Forms needed for Enrollment

Forms required in order to enroll in the program

(any SSN can be left blank and filled out on-campus)

Forms

Descriptions

Remarks

Directions

1

Cadet Command Form 139 R

Cadet Enrollment Record

Fill out pages 1 and 2 electronically then print.  You can leave the Social Security Number blank and fill in upon arrival.

       
2

CC Form 136-R

Briefing on Government Sponsored Benefits

 
       
3

CC Form 137-R

Authorization for Access to Student Records

Part one must be signed to access your transcripts

       
4

CC Form 104-R

Planned Academic Worksheet

This is your planned academic worksheet. Working thorugh this sheet with your academic counselor will help ensure you graduate on time. Your instructor will help you fill this out.

       
5

DD Form 93

Record of Emergency Data

 
       
6

DD Form 2005 (2017)

Privacy Act Statement Health Care Records

 
       
7

Proof of Health Insurance

 

 

       
8 Transcripts High School or College Unofficial is acceptable.

Additional Documentation for Scholarship Recipients

9

Contracting Memorandum Of Understanding

Contracting Memorandum of Understanding

Initialed and signed

       
10 DD Form 2058 State of Legal Residence  
       
11 SGLI 8286 Service Member's Group Life Insurance Form  
       
12 SF 1199A Direct Deposit Form  
       
13 Form W4 2017 Tax Form  
       
14

SSN Card and Photo ID

Bring them with you

 
       
15

Dental Record Memo

Statement of Acknowledgement

This form is to confirm the existence of dental records

       
16

Birth Certificate

Must be original or certified copy

This will be returned to the student

       
17

Copy of Acceptance Letter

The acceptance letter to the university

 

Forms for contracted cadets

18

SF 86

Security Clearance Questionnaire 

This is a very detailed form that will simplify the online security process.

 

 

 

 

19

CC Form 104-R

Planned Academic Worksheet

This is your planned academic worksheet. Working through this sheet with your academic counselor will help ensure you graduate on time. Your instructor will help you fill this out.

The following are copies of ROTC Contracts for you to read ahead.  If you contract with ROTC, you will be asked to review these prior to your contracting appointment.  

20

DA Form 4

Enlistment Document

Do Not fill out

 

 

 

 

21

DA Form 597

ROTC Scholarship Cadet Contract

Do Not fill out