Department of Military Science
College of Liberal Arts
Since 1967, we have been producing Army Officers and developing leaders of character. ROTC, which stands for Reserve Officers Training Corps, is a program of military instruction that takes place on 270 college and university campuses nation-wide. The origin of military instruction in civilian colleges dates back to 1819. Army ROTC is the experience of a lifetime that helps you acquire the skills that promote success in life after college. Through our cutting-edge leadership development curriculum and corporate partnership programs, Army ROTC will transform you into the leader of tomorrow.
Forms
On this page are all the forms that you need to enroll and contract with the Jackson State University Army 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 Open Office and Adobe Acrobat.
NOTE: If you’re having trouble opening a PDF file in the browser, save the file to your computer and open with Adobe Reader.
CONTRACTING CHECKLIST
These are the documents needed to contract with JSU Army ROTC. For any questions, contact Mr. Rodney Hall, Recruiting Operations Officer.
Packets
Scholarship Contracting PAK 2020
Non-Scholarship Contracting PAK 2020
Basic Enrollment Forms
CC Form 136-R, Briefing on Government Sponsored Benefits for ROTC Cadets
CC Form 137-R, Authorization/Declination for Access to Student Records
CC Form 139-R, Cadet Enrollment Record
CC Form 104-R, Planned Academic Worksheet
DD Form 2005, Privacy Act Statement – Health Care Records
Additional Requirements
DD Form 2351, DoDMERB Report of Medical Examination
DD Form 2492, DoDMERB Report of Medical History
DA Form 705, Army Physical Fitness Test Scorecard
Fast Start Form (007)
145-4-1 Consent and Release 3-31-15
Transcripts (Unofficial, must show cumulative GPA)
Birth Certificate
Social Security Card
Shots and Immunizations Records
Finance Forms
SF 1199A Direct Deposit Form
W4 (Most recent)
DD Form 2058, State of Legal Residence Certificate
DD Form 93, Record of Emergency Data
SGLV 8286 SGLI Election Certificate
SMP/National Guard Only
DD Form 4 Enlistment Contract
DD Form 214/DD Form 220
NGB Form 594-1 SMP Agreement ARNG
DA Form 4824-R Addendum to Certificate and Acknowledgement of Service Requirements for all US Army Reserve Personnel Applying for Participation in ROTC SMP
Miscellaneous Forms/References
Basic Camp Handbook
Advanced Camp Handbook
DA Form 31, Request and Authority for Leave
ABOUT THE PROGRAM
Training Tomorrow’s Leaders Today!
The Jackson State University Army ROTC Tiger Battalion serves the greater Jackson Area in order to train Cadets/Student to become future Army Officers as well as leaders in the professional business world. Our program is the host Army ROTC program for Belhaven College, Delta State University, Millsaps College, Mississippi College, Mississippi College School of Law, Mississippi Valley State University, Tougaloo College, and University of Mississippi Medical Center’s School of Nursing.
Get more information!
LEARN BY DOING
Along with great leadership training, Army ROTC can pay for your college tuition and provide money for books and other living expenses. ROTC also awards merit scholarships to hundreds of students each year. Qualify, and you could get a scholarship and monthly allowance worth up to $80,000 at some schools.
“Challenging Minds, Changing Lives.”
APPLY YOUR KNOWLEDGE
The Jackson State University Army ROTC Tiger Battalion serves the greater Jackson Area in order to train Cadets/Student to become future Army Officers as well as leaders in the professional business world. Our program is the host Army ROTC program for Belhaven College, Delta State University, Millsaps College, Mississippi College, Mississippi College School of Law, Mississippi Valley State University, Tougaloo College, and University of Mississippi Medical Center’s School of Nursing.
CAREER OPPORTUNITIES
ROTC graduates have a plethora of career options as Officers in the United States Army.
READY TO JOIN?
For more information on joining the Tiger Battalion, please text “NG70” to 462769 or contact us at (601) 979- 8600. You may also fill out our information form below. We look forward to meeting with you and seeing how our program can help you achieve your goals.
DEPARTMENT OF MILITARY SCIENCE
