{"id":38,"date":"2010-11-22T21:03:12","date_gmt":"2010-11-22T21:03:12","guid":{"rendered":"https:\/\/www.jsums.edu\/armyrotc\/"},"modified":"2023-04-05T17:08:34","modified_gmt":"2023-04-05T17:08:34","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.jsums.edu\/arotc\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"

On this page are all the forms that you need to enroll and contract with the\u00a0Jackson State University\u00a0Army ROTC program. Click on a link to download the appropriate form. The forms are in .xls (Microsoft Excel Spreadsheet), .pdf (Adobe Acrobat Document), or .doc (Microsoft Word Document), which can be opened with software freely available on the Internet, such as\u00a0Open Office<\/a> and\u00a0Adobe Acrobat<\/a>.
\nNOTE<\/strong>: If you’re having trouble opening a PDF file in the browser, save the file to your computer and open with Adobe Reader.<\/strong>
\nCONTRACTING CHECKLIST<\/strong>
\nThese are the documents needed to contract with JSU Army ROTC. For any questions, contact Mr. Rodney Hall, Recruiting Operations Officer.<\/p>\n

Packets
\nScholarship Contracting PAK 2020<\/a>
\nNon-Scholarship Contracting PAK 2020<\/a>
\n<\/strong><\/p>\n

Basic Enrollment Forms<\/strong>
\nCC Form 136-R<\/a>, Briefing on Government Sponsored Benefits for ROTC Cadets
\nCC Form 137-R<\/a>, Authorization\/Declination for Access to Student Records
\nCC Form 139-R<\/a>, Cadet Enrollment Record
\nCC Form 104-R<\/a>, Planned Academic Worksheet
\nDD Form 2005<\/a>, Privacy Act Statement – Health Care Records<\/p>\n

Additional Requirements<\/strong>
\nDD Form 2351<\/a>, DoDMERB Report of Medical Examination
\nDD Form 2492<\/a>, DoDMERB Report of Medical History
\nDA Form 705<\/a>, Army Physical Fitness Test Scorecard
\nFast Start Form (007)<\/a>
\n145-4-1 Consent and Release 3-31-15<\/a>
\nTranscripts (Unofficial, must show cumulative GPA)
\nBirth Certificate
\nSocial Security Card
\nShots and Immunizations Records<\/p>\n

Finance Forms<\/strong>
\nSF 1199A<\/a> Direct Deposit Form
\nW4 (Most recent)
\nDD Form 2058<\/a>, State of Legal Residence Certificate
\nDD Form 93<\/a>, Record of Emergency Data
\nSGLV 8286<\/a> SGLI Election Certificate<\/p>\n

SMP\/National Guard Only<\/strong>
\nDD Form 4 Enlistment Contract
\nDD Form\u00a0214\/DD Form 220
\nNGB Form 594-1<\/a>\u00a0SMP Agreement ARNG
\nDA Form 4824-R<\/a>\u00a0Addendum to Certificate and Acknowledgement of Service Requirements for all US Army Reserve Personnel Applying for Participation in ROTC SMP<\/p>\n

Miscellaneous Forms\/References<\/strong>
\nBasic Camp Handbook<\/a>
\nAdvanced Camp Handbook<\/a>
\nDA Form 31<\/a>, Request and Authority for Leave<\/p>\n","protected":false},"excerpt":{"rendered":"

On this page are all the forms that you need to enroll and contract with the\u00a0Jackson State University\u00a0Army ROTC program. Click on a link to download the appropriate form. The forms are in .xls (Microsoft Excel Spreadsheet), .pdf (Adobe Acrobat Document), or .doc (Microsoft Word Document), which can be opened with software freely available on […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.jsums.edu\/arotc\/wp-json\/wp\/v2\/pages\/38"}],"collection":[{"href":"https:\/\/www.jsums.edu\/arotc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.jsums.edu\/arotc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.jsums.edu\/arotc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jsums.edu\/arotc\/wp-json\/wp\/v2\/comments?post=38"}],"version-history":[{"count":5,"href":"https:\/\/www.jsums.edu\/arotc\/wp-json\/wp\/v2\/pages\/38\/revisions"}],"predecessor-version":[{"id":2610,"href":"https:\/\/www.jsums.edu\/arotc\/wp-json\/wp\/v2\/pages\/38\/revisions\/2610"}],"wp:attachment":[{"href":"https:\/\/www.jsums.edu\/arotc\/wp-json\/wp\/v2\/media?parent=38"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}