TE_CYS-11_Annex_J_PRBTabA_20150511.docx

OFFICIAL GARRISON LETTERHEAD

Office Symbol Date

MEMORANDUM THRU

Director, Region, Installation Management Command, XXXXX, XXX, State, Zip Code

Commanding General, Installation Management Command, 2405 Gun Shed Road, Fort Sam Houston, TX 78234-1223

FOR Department of Army Program Review Board (DA-PRB)

SUBJECT: US Army Garrison Fort XXXXXXXXXXXXXXXX Program Review Board (PRB) Recommendation

1. US Army Garrison Fort XXX conducted a PRB on XX March 2013 with a vote of ___(suitable) to ____ (unsuitable). I considered the facts of the case and conducted a risk assessment considering relevant aggravating and mitigating factors. I recommend the following person be considered suitable for a child related position and have explained my rationale for this recommendation below.

Name: XXXXXXXX

Position: Assistant Child Development Center Director

#1 Derogatory information: (Format for Core BK check and coinciding self- disclosure)

a. Background Check Source(s): MP, CID, FBI FP, OF 306 Q:9

b) Offense/Issue (and severity): Drunk and Disorderly (Misdemeanor)

c) Date: 1 January 2003

d) Location: Killeen, Texas

e) Disposition: Guilty, convicted 3/27/2003 and fined $110.

NOTE: Official disposition is required. If not obtainable then specify efforts made to obtain the official disposition and provide documentation in TAB I (if provided by individual) or K (if obtained through other source)

#2 Derogatory information: (Format for Credit Issues)

a) Background Check Source(s): CNACI closed 10 Jan 2013, OF 306 Q:13

b) Offense/Issue: Delinquency of Student Loans

c) Date reported: Delinquent since June 2012

OFFICE SYMBOL

d) Creditor: US Dept of Education

e) Amount delinquent: $70,000

f) Credit Report status: Account placed for collection

g) Disposition/Current Status: (Steps being taken to correct/repay debt): Consolidated debt and making payments on time since Jan 2013. Documentation in TAB I (if provided by individual)

#3 Derogatory information: (Format for Self-disclosure sole source of derog)

a) Background Check Source Of 306 Q12 Self-disclosure dated 1 Jan 2015 “ During the last 5 years were you ever fired from any job for any reason, did you quit after being told you would be fired, did you leave any job by mutual agreement because if specific problems? (provide date, explanation, employer name and address, and reason for leaving)

b) Applicant Response: Yes, in May of 2014 I was fired from Kindercare Learning Center because I was repeatedly late. Employer name and address: XXX

#4 Derogatory information: (Contradiction with self-disclosure and background check results)

a) Background Check Source: DA 3433-1 Supplemental Employment Application Form Question 22 “ Have you ever been convicted of any offense against the law or forfeited collateral or you now under charges for any offense against the law as a civilian or during military service?

b) Offense/Issue: Failure to self-disclose. Individual answered “No” to Question 22 which was contrary to background check results from the FBI Fingerprint check and the Military Police (MP) and Criminal Investigation Division (CID) checks which showed a 2011 conviction for a DUI.

c) Date Signed: 1 Jan 2015

d) Explanation: Applicant indicated on a written statement that he did not self-disclose because this incident happened at a bad time in his life and he stated he was trying to forget it.

#5 Derogatory Information (Reference Check)

a) Background Check Source: CNACI INV 41 employer reference check

b) Offense/Issue: Employee not eligible for rehire for reasons related to unfavorable employment. Employer provided adverse information related to applicant’s general behavior or conduct and commented that employee lacked initiative and resourcefulness, Inability to comply and understand rules, policies, and directions, poor communication skills,

c) Date Signed: 1/1/2013

d) Location: XXXXXX Public School Sumter, SC

e) Disposition: Employee fired, and not eligible for re-hire or N/A if simply comment.

2. Previous PRB(s) A previous PRB was conducted on 1 February 2014 for (list issues/offenses) and documentation of this favorable final determination is enclosed in TAB K.

3. Garrison Commander Rationale for Favorable Suitability Recommendation: After review of the facts of the case and consideration of relevant “additional considerations” I found that the volunteer showed integrity by self-disclosing the 2006 domestic abuse offense when completing the coaches application packet. There were contributing circumstances as XXXX was dealing with marital issues and stress following his 13 month deployment. The explanation Mr. XXXX presented did not conflict with the case information on record. Additionally, he made positive efforts towards rehabilitation while completing the family advocacy anger management course in 2007 and has no repeat offenses made against him. Mr. XXXX also provided two strong references from his chain of command about his good character and current standing. So while a domestic assault offense is serious, based on his current standing, the circumstances surrounding the conduct, his successful completion of anger management training, and the fact that this incident occurred 6 years ago and was not repeated were all considered when recommending the person as suitable for a volunteer coach position in CYS.

4. The following garrison staff members participated in the PRB.

a. XXXXXX, USAG CSM, PRB Chairperson (voting)

b. XXXXXX, Supervisory Human Resources Specialist, CPAC (non-voting)

c. XXXXXX, Director Family & MWR (voting)

d. XXXXXX, Department of Emergency Services (DES) (voting)

e. XXXXXX, DPTMS (voting)

f. XXXXXX, Family Advocacy Program Manager (voting)

g. XXXXXX, Chaplain (voting)

h. XXXXXX, Staff Judge Advocate (non-voting)

i. XXXXXX Behavioral Health/SWS (voting)

j. XXXXXX, Army Substance Abuse Program (ASAP) (voting)

k. XXXXXXX, Criminal Investigation Division (CID) (voting)

l. XXXXXXX, Child Youth School Services (CYSS) Coordinator/ Functional Manager (voting)

m. XXXXXXX, Admin Asst Family & MWR-Recorder (non-voting)

2. (TAB D) Individual Suitability Board/Program, review worksheets with votes

3. (TAB E) Preliminary Background Checks (Installation Records Check/IRC, LLE FBI FP SAC, Reference Checks, Self-disclosures

4. (TAB F) National Agency Check with inquiries (CNACI) and State Criminal History Repository (SCHR) to include Certificate of Investigation (COI), Case Closing Transmittal (CCT), and Results of Investigation (ROI) if applicable, SF 85/SF 85P or equivalent

5. (TAB G) Position Description

6. (TAB H) Individual’s application or resume

7. (TAB I) Notification of derogatory findings memo and written explanation or rebuttal from individual and additional documentation from individual

8. (TAB J) Collective Bargaining Agreement (relevant excerpts)

9. (TAB K) Any other documentation/information reviewed by the PRB, if applicable and previously adjudicated PRBS