EXAMPLE OF REQUEST FOR
PREDETERMINATION MEMO

Headquarters and Headquarters Company

181st Brigade Support Battalion

1601 West Armory Way

Seattle, WA 981192786 

 QYTT0                                                                                                               1 February 2008

MEMORANDUM THRU

Commander, 181st Brigade Support Battalion, 1601 West Armory Way, Seattle, WA 981192786

Commander, 81st Brigade Combat Team, Camp Murray, Tacoma, WA 984305060

FOR The Adjutant General, State of Washington, ATTN: G-1 (Officer Section), Camp Murray, Tacoma, Washington  98430-5110

SUBJECT: Request for Predetermination of Qualifications to Enter the Warrant Officer Candidate Program.

1. Request predetermination of qualifications of SFC John D. Doe, 000-00-0000, to enter the Warrant Officer Candidate Program for Unit Maintenance Technician (MOS 915A). SFC Doe’s exceptional experience and education support entry into the WOC Program.

2. Sergeant First Class John D. Doe is an outstanding soldier whose technical expertise is unsurpassed. He possesses the attributes most desired in a warrant officer including professional competence and evident leadership abilities. Sergeant First Class John D. Doe’s projected assignment is as a Unit Maintenance Technician, MOS 915A, paragraph 000 line 00, in Headquarters and Headquarters Company, 181st Brigade Support Battalion. (NOTE: A projected assignment is not required as soldiers with approved predeterminations may be required to appear before the WAARNG WOC Order of Merit List Board for placement on an Order of Merit List for consideration for any state-wide vacancies in the requested WO MOS.)

3. I certify that SFC Doe successfully passed the Army Physical Fitness Test, on 6 January 2008, with a score of 299. Soldier’s height is 72 inches and weight is 195 pounds.

4. POC is SFC Andy D. Doer, (000) 000-0000.

10 encl                                                                        ROGER D. DONEIT

1. DA Form 2-1                                                           CPT, QM         

2. Resume                                                                  Commanding

3. Civ education

4. WO MOS related education

NOTE: Recommendation Memorandums are required from the entire chain of command – line thru’s are not acceptable.

5. NCOERs

6. Civilian job descriptions

7. Civilian performance appraisals

8. DA Form 705

9. Awards/Commendations

10. Verification of security clearance