02_Cadet Application Record Form Description and Index

AFROTC DETACHMENT 085—UC BERKELEY
Cadet Application Record Form Description and Index
DO NOT SIGN OR DATE ANY FORM
01
Establishment of AFROTC Records Memorandum
02
Cadet Application Record Form Description and Index
03
AFROTC Form 20, Application for AFROTC Membership
This is a general information sheet and for the most part is self-explanatory. Ensure you complete all blocks with all required information (i.e. full address,
complete academic major, etc.) Be sure to enter an accurate date of graduation, including your academic major. NOTE: Non-U.S. Citizen’s cannot complete
the ‘Oath of Allegiance’ until citizenship in obtained.
04
AFROTC Form 35, Certification of Involvements with Civil, Military or School Authorities/Law Enforcement Officials
04A
05
AFROTC Form 48, Planned Academic Program
05A
05B
06
Read paragraphs ‘A’, ‘B’ and ‘C’ on the form carefully. Print your full name on the blank line immediately below paragraph ‘C’. Then complete the four columns
in Section II with all required information. DO NOT COMPLETE THE “ACTION” BLOCK or any other part of this form.
Category 1 and 2 Violations
COMPLETE IN PENCIL. Detailed instructions are included with the AFROTC Form 48. It is imperative this form be completed accurately as it has a direct
impact on the cadet’s AS Year and AFROTC goals.
AFROTC Form 48 Preparation Instructions
AFROTC Form 48 Example
DD Form 93, Record of Emergency Data (Worksheet)
06A
COMPLETE IN PENCIL. Detailed instructions are on the back of the form.
DD Form 93 Example
07
AFROTC Form 500, Restriction on Personal Conduct in the Armed Forces
08
AF IMT 883, Privacy Act Statement
09
DD Form 2005, Privacy Act Statement, Health Care Records
10
AF IMT 2030, USAF Drug and Alcohol Abuse Certificate
Read Section I and II carefully. Then answer each question by placing your initials in the appropriate box. (If you initialed ‘Yes’ to any question other than the
statement “I have read and understand…” in Section II, you must provide additional information in the ‘REMARKS’ section located on the back of the form.
Please provide complete and honest answers. For Section III, read each statement and initial in the box at the end of each statement.
11
AF IMT 3010, USAF Statement of Understanding for Dependent Care Responsibility
Indicate marital status in Section I. Initial each “square block” at the end of each paragraph in Section II. In Section III, if you have no dependents, write the
word ‘None’ and sign your initials next to the word. Complete Section IV.
12
Statement of Understanding Air Force Dependency Policy
13
AFROTC Form 16, Officer Candidate Counseling Record “Program Entry”
Read each mandatory counseling item marked “YES” and read sections III, VI, and VII.
14
DD Form 2058, State of Legal Residence Certificate
15
SF Form 1199A, Direct Deposit Sign-Up Form
In the event you qualify for stipend/textbook money, this form will facilitate payment. Please complete Section 1 and have your banking facility complete Section
3. NOTE: Your claim or payroll ID number is your SSAN.
16
AFROTC Form 28, AFROTC Pre-Participatory Sports Physical
This document needs to be taken to your medical provider at which time he/she will complete a sports physical, evaluating your health status. You will not be
able to participate in any ROTC physical activity until this form is completed and provided to AFROTC DET 085.
17
AFROTC Form 29, AFROTC Pre-Participatory Health Screening Questionnaire
18
Release of Liability Statement
19
HSSP Freshman Review Statement of Understanding
20
Statement of Authorization to Review Leave and Earnings Statement
21
Written Consent for Release of Student Educational Records
22
AFROTC Form 16, Foreign Language Skill Proficiency Bonus (FL SPB)
Read each mandatory counseling item marked “YES” and read sections III, VI, and VII.
23
AFROTC Form 16, Alcohol and Drug Abuse Prevention and Treatment (ADAPT)
Read each mandatory counseling item marked “YES” and read sections III, VI, and VII.
24
AFROTC Form 16, Servicemembers’ Group Life Insurance (SGLI) and Traumatic Injury Protection (TSGLI) Coverage
Read each mandatory counseling item marked “YES” and read sections III, VI, and VII.