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Army ROTC: Cadet Forms

Welcome to the University of Portland cadet forms page! There are many ways in which a new cadet may choose to join the Portland Army ROTC Program, and forms to go along with each. Here you will find links to all the forms you may need to enroll in and contract with the Portland Army ROTC Program. All the forms are either in Word (.doc), Excel (.xls), or Adobe Acrobat (.pdf) format. Click on a link to download and fill out the corresponding form. If you don't have Adobe Acrobat, the reader can be downloaded here. Word and Excel documents can be viewed and edited for free through the Open Office project.

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 Reserve Officer Training Corps (ROTC) Non-Scholarship Contract
DA Form 597-1	Acknowledgement of Understanding, Non-Scholarship Two Year Program
DA Form 597-3	Army Senior Reserve Officer Training Corps (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

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 Guaranteed Reserve Forces Duty (GRFD) or Dedicated Army National Guard (ARNG) Scholarship
CC Form 227-R	Request for Reserve Forces Duty (GRFD) Control Number
CC Form 3425-R	Medical Fitness Statement

National Guard Bureau Forms

NGB Form 594-1	Annex to DD Form 4/DA Form 4836 - SMP Agreement ARNG
NGB Form 5435-1-R	Supplemental to DD Form 4 - Statement of Understanding

Miscellaneous Forms

SGLV Form 8286	Serviceman's Group Life Insurance Election and Certificate
SF Form 86	Worksheet, Electronic Personnel Security Questionnaire
SF Form 1199-A	Direct Deposit Sign Up Form (with "VOIDED" check attached)
Form W-4	Employee's Withholding Allowance Certificate

Other forms or information you must provide to contract:

Original birth certificate, state-issued (as opposed to the hospital certificate)
Original Social Security card
Proof of citizenship (if a naturalized citizen)
Official transcripts from all high schools and/or colleges attended
Personal data:

Blood type
Hair color
Eye color
Religious preference
AKO e-mail address (if you have one; if not, you will obtain one after contracting

Other forms or information you must provide to contract:

Dental records or panographic X-rays