ENROLLMENT Forms & ROTC SCHOLARSHIP Application
ROTC PROGRAM ENROLLMENT REQUIRED Documents and Forms
Birth or Naturalization Certificate
Social Security Card
High School College Academic Transcript (most current official or unofficial)
Driver's License, Passport, or Photo ID
Hot Seat Questionnaire Criminal History Background
DD Form 2492 Pre-Screen Medical Review Quesionnaire (No medical apointment necessary)
USACC 136-R: Briefing on Government Sponsored Benefits for Cadets
CC 137-R: Authorization for Access to Student Records
DA 3425-R: Medical Fitness Pre-Screen Statement
MEDICAL QUALIFICATION FORMS
Schedule an apointment with the ROO Team to review applicant's medical prescreen DD 2492 and register the applicant in DODMETS for a Dept. of Defense Medical Evaluation Board. Once the student is registered in DODMETS, wait 24-48hrs. then follow the DODMERB Instructions. Note: There is no cost to student/applicant for the initial DODMERB apointments.
ROTC SCHOLARSHIP APPLICATION
ADM Codes (Three letter Academic Major Code) needed for the USACC 145-1-5 reference
USACC Form 104-R Planned Academic Program Worksheet, AUGUST 2024
CIP Codes (Number Code needed for 104-R) reference
Official High School Transcript (FRESHMAN ONLY)
Most Recent College Transcript(s) (NON-FRESHMAN)
ACT or SAT Score Letter (FRESHMAN ONLY)
CBEF Instructions (Cadet ID will be issued once the 139-R is uploaded into CCIMM)
DODMERB Qualification (SHIPPED PHYSICAL)
ROTC Guarnteed Reserve Forces Duty (GRFD) Scholarship additional forms needed
SMP Letter of Acceptance (USAR ONLY)
NGB Form 594-1, 20140302 (ANG ONLY)
Minute Man Scholarship Endorsement Template (USAR or ANG) if applicable
INSTRUCTION TO SUBMIT: Once complete, label each seperate form or document ( LAST NAME, FIRST NAME, TITLE OF THE FORM OR DOCUMENT) then email the completed SCHOLARSHIP APPLICATION FORMS in PDF format to syach@fullerton.edu.
STUDENTS WHOSE PARENT IS A VETERAN WITH A VA DISABILITY
STUDENTS INTERESTED IN ARMY NURSE CORPS THROUGH ROTC