Forms

NOTE: If you wish to save the data on the PDF fill-in forms, you may need to update your Adobe Reader. If you do not, you may not be able to save the data for future use.

High School ROTC Scholarship

• Info and Application – Four-year Active Duty scholarships for students right out of high school are handled by a separate entity from MSUB. Follow the link for more info.

Initial Enrollment Forms

• CC Form 104-R - Academic Alignment Sheet (Excel)
• CC Form 136-R - Briefing of Government Benefits (Word)
• CC Form 137-R - Release of Student Records (Excel)
• DA Form 3425-R - Medical Fitness Statement (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-fill-in).
• DD Form 93 - Record of Emergency Data (PDF-Fill-in).
• DD Form 2005 - Privacy Act Statement - Health Care Record (PDF-Fill-in).
• DD Form 2351 - DoDMERB Medical Examination Form (PDF-Fill-in).
• DD Form 2492 - DoDMERB Medical History Form (PDF-Fill-in).
• SF 1199A - Direct Deposit Sign Up Form (PDF-Fill-in).
• SGLV 8286 - Soldier's Group Life Insurance Form (PDF-Fill-in).
• W-4 - Employee Withholding Allowance Certificate (PDF-Fill-in)
• DA Form 7349R - Initial Medical Review - Annual Medical Certificate (PDF-Fill)
• DD Form 2807-1 - Report of Medical History (PDF-Fill-in)
• DD Form 2808 - Report of Medical Examination.
• CC Form 139-R – Cadet Enrollment Record (Excel)
• CC Form 174-R - Green to Gold Active Duty Option Application (Excel)
• CC Form 218-R - Assignment Preference Sheet (Excel)

ROTC Related Documents

• New Cadet Welcome Packet - Great overview of ROTC in general and source of info.
• Terrain Model Kit - Terrain Model Kit Symbols
• Cold Weather Injury Prevention