Find out more about ROTC! Contact our Enrollment Officer Today!
Bob Lovins, rlovins@fsu.edu
Office: 850-644-8806 Cell: 850-264-7118
FSU Army ROTC recruiter named Best in Nation THREE Times!
2006, 2010, and 2020
FORMS
These are the forms that will be completed as you progress in Army ROTC.
Once asked to complete the file, open it, and save them per this example:
TITLE the file with your LASTNAME_F and the form number.
EXAMPLE: Smith_J CC Form 136-R.
Send scanned documents using the same naming convention.
Email to: Mr. Bob Lovins at rlovins@fsu.edu or Mr. KC Caldwell at kgcaldwell@fsu.edu
FORMS TO PARTICIPATE
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Forms to Participate |
Cadet Provides or Completes |
Form |
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Birth Certificate |
Provide original to copy |
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Social Security Card |
Provide original to copy |
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Immunization Record |
Provide original to copy |
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Dental Form |
Complete and sign: Write down the Dental Office which has your dental records |
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CC Fm 139-R Enrollment Form |
Complete and sign pages 1 & 2 only AROTC Enrollment form Prepared for FSU or TCC students |
FSU 139-R Cadet Application and Enrollment Record (FSU Cadets).pdf -------------------- TCC 139-R Cadet Application and Enrollment Record (TCC Cadets).pdf |
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CC Fm 136-R Briefing on Govt Sponsored Benefits |
Complete and sign Medical coverage for injury during Cadet activities - Workers Comp/Dept of Labor form |
136-R-Briefing-on-Government-Sponsored-Benefits-for-ROTC-Cadets-08-01-01.pdf |
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CC Fm 137-R Authorization for Access to Student Records |
Complete and sign Auth for ROTC access to school records |
137-R-Authorization-for-Access-to-Student-Records-08-01-02.pdf |
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DA Fm 3425-R Medical Fitness Statement |
CDT prepares for personal doctor to sign |
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CC Fm 104-R Planned Academic Program Worksheet |
Make an appointment with both the ROO and APO each semester |
FORMS preparing to contract
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FORMS to Contract |
Cadet completes |
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DODMERB appointments |
MEET WITH ROO, Mr. Lovins, rlovins@fsu.edu; Cadet sets up account; completes doctor visit and vision evaluation through DODMBERB |
Follow through with appointments |
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*Medically Qualified* DODMERB Physical |
DODMERB processes; sometimes waivers are needed, Cadre submits for processing. |
Follow through with appointments |
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CC Fm 104-R Planned Academic Program Worksheet |
Planned academic worksheet ~ Make an appointment with the APO each semester for review and/or adjustment(s). |
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Direct Deposit |
Complete form with your banking information |
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DD Fm 93 Emergency Data |
Complete form with relevant information |
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SGLI/SGLV 8286 |
Complete form Service member Group Life Insurance form |
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DD Fm 2058 |
Complete form
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W-4 Fm |
Complete form Tax Withholding |
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ACFT & H/W |
Cadre records; Cadre provides to HRA |
CONTRACTING FORMS
| FORMS TO CONTRACT |
Prepared by ROTC Admin for your signature |
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Scholarship |
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DD Fm 4 |
Enlistment/Reenlistment Document |
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DA Fm 597-3 |
Army Senior ROTC Scholarship Cadet Contract |
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Non-Scholarship |
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DD Fm 4 |
Enlistment/Reenlistment Document |
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DD Fm 597 |
Army Senior ROTC Non-Scholarship Cadet Contract |
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Army Natl Guard |
Simultaneous Membership Program (SMP) |
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NGB 594-1 |
From from your unit: Army National Guard Simultaneous Membership Program (SMP) Agreement |
From your Unit |
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DD Fm 597 |
Army Senior ROTC Non-Scholarship Cadete Contract |
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Army Reserve |
Two forms; (1) DA Form 4824, & (2) "Letter of Acceptance" from company commander. |
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DD Fm 597 |
Army SEnior ROTC Non-Scholarship Cadet Contract |
POST CONTRACTING
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AFTER Contracting |
Point of Contact |
SUSPENSE |
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SF 86 |
Mr. Duque |
w/i 30 days |
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Fingerprints |
SFC Tardiff |
w/i 30 days |
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CAC Card (wait 45 days) |
Cadre coordinate |
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**REMEMBER your PIN and digit# |
Cadets |
ALWAYS |
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Set up Travel to camp & special schools |
Mr. Caldwell |