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ROTC Student Forms

On this page are all the forms that you need to enroll in and contract with the ASU Army ROTC Program. Click on a link to download the appropriate form. The aorms are in either .xls (Microsoft Excel Spreadsheet), .pdf (Adobe Acrobat Document), or .doc (Microsoft Word Document), which can be opened with software freely available on the Internet such as Open Office and Adobe Acrobat.

Department of Defense Forms

DD Form 4/1, Enlistment/Reenlistment Document for the Armed Forces of the United States

DD Form 93, Record of Emergency Data

DD Form 369, Police Record Check

DD Form 2005, Privacy Act Statement - Health Care Records

DD Form 2058, State of Legal Residence Certificate

DD Form 2351, DoDMERB Report of Medical Examination

DD Form 2492, DoDMERB Report of Medical History

Department of the Army Forms

DA Form 597, Army Senior ROTC Non-Scholarship Contract

DA Form 597-1, Acknowledgement of Understanding, Non-Scholarship Two-Year Program

DA Form 597-3, Army Senior ROTC Scholarship Contract

DA Form 705, Army Physical Fitness Test Scorecard

DA form 4824-R, Addendum to Certificate and Acknowledgement of Service Requirements for all US Army Reserve Personnel Applying for Participation in ROTC SMP.

US Army Cadet Command Forms

CC Form 104-R, Planned Academic Worksheet

CC Form 132-R, Statement of Understanding (Dependency)

CC Form 136-R, Briefing on Government Sponsored Benefits for ROTC Cadets

CC Form 137-R, Authorization/Declination for Access to Student Records

CC Form 139-R, Cadet Enrollment Record

CC Form 167-R, Scholarship Acceptance/Declination Statement and PMS Validation

CC Form 202-R, GRFD Non-Scholarship Cadet Contract Endorsement

CC Form 203-R, GRFD Scholarship Cadet Contract Endorsement

CC Form 204-R, Revocation of GRFD Scholarship Cadet Contract Endorsement

CC Form 226-R, Request for Conversion to GRFD or Dedicated ARNG Scholarship

CC Form 227-R, Request for GRFD Control Number

NGB Forms

NGB Form 594-1, Annex to DD Form 4 / DA Form 4836 - SMP Agreement ARNG

NGB Form 5435-R, Supplemental to DD Form 4- Statement of Understanding

Miscellaneous Forms

SGLV 8296, Serviceman's Group Life Insurance Election and Certificate

SF 86, Worksheet Electronic Personnel Security Questionnaire

SF 1199A, Direct Deposit Sign up Form ("Voided" Check attachment required)

W-4, Employee's Withholding Allowance Certificate

Other Forms You Must Provide to Contract

Birth Certificate, State Issued or naturalization certificate if applicable.

Proof of Citizenship

Dentist Information

Current Shot Records

SMP Memo

Official Transcripts from all High Schools and Colleges previously attended.

Blood Type, Hair Color, Eye Color, Religious Preference, and AKO E-mail address (if applicable)