Enrollment Forms - ROTC
BASIC COURSE ENROLLMENT
- CC Form 136-R Briefing of Government Benefits (Word)
- CC Form 137-R Release of Student Records (PDF)
- DA Form 3425-R Medical Fitness Statement (PDF)
- DD Form 2005 Privacy Act Statement - Health Care Record (PDF)
- SF86 Security Clearance Application (Word)
- SF1199 Direct Deposit Form (PDF)
ADVANCED COURSE ENROLLMENT
- DA Form 4824-R Simultaneous Membership Program Agreement (Army National Guard Cadets)
- 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 (PDF)
- DD Form 93 Record of Emergency Data (PDF)
- DD Form 2351 DoDMERB Medical Examination Form (PDF)
- DD Form 2492 DoDMERB Medical History Form (PDF)
- SGLV 8286 Soldier's Group Life Insurance Form (PDF)
- W-4 Employee Withholding Allowance Certificate (PDF)
BASIC AND ADVANCED CAMPS
- DA Form 7349R Initial Medical Review - Annual Medical Certificate (PDF)
- DD Form 93 Record of Emergency Data (PDF)
- DD Form 2807-1 Report of Medical History (PDF)
- DD Form 2808 Cadet Scholarship Contract (PDF)
- SGLV 8286 Soldier's Group Life Insurance Forms (PDF)
OTHER FORMS THAT MAY BE REQUIRED
- CC Form 174 Green to Gold Active Duty Option Application (Excel)
- CC Form 218-R Assignment Preference Sheet (Excel)
- DA Form 1380 Record of Individual Performance of Reserve Duty Training (PDF)
- DA Form 3955 Change of Address and Directory Card (PDF)
- DA Form 7349R Initial Medical Review - Medical Certificate (PDF)
- DD Form 4 Enlistment Document (PDF-Fillable)
- DD Form 93 Record of Emergency Data (PDF)
- DD Form 1351-2 Travel Voucher or Subvoucher (PDF)
- DD Form 2005 Privacy Act Statement - Health Care Record (PDF)
- DD Form 2351 DoDMERB Medical Examination Form (PDF)
- DD Form 2492 DoDMERB Medical History Form (PDF)
- DD Form 2807-1 Report of Medical History (PDF)
- DD Form 2808 Cadet Scholarship Contract (PDF)
CONTACT
Assistant Professor of Military Science: CPT Brent Welch
918-444-3062
welch29@nsuok.edu
Assistant Professor of Military Science: CPT Jamel Holt
918-444-3062
holt35@nsuok.edu
Oklahoma National Guard ROTC Liaison: CPT Brent Welch
918-444-3062
welch29@nsuok.edu
Mr. Oscar Rayford
479-575-4251
olrayfor@uark.edu