Worcester Polytechnic Institute (WPI)
Army ROTC Related FormsBasic Course (Initial Enrollment Forms)CC Form 139-R – Cadet Enrollment Record (Excel)CC Form 136-R – Briefing on Government Benefits (Word)CC Form 137-R – Release of Student Records (Excel)DA Form 3425-R – Basic Course Medical Fitness Statement (PDF-Fillable)Dental MemoAdvanced Course Forms (Contracting Forms)DA 597 – ROTC Non-Scholarship Contract (PDF)DA 597-3 – ROTC Scholarship Contract (PDF)DD Form 4 – Enlistment Document (PDF-Fillable)DD Form 93 – Record of Emergency Data (PDF-Fillable)DD Form 2005 – Privacy Act Statement – Health Care Record (PDF-Fillable)DD Form 2058 – State of Legal Residence (PDF-Fillable)SF 1199 – Direct Deposit Sign Up Form (PDF-Fillable)SGLV 8286 – Soldier’s Group Life Insurance Form (PDF-Fillable)W-4 – Employee Withholding Allowance Certificate (PDF-Fillable)CC Form 104-R – Academic Alignment Sheet (Excel)CC Form 104-R InstructionsInitial Contract Counselling\s\s\s ................
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