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TEXAS MILITARY FORCES

HEADQUARTERS, TEXAS STATE GUARD

AUSTIN, TEXAS 78763-5218

TEXAS STATE GUARD AWARDS FORM

DATE: ________________ AWARDEE: _________________________________________________ SSN: _ / _ __ / RANK: _____________

UNIT/LOCATION: _________________________________________/_________________________________________________ Recommended By: _______________________________________________ Relationship To Awardee: _____________________

Instructions/Legend

AWARD: (Complete narrative for MSR, CGIA, Meritorious Award, Organizational excellence and Certificates) Abbrevations: BOLC=Bronze Oak Leaf Cluster SOLC=Silver OAK Leaf Cluster BC= Bronze Cactus SC=Silver Cactus, ReferenceTxARNG Reg600-8-22, (For all TXARNG and AGIA Awards, TxARNG Form 67 is used)

Initial Award _____ Meritorious Service Ribbon _____ Commanding General's Individual Award _____ TXSG Recruiting Ribbon 10 _____ NCO Professional Development Ribbon USAF Equivalent 1-ALC 1BOLC 1BOLC 1BOLC 20

Susequent Award (Circle one) 2BOLC 2BOLC 2BOLC 30 3BOLC 3BOLC 3BOLC 40 4BOLC 4BOLC 4BOLC 50 1SOLC 1SOLC 1BOLC 1BOLC

1SOLC 60

1BOLC

1 -PLDC 2-BNCOC 3-ANCOC 4-1SG Crse 5-SGMA 2-NCOA 3-SrNCOA

[ ] Gold frame = (4) FEMA courses completed _____ Officer Professional Military Education Ribbon USAF Equivalent 1-OBC 2-OAC 3-C&GSC 4-War Coll

1-Tech Tng 2-SOS 3-ACSC 4-AWC [ ] Gold frame = (4) FEMA courses completed

Enlisted Personnel Basic Training Ribbon: ________

Training Completed: ________/ _______ / ___________

Location: ___________________________________ Certifying Officer: _________________________________ TXSG Physical Fitness Ribbon: _______ Training Completed: ________/_______/__________

Location: ___________________________________ Certifiying Officer: ________________________________

QUALIFICATION BADGES/TABS: Master Emerg Mgmnt Specialist : (Apply to SGAUS)

Instructor Tab: ______

4th AW Marksmanship: Bde IPD Marksmanship:

Expert

Shrpshtr ______ Marksmn ______ TXSG Recruiter Badge ______

Expert ______ Shrpshtr ______ Marksmn ______ TXSG HQ Staff ID Badge ______

TXSG FORM 12 pg1, Revised 7Dec2005 SERVICE AWARDS: (Ready Reserve Time is not counted for Time In Grade)

_______ TXSG Service Medal for Service (3) From: _______ / _______ / ________ TO: _______ / _______ / ________

_______ Faithful Service Medal for Service (5) From: _______ / _______ / ________ TO: _______ / _______ / ________

1BC (10 yrs) 2BC (15 yrs) 3BC (20 yrs) 4BC (25 yrs) 1SC (30 yrs) 2BC (35 yrs) 3BC (40 yrs) 4BC (45 yrs) 2SC (50 yrs)

Certificate Of Commendation: _______ Certificate Of Appreciation: _______ Other: ________________________________________________________________________ (Attach Narrative)

UNIT AWARDS: NOTE: For Subsequent awards, indicate what the service members by name, qualify for; List of unit members then 1BOLC 2BOLC

3BOLC 4BOLC 1SOLC. All awards will be forwarded to the Deputy Commanding General (North or South) for Endorsement, before the HQs TXSG monthly Board.

Governor's Unit Citation ______ 1 2

Meritorious Unit Award ______ 3 4 5 6 7 9 10

Organizational Excellence _______

(Narrative for TXSG Meritorious Service, CGIA, Unit Awards and Certificates this side of page)

National Guard Association of Texas Awards

______ Sam Houston Medal

______ TXSG Trust Fund Medal

______ Jim Bowie Award

______ Juan Sequin Award

______ William Travis Award

Narrative: This space below to be used for narrative for all awards as required. (Use additonal paper if necessary).

APPROVAL:

Comapny/Flt Cdr Battalion/ASG Cdr

_________________________________________________________________ _________________________________________________________________

Date ________________ Date ________________ Date ________________ Date ________________

Brigade/MCR/AW Cdr _________________________________________________________________ TXSG G1 _________________________________________________________________ David R. Hathaway, Sr., CW4, GS,TXSG, G1

TXSG FORM 12 pg2, Revised 7Dec 2005

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Form12 rev apr05.doc