed;
d.
I am enrolled in an approved specialized course of study.
2.
The stipend is prorated for portions of a month at the beginning and end of my course of specialized
training.
3.
Payment of the monthly stipend will cease on suspension or termination from New STRAP, on removal from
the Ready Reserve, or on completion of the specialized training program.
VI. TERMINATION
I agree that --
1.
I will continue to participate in the New STRAP unless such participation is terminated by Headquarters,
Department of the Army.
2.
Termination may only be effected for one or more of the following reasons:
a.
If I fail to successfully complete the specialized training program specified above, if I am released from
the training program, or if I voluntarily stop training.
b.
If I fail to meet or maintain the eligibility requirements in section III above.
c.
If I am convicted of --
(1)
A felony as defined under Federal, State, or local law; or
(2)
An offense which if tried under the Uniform Code of Military Justice could result in a sentence of
at least 1 year confinement or a dishonorable discharge; or
(3) An offense involving moral turpitude, including sexual offenses and acts involving dishonesty.
d.
If I commit one or more acts resulting in discreditable involvement with civilian or military authorities,
whether or not I am charged, indicted, tried, or convicted of such acts.
Page 3 of 5
DA FORM 5685, FEB 2016
APD LC v1.01ES
LAST NAME
e.
If I become an unsatisfactory participant in the Ready Reserve (AR 135-91).
f.
If I exceed the maximum period authorized for suspension in section VII below, or following a period
of suspension, I am not reinstated in the New STRAP (see sec III above).
g.
If I apply for conscientious objector status.
h.
If I am terminated from the Program in the best interest of the Government by Headquarters,
Department of the Army.
3.
I may not unilaterally terminate my participation in the New STRAP, or in the Ready Reserve, and that
my refusal to accept any monetary or other benefits under this contract will not effect a termination
of my membership in the New STRAP or the Ready Reserve.
VII. SUSPENSION
I understand that under certain conditions my entitlement to a stipend and participation in the New STRAP may be
suspended, in lieu of termination, at the discretion of the Office of The Surgeon General, for a specified period of
time. Except under extraordinary circumstances, only one such suspension may be granted.
1.
A suspension will be imposed if I am transferred from the Ready Reserve to the Standby Reserve for
one of the following reasons:
a.
As a key employee. Period of suspension may not exceed 3 years.
b.
For temporary hardship. Period of suspension may not exceed 1 year.
c.
For temporary medical disqualification. Period of suspension may not exceed 1 year.
d.
As a result of oversea residency or missionary obligation. Period of suspension may not exceed 3
years.
e.
As determined by the Secretary of the Army or his designee. Period of suspension may not exceed
2 years.
A suspension will also be imposed if I am placed under suspension of favorable personnel actions under
2.
the provisions of AR 600-8-2. During a suspension for this reason, I understand that I may continue to
be required to satisfactorily participate in the Selected Reserve (if so assigned) and that I will be paid
for such participation; however, I will not continue to receive stipend payments. I understand that, if I
am otherwise eligible, stipend payments may resume when the suspension has been lifted. Maximum
authorized period of such suspension is 1 year.
3.
If I am required to participate in unit training and I have been approved for transfer to the IRR for
personal cogent reasons, I may be granted a suspension for a period not to exceed 1 year.
I understand and acknowledge that if I exceed the period of time authorized by the Office of The Surgeon General
for a suspension, my participation in the New STRAP may be terminated and I may be ordered to active duty or
required to reimburse the Government for the stipend payments I received at the option of the Secretary of the
Army. Reinstatement in the New STRAP, following a period of suspension, is at the discretion of the Office of The
Surgeon General. In the event that I am not reinstated in the New STRAP, I will be terminated at the discretion of
the Office of The Surgeon General, as indicated in section VI above.
VIII. RECOUPMENT
I understand that I may be required, at the option of the Secretary of the Army, to reimburse the Government for
the total amount of stipend paid to me, including any applicable accrued interest at the current interest rate, if I am
terminated from New STRAP under section VI above. I specifically acknowledge that any reimbursement made to
the Government by me or on my behalf will not reduce or eliminate my obligation under this agreement to serve in the
Ready Reserve for the period specified in section IV, paragraph 5a or b (as applicable) above. I also understand
that the Government may lawfully recoup any amounts erroneously paid to me. I further agree that following
completion of the specified training, if I fail to satisfactorily complete the period of obligated service described in
section IV above, I may be ordered to reimburse the Government for the total amount of the stipend paid to me
including accrued interest, in accordance with applicable laws, regulations, and directives.
Page 4 of 5
DA FORM 5685, FEB 2016
APD LC v1.01ES
LAST NAME
IX. STATEMENT OF UNDERSTANDING
I understand and agree to the provisions of this agreement. Any other promises, representations or commitments
made to me in connection with my participation in the New STRAP or appointment as a Reserve of the Army are
written below in my own handwriting. (If none, write "NONE" below.)
NAME AND RANK
APPLICANT'S SIGNATURE
DATE SIGNED
X. CERTIFICATION OF SERVICE REPRESENTATIVE
I certify that I have witnessed the reading and signing of the above agreement and the signature appearing
thereon is that of the officer. No other promises were made to the applicant as a condition of New STRAP
entitlement.
NAME AND RANK OF SERVICE REPRESENTATIVE
TITLE
SIGNATURE OF SERVICE REPRESENTATIVE
DATE SIGNED
ACCEPTED AND APPROVED FOR PARTICIPATION IN THE New STRAP
NEW STRAP MANAGER
DATE
Page 5 of 5
DA FORM 5685, FEB 2016
APD LC v1.01ES
ADVERTISEMENT