ROTC Forms

Initial Enrollment Forms

• CC Form 104-R - Academic Alignment Sheet (PDF)
• 104-R Sample (Must Save As) (PDF)
• CC Form 139-R - Cadet Enrollment Record (PDF)
• 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)

ROTC Scholarship Forms

• CC Form 167-R - Scholarship Acceptance (PDF)
• DD Form 2058 - State of Legal Residence (PDF)
• SF Form 86 - National Security Questionnaire (PDF)

Cadet Contracting Forms

• DA Form 597 - Cadet Non-Scholarship Contract: Non-scholarship cadets need to read this thoroughly prior to contracting (PDF)
• DA Form 597-3 - Cadet Scholarship Contract: Scholarship cadets need to read this thoroughly prior to contracting (PDF)
• DD Form 4 - Enlistment Document. All contracting cadets need to read this thoroughly (PDF)
• DD Form 93 - Record of Emergency Data (PDF)
• DD Form 2005 - Privacy Act Statement - Health Care Record (PDF)
• DD Form 2351 - DoDMERB Medical Examination Form (PDF)
• DD Form 2492 - DoDMERB Medical History Form (PDF)
• SF 1199A - Direct Deposit Sign Up Form (PDF)
• SGLV 8286 - Soldier's Group Life Insurance Form (PDF)
• W-4 - Employee Withholding Allowance Certificate (PDF)

Cadet Command Forms

• CC Form 174-R - Green to Gold Active Duty Option Application (Excel)
• CC Form 218-R - Assignment Preference Sheet (Excel)

DA Forms

• DA Form 1380 - Record of Individual Performance of Reserve Duty Training (PDF)
• DA Form 4856 - Developmental Counseling Form (PDF)

Other Forms You Must Provide To Contract:

• Birth Certificate, State Issued (or Naturalization Certificate, if applicable)
• Social Security Card
• Shot Record, Current
• Transcripts, from all high schools and/or other colleges attended
• SMP Memo - Applicable if enlisted in the Army Reserves or National Guard