ROTC Cadet Forms

Welcome to the A-State ROTC Forms Page! This site is populated with forms that Cadets will need to fill out at each stage of Cadet enrollment. The following are some notes to help to ensure you can successfully open, fill out and save these interactive documents. 

1. Ensure that you have at a minimum Adobe DC Reader. This should be a free download. Do not purchase this item as it is available free from adobe.
2. Ensure that you save each form down onto your computer as this will allow each computer to access the form.
3. Do not digitally sign your document, you will need to ink sign all forms. 
4. Save completed documents to a computer or device you can secure. Bring the device with you on your next visit. 

ROTC BASIC COURSE FORMS

• CCF Form 139-R (PDF_OCT 2023) - Cadet Enrollment Record
• CCF Form 137-R (PDF_JUN 2024) - Release of Student Records
• CCF Form 136-R (PDF_JUN 2024) - Briefing of Government Benefits
• DA Form 3425-R (PDF_SEP 1968) - Medical Fitness Statement
• CCF Form 104-R (PDF_AUG 2024) - Academic Alignment Sheet

ADVANCED COURSE or CONTRACTING FORMS

These forms are to be filled out after you have completed and submitted the basic course forms. These are not required for initial enrollment.

• DD Form 93 (FEB_2023 PDF) - Record of Emergency Data
• DD Form 2492 (MAR_2008 PDF) - DoDMERB Medical History Form
• SF 1199A (MAR_1997 PDF) - Direct Deposit Form
• SAL WORKSHEET (PDF) - SCHOLAR, ATHLETE, LEADER Form
• SGLV 8286 (MAR_2023 PDF) - Soldier's Group Life Insurance Form
• DA Form 4824 (NOV_2023 PDF) - Simultaneous membership program agreement for Army Reservists. This must be submitted to us if you elect to do the SMP program with the USAR. Not required for those planning on becoming Active Duty Army Officers.
• NGB Form 594-1 (MAR_2014 PDF) - Simultaneous membership program agreement for Army National Guard Cadets. This must be submitted to us if you elect to do the SMP program with the National Guard. Not required for those planning on becoming Active Duty Army Officers.
• CC Form 203-R (AUG_2024 PDF) - Scholarship Contract Endorsement
• DD Form 369 (APR_2019 PDF) - Police Record Check
• DD Form 2058 (JAN_2018 PDF) - State Of Legal Residence Certificate 
• Dental Form (PDF) - Dental Exam Requirement
• DD Form 2005 (JUN_2016 PDF) - Privacy Act Statement and Health Care Record

ADDITIONAL ROTC FORMS

• USACC - US Army Cadet Command (Forms & Publications)
• APD - US Army Publishing Directorate
• DOD Forms - DoD Forms Management Program