HIGH SCHOOL VERIFICATION LETTER

(SECTION 1) ONLY an authorized School Representative complete this section

High School (name/city/state):__________________________________________________________________________

Student____________________________________ is applying for enlistment into the Indiana Army National Guard.

This student is currently in good standing as a: ____ Junior (or) ____ Senior at the High School indicated above.

There is reasonable assurance this student will graduate High School in (month/year): ________________________________

The last regularly scheduled day of school for the current year is (month/day/year):___________________________________

The first regularly scheduled school day for the beginning of the next school year is (month/day/year):____________________

We understand that in order for the above listed student to complete the 75 day minimum basic military training requirements under the Split Training Option, the above named student is authorized to leave school no earlier than (month/day/year) ______________________ or return for next year’s classes no later than (month/day/year) _____________________ without being penalized.

School Remarks (optional):_____________________________________________________________________________

__________________________________________________________________________________________________
Print Name of School Official Signature of School Official Official Title

__________________________________________________________________________________________________
School Officials e-mail address Direct Phone Line Date (month/day/year)

SECTION 2 Minor Applicants Parents/Guardian complete this section

SUBJECT: Minor Applicants Parental/Guardian acknowledgement of early release/late return from/to high school for completion of Basic Combat Training.

TO: The State of Indiana Adjutant General

I consent to the release of all school records and/or transcripts to the Army National Guard to verify my child is meeting and continues to meet all requirements to graduate high school as projected above.

_________________________________________________________________________________________________ Print Parent/Guardian Name Signature of Parent/Guardian Date (month/day/year)

_________________________________________________________________________________________________
Parent/Guardian/Witness Name (print) Signature Date (month/day/year)

_________________________________________________________________________________________________ Applicant Name (print) Signature Date (month/day/year)

Note: Applicants in High School over the age of 18 do not require a Parent/Guardian signature.

NGB-ASM Form 1 Rev 2 (Local Use ONLY)