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ENROLLMENT Forms & ROTC SCHOLARSHIP Application

                                                                                                                                             

ROTC PROGRAM ENROLLMENT REQUIRED Documents and Forms

Professional Resume

Birth or Naturalization Certificate 

Social Security Card

High School College Academic Transcript (most current official or unofficial)

Driver's License, Passport, or Photo ID

139-R Cadet Application and Enrollment Record  OCT 2023 version (Read carefully & use as a contracting guide)

Hot Seat Questionnaire Criminal History Background

DD Form 2492 Pre-Screen Medical Review Quesionnaire (No medical apointment necessary)

Release of Liability

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.

DODMERB Instructions

ROTC SCHOLARSHIP APPLICATION

USACC 145-1-5

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

USACC 203-R (USAR or ANG)

SMP Letter of Acceptance (USAR ONLY)

DA Form 4824 (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

CalVet Veterans Services College Fee Waiver

STUDENTS INTERESTED IN ARMY NURSE CORPS THROUGH ROTC

Army Nurse Information