• ROTC Forms

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.

  • PDF iconCC 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):

Miscellaneous Forms

  • 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