Enrollment Forms

Initial Enrollment Forms

The following forms are required in order to fully participate in the Army ROTC corps of cadet activities.

  1. CC Form 139R - Cadet Enrollment Record
  2. CC Form 137R  - Authorization for Access to Student Records
  3. CC Form 136R  - Briefing of Government Benefits for Cadets
  4. DA Form 3425R  - Medical Fitness Statement
  5. Dental Statement

Shadow Visit Form

Contracting Forms

  1. CC Form 104R - Academic Plan
  2. DD Form 93 - Record of Emergency Data
  3. DD Form 2005 - Health Care Privacy Act Statement
  4. DD Form 2058 - State of Legal Residence
  5. SF 1199 - Direct Deposit Form
  6. SGLV 8286 - Service Members Group Life Insurance
  7. W-4 Employee Withholding Allowance Certificate