Initial Enrollment Forms
These forms are to be filled out by applicants that are seeking to contract and/or seek a scholarship. Editable PDF forms will not open up in a web browser, they must be downloaded and opened in Adobe Reader program.
CC Form 139-R (April 19 Version) - Cadet Enrollment Record (PDF-Fillable)
- CC Form 136-R Briefing of Government Benefits (PDF)
CC Form 137-R - Release of Student Records (PDF)
DA Form 3425-R- Medical Fitness Statement (PDF-Fillable). Required to participate in Physical Fitness
DD Form 2005- Privacy Act Statement - Health Care Record (PDF-Fillable)
DD Form 2058 - State of Legal Residence Certificate (PDF-Fillable)
SF 1199A - Direct Deposit Form (PDF-Fillable)
DD Form 93 - Record of Emergency Data (PDF-Fillable)
DODMERB Worksheet - (PDF-Fillable)
DD Form 369- Police Record Check (PDF-Fillable)
SF86 - Security Clearance Application (PDF-Fillable)
Dental Records Form- Statement of Acknowledgment for Civilian Dental Records (PDF-Fillable)
SGLV 8286 - Soldier's Group Life Insurance Form (PDF-Fillable)
2015 W-4 Form - Employee Withholding Allowance Certificate (PDF-Fillable)
*DA Form 4824 - Simultaneous membership program agreement for Army Reservists. This must be submitted to us if you elect to do the SMP program with the USAR/NG (Excel).
Cadet Command Planned Academic Program Worksheet (104-R):
ASU 104-R (APRIL 19 Version) - Blank Academic Worksheet for ASU Cadets (Excel)
104-R Instructions- Detailed instructions on how to do the 104-R (Word Doc)
104-R EXAMPLE - Example 104-R for reference (PDF)
- DD Form 705 - Army Physical Fitness Test Scorecard with included Standards Scales for Push-Ups, Sit-Ups, 2-Mile Run.
Other Forms You Must Provide To Contract:
- Birth Certificate, State Issued (or Naturalization Certificate, if applicable)
- Social Security Card
- Shot Record, Current
- *SMP Memo - Applicable if enlisted in the Army Reserves or National Guard.
- Transcripts, from all high schools and/or other colleges attended