Fill - Free fillable ARMY SENIOR RESERVE OFFICERS' TRAINING CORPS (ROTC) SCHOLARSHIP (Lyon College) PDF form

A STUDENT'S NAME

. STUDENT'S NAME (Last, First, MI)

B. SSN

C. DATE OF BIRTH (YYYYMMDD)

D. NAME OF EDUCATIONAL INSTITUTION

E. ADDRESS OF EDUCATIONAL INSTITUTION

F. DATE EDUCATION

COMMENCES (YYYYMMDD)

G. COMPLETION DATE

(YYYYMMDD)

H. ADDRESS OF RECORD (Include ZIP Code)

I. ACADEMIC MAJOR IN WHICH DEGREE IS TO BE ATTAINED

K. PERIOD COVERED L. DATE APPROVED

(YYYYMMDD)

M. AUTHORIZED

ARMY SENIOR RESERVE OFFICERS' TRAINING CORPS (ROTC) SCHOLARSHIP CADET CONTRACT

For use of this form see AR 145-1; the proponent agency is DCS G-1

DEPARTMENT OF THE ARMY AGREEMENTS

. In consideration of the agreement in Part II below, the Department

of the Army agrees to--

PAY SCHOLARSHIP BENEFITS

. Pay for a period of

appropriated by Congress)

the following:

(1)

TUITION AND FEES

. Tuition and educational fees up to an annual amount of $

(2)

BOOKS AND LABORATORY EXPENSES

. A flat rate of $

requirement or upon validation of the scholarship contract whichever is later.

(Any items the cadet believes are needed

that would exceed this rate must be purchased with other than Army funds.)

This contract represents an agreement entered into between the United States Army and the Reserve Officers' Training

Corps (ROTC) scholarship recipient (cadet) named herein, with the consent of the parent or guardian if the cadet is

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY:

PRINCIPAL PURPOSE:

ROUTINE USES:

DISCLOSURE:

Title 10, USC, Sections 2005, 2101 through 2111, and 3013. Title 5, USC, Section 301.

PREAMBLE

CONTRACT

PART I - AGREEMENT OF THE DEPARTMENT OF ARMY

academic years

(provided funds are

, which may increase

DA FORM 597-3, JUL 2005

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DA FORM 597-3, AUG 2004, IS OBSOLETE.

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To specify the contractual agreements and obligations and to document contracting in the Army Senior Reserve

Officers' Training Corps Scholarship Program.

This form will be maintained in the cadet's Military Personnel Records Jacket and becomes a permanent part of the official

personnel records as confirmation of enrollment, contracting, obligation and agreements.

Disclosure of the information requested in this contract is voluntary. However, applicable portions must be

completed if you desire to be enrolled in the Army ROTC Scholarship Program.

under the age of 18, to effect the cadet's participation in the Army Reserve Officers' Training Corps Program. It is hereby

agreed by both parties, the United States Army and the Cadet, that the sole purpose of the ROTC scholarship program is

to produce officers for the United States Army. Entry into this program is a serious commitment. This commitment must

be made with the resolve to attain a commission. If there are any doubts about the prospective cadet's ability or

determination to fulfill the terms of this contract, then this contract should not be executed. In consideration of the mutual

benefits, which will accrue to the parties hereto by reason of the cadet's participation in the Army ROTC and later service

in the United States Army, the parties agree to the terms below.

J. EXTENDED BENEFITS

RECEIVED

during the period of this contract, will be reimbursed as established on an annual basis by the U.S. Army Cadet

Command, for textbooks, and laboratory expenses. This will be payable on the first day of enrollment for all returning or

previously enrolled cadets. The flat rate for new award winners will be paid promptly upon completion of the 45-day

per month for MS II cadets; $per month for MS I cadets; $at the rate of $

(3)

PAYMENT TERMS

(a) Scholarship payment for tuitions and fees will be made if the cadet remains actively enrolled as a

scholarship student on the 45th day after the start of each academic year. The 45-day waiting period applies only

to the first term of each academic year (usually the Fall semester/quarter).

The waiting period will not apply to the

(b) After the 45-day waiting period, payment for tuition and fees will be made to the beginning of the

PART I - AGREEMENT OF THE DEPARTMENT OF THE ARMY

(Continued)

DA FORM 597-3, JUL 2005

Page 2 of 8

PAY FOR ATTENDANCE AT LEADER DEVELOPMENT AND ASSESSMENT COURSE (LDAC).

Provide

a daily rate of pay, which is prescribed by law for cadets of the United States Military Academy and implemented by

the Department of Defense Military Pay and Allowance Entitlements Manual (DODPM), for the period that the cadet

attends LDAC.

NOTE: Payment for travel from the cadet's home of record to the school listed above is not authorized under this

scholarship contract. (EXCEPTION: The only exception is for four-year, Military Junior Colleges (MJC), and

PROVIDE TRAINING .

Provide the cadet with U.S. Army-sponsored and -funded Reserve Officer Training.

DELAY ACTIVE DUTY FOR GRADUATE/PROFESSIONAL STUDY .

The obligated period of active duty

COMMISSION AS AN OFFICER

. Upon satisfactory completion of the academic, military, and all other

PAY MONTHLY SUBSISTENCE.

Pay a subsistence allowance for participation in the scholarship

program for 10 months of any academic year (or the actual duration of the academic year, whichever is shorter)

per

month for MS III cadets; $ per month for MS IV cadets; and $ for MS V cadets. These

(1) 50 months for a 5-year scholarship.

(or extended benefits under 4-year scholarship)

(2) 40 months for a 4-year scholarship.

(3) 30 months for a 3-year scholarship.

(4) 20 months for a 2-year scholarship.

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second semester or to second/third quarters. If the cadet enters into a scholarship contract after the 45th day of

the first term of the academic year, he or she is immediately eligible for scholarship benefits payments.

term, or the date the cadet began the term, whichever is later, provided that this contract is consummated before

the end of that term.

after the start of classes, the cadet is responsible for payment of the tuition and fees. The Army is not obligated

to pay any late fee incurred as a result of the cadet's failure to pay the costs of tuition and fees prior to the 45th

day.

rates are generally prescribed by law and implemented by the Secretary of Defense and may change during the period

of this contract. Entitlement is not to exceed--

Green-to-Gold scholarship recipients who are paid for one time travel from home of record to school to accept an

appointment as a scholarship cadet and to enlist in the USAR Control Group (ROTC)).

this contract requires may be delayed upon commissioning, if the cadet's application for resident graduate or

professional study is approved, until completion of the authorized delay.

requirements of the Army ROTC program, a cadet may be appointed as a reserve officer in the Army in the grade of

second lieutenant.

GENERAL CADET AGREEMENT.

As the ROTC scholarship cadet named above, I hereby agree to do the

following:

ENLISTMENT AGREEMENT.

As a condition for membership in the Army ROTC Program, I agree to

enlist in the Reserve Component of the United States Army (with an assignment to the USAR Control Group

(ROTC)) for a period prescribed by the Secretary of the Army.

ENROLLMENT AGREEMENT.

I agree to enroll in the necessary courses and successfully complete,

FULL-TIME STUDENT AGREEMENT.

I agree to remain a full-time student in good standing at the

approval from the Professor of Military Science (PMS).

ACADEMIC GRADE POINT AVERAGE AGREEMENT.

I agree to maintain, at a minimum, a cumulative

ROTC COURSES GRADE POINT AVERAGE AGREEMENT.

I agree to maintain at least a 2.0 on a 4.0

MEDICAL AND PHYSICAL FITNESS STANDARDS.

(1) I agree to maintain eligibility for enrollment and retention in ROTC and commissioning, as

defined by statute, Army regulation, and this contract, throughout the period of this contract. I agree to meet and

maintain the Army Physical Fitness Test (APFT) standard and the screening weight or body fat percentage required

Basic Course (OBC) or a Reserve Component unit and thereafter. Commissioning eligibility standards, including

(2) I agree to undergo precommissioning drug and alcohol screening tests, normally administered

(3) I agree to undergo testing for HIV (Human Immunodeficiency Virus) antibody during my

PART II - AGREEMENT OF SCHOLARSHIP CADET CONTRACTING IN THE SENIOR ROTC PROGRAM

DA FORM 597-3, JUL 2005

Page 3 of 8

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within the prescribed time, the requirements for the degree in the academic major stated above. I agree to remain

enrolled in and successfully complete the ROTC program, including LDAC and all training as prescribed by the

Secretary of the Army or his/her designee, as a prerequisite for commissioning.

educational institution named above until I receive my degree. A full-time student is defined as one enrolled in

sufficient academic courses to obtain sophomore, junior, and senior academic status at the end of each appropriate

one-academic-year increment for the duration of the scholarship. This includes the required Army ROTC classes,

which may be part of or in addition to those courses required for my degree. If I desire to transfer to another

institution or take a leave of absence from the continuous performance of this contract, I agree to obtain prior written

academic grade point average of 2.0 on a 4.0 or equivalent scale. This grade point average must also be

maintained for each semester or quarter. If I am required by my academic major or by the school I am attending to

maintain a higher cumulative and semester or quarter grade point average, I agree to maintain that higher standard

until the completion of the academic requirements for my degree. I understand and agree that failure to maintain

the minimum academic grade point average may subject me to disenrollment from the ROTC program.

or equivalent scale, cumulative and semester or quarter academic grade point average in all ROTC courses. I

understand and agree that failure to maintain the minimum ROTC courses grade point average may subject me to

disenrollment from the ROTC program.

the APFT and Army Weight Control Program standards, are subject to change, and I must keep myself informed of

such changes through contact with the PMS. I understand and agree that failure to maintain the weight and

physical fitness requirements may subject me to disenrollment from the ROTC program.

by the Army Weight Control Program as required of active duty soldiers each year and prior to attendance at ROTC

LDAC. These will be continuous requirements that I must continue to meet until the date that I report to Officer

during LDAC training, or as may otherwise be prescribed by U.S. Army Cadet Command. If the result of any test is

positive, I will be subject to disenrollment from the ROTC program.

precommissioning physical examination; normally during LDAC training or as the U.S. Army Cadet Command may

otherwise prescribe. If the result of the testing is confirmed positive, I will be disenrolled from the ROTC program.

NURSE CADET AND ARMY MEDICAL SPECIALIST CORPS CADET ADDITIONAL AGREEMENT. I

ADDITIONAL TERMS AND CONDITIONS. I further understand that--

DISCLOSURE OF DISQUALIFYING CONDITIONS.

By executing this contract, I represent that I meet all

Army regulation (including but not limited to AR 145-1)s and this contract. If I am ineligible for contracting in ROTC

NATURE OF DUTIES AND CONSCIENTIOUS OBJECTOR STATUS. My acceptance of the terms and

conditions of this agreement signifies my readiness to bear arms, to engage in and support combat operations

and to operate and support operations of approved weapons systems. If I at any time apply for and receive

conscientious objector status, I will be disenrolled from the program. If conscientious objector status is

approved, my failure to complete the service obligation within this contract will result in my disenrollment, at

which point I may be required to reimburse the United States Government for advanced educational assistance

expended on my behalf.

CADET OBLIGATION.

(1)

CADETS. I understand and agree that I will incur an active duty and/or reimbursement obligation

after the first day of my MS II year (sophomore year) if I am a three-, four- or five-year scholarship recipient; after the

first day of my MS III year (junior year) if I am a two-year scholarship recipient; or after the first day of my MS IV year

(senior year) if I am a one-year or less scholarship recipient.

(2)

GREEN-TO-GOLD CADETS. If I was conditionally discharged from the active Army to become a

(a) If I am an MS I/freshman and I am disenrolled from the ROTC Program for any reason, I

(b) If I am in the ROTC program beyond the MSI/freshman year and am disenrolled, I may be

DA FORM 597-3, JUL 2005

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PART II - AGREEMENT OF SCHOLARSHIP CADET CONTRACTING IN THE SENIOR ROTC PROGRAM (Continued)

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agree, if I am a nurse candidate or a medical specialist corps cadet, to complete a baccalaureate program from an

accredited and approved educational institution with an academic and clinical curriculum in English. I also agree to

complete my ROTC training requirements by my projected commissioning date and accept, if offered, a commission

in the USAR. I further understand that if selected for active duty in the Army Nurse Corps or Army Medical Specialist

Corps, I must first pass the professional degree and licensing exam requirements set forth in relevant Army

regulations prior to entry on active duty for my particular specialty. If a nurse cadet, I will take the exam not later than

60 days after graduation. If I fail the exam, I must retake it within 120 days after the first exam. If I fail my nurse

licensing examination for the second time, I will be branched based on the needs of the Army.

based on a particular medical or non-medical condition, but such ineligibility may be waived, I must obtain an

approved waiver before executing this contract. Failure to have disclosed or to disclose any disqualifying condition,

including any conditions I should have known about, will subject me to disenrollment from the ROTC program and

possible recoupment of scholarship benefits. I certify that I have been notified of the Department of Defense

Homosexual Conduct Policy, and I understand that my sexual orientation does not make me ineligible for contracting

with the Army. Therefore, nothing in this paragraph requires a disclosure of my sexual orientation in violation of the

Department of Defense Homosexual Conduct Policy as addressed in AR 600-20.

eligibility criteria for contracting in the ROTC Program and commissioning, as defined by statute, Army regulation, and

this contract. I represent that I have disclosed or will disclose any and all pre-existing medical conditions and

non-medical conditions that would make me ineligible for enrollment in the ROTC program as specified in statute,

scholarship recipient, I am obligated and may not voluntarily withdraw from the ROTC program from the date of

discharge without incurring an active duty or reimbursement obligation.

may be returned to active duty for the time not served on my original active duty enlistment when I was separated to

accept the ROTC scholarship. If I have less than one year remaining on my original active duty enlistment and am

not returned to active duty, I may be required to repay scholarship funds expended on my behalf.

returned to active duty or I may be involuntarily ordered to active duty as stipulated in paragraph 6 of this contract. In

case of personal hardship, I may request return to active duty in my enlisted status to serve

CADET AGREEMENTS UPON PROGRAM COMPLETION.

Upon completion of all requirements for

ACCEPTANCE OF APPOINTMENT.

I agree to accept an appointment, if offered, as a commissioned

officer in the USAR or ARNGUS, in accordance with governing Army regulations. I understand that upon

appointment, I will incur a total military service obligation not to exceed eight (8) years and cannot resign such

(1)

ACTIVE DUTY ASSIGNMENT.

Serve up to 4 years on active duty as a commissioned officer

(2)

RESERVE COMPONENT DUTY ASSIGNMENT.

Serve a short period of active duty or active

duty training if appointed for duty in a Reserve Component. If I am not selected for extended active duty, I will

complete an officer's basic course for branch qualification. This will be followed by service in a Reserve

Component Unit (ARNGUS or USAR), which has Monthly Unit Training Assemblies and an annual training period

of approximately two weeks until the remainder of my contractual military service obligation has been served.

(3)

UNAVAILABILITY OF TROOP PROGRAM UNIT ASSIGNMENT.

If I am fulfilling my

participate as a member of the Individual Mobilization Augmentee (IMA) program by serving at least twelve (12)

agree to participate as a member of the Individual Ready Reserve (IRR) by serving up to twelve (12) days of

(4)

THE ARMY NATIONAL GUARD COMBAT REFORM INITIATIVE (ANGCRI). If I am offered

the opportunity to participate in the Army National Guard Combat Reform Initiative (ANGCRI), I understand and

APPLICATION FOR RESERVE COMPONENT DUTY ASSIGNMENT. I understand that I may apply

for a Reserve Component appointment and request service on active duty or service with a Reserve Component

Unit (ARNGUS or USAR) at my discretion. However, my selection for the appointment and service shall be

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PART II - AGREEMENT OF SCHOLARSHIP CADET CONTRACTING IN THE SENIOR ROTC PROGRAM (Continued)

DA FORM 597-3, JUL 2005

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out the time remaining on my original active duty enlistment contract instead of the active duty obligation stipulated

in paragraph 6 of this contract.

NOTE: If I am a cadet with prior service, I understand that I will be required to serve any unexpired portion of my

previous statutory enlistment obligation. The unexpired portion of my previous statutory enlistment obligation runs

concurrently with my contractual military service obligation under this contract.

appointment, to include medical qualification, all prescribed military science courses, LDAC and any other training

that may be prescribed by the Secretary of the Army or his or her designee, I agree to, as prescribed by the

Secretary of the Army, complete the following requirements:

appointment before completion; however, this obligation may be met in a variety of ways as outlined below. I

further understand that active duty service may include worldwide assignment and assignment that involves

combat or exposure to nuclear, chemical, or biological weapons.

in the U.S. Army or for a period as prescribed by relevant Army regulations based on the needs of the Army,

followed by service in the Reserve Component as set forth in relevant Army regulations, until the remainder of my

eight-year contractual military service obligation has been served.

training each fiscal year until such time as an appropriate unit or IMA assignment becomes available or until the

expiration of my contractual military service obligation. I may be required to travel the distance specified in Army

regulations to fulfill my contractual military service obligation.

days, excluding travel time, on annual training each fiscal year as directed by the Human Resources Command

- St. Louis (HRC-St Louis). If it is determined that neither an appropriate unit nor an IMA assignment is available, I

obligation through Reserve Component duty and an appropriate troop program unit assignment is not available or

becomes unavailable in either the U.S. Army Reserve or the Army National Guard of the United States, I agree to

agree that in return for participation in the ANGCRI program, I will serve my remaining service obligation in an

Army National Guard unit, in lieu of completing my active duty service obligation, including mandatory service

requirements as prescribed by Federal statute, Army regulation, and my ROTC contract. Furthermore, if I

voluntarily, or because of misconduct, fail to complete my obligated Reserve service in an Army National Guard

unit, the Army may require me to return to active duty to complete the remainder of my service obligation or the

Army may seek recoupment against me.

determined according to the needs of the Army at the time that my requested appointment is considered. Further,

specific career field choices and branch assignments cannot be guaranteed but will be made according to the

needs of the Army no earlier than 12 months before commissioning.

c. If granted scholarship benefits beyond four years, I am obligated to serve an additional period of active

duty equivalent to any scholarship entitlements extended beyond four years, e.g., six months for each additional

semester of financial assistance granted (or four months for each additional quarter of financial assistance granted)

TERMS OF DISENROLLMENT. I understand and agree that once I become obligated and I am disenrolled from

the ROTC program for breach of contractual terms or any other disenrollment criteria established now or in the future

by Army regulations (which include, but are not limited to, AR 145-1) incorporated herein by reference, I am subject

to the terms in paragraphs 5a through 5e below--

I AGREE TO SERVE ON ENLISTED ACTIVE DUTY. Under the terms of this contract, the Secretary of

the Army or his or her designee, may order me to active duty as an enlisted soldier, if I am qualified, for a period of

not more than four (4) years if I fail to complete the ROTC program. If I am disenrolled after the point of obligation, I

I AGREE TO REIMBURSE THE UNITED STATES GOVERNMENT. If I am offered the opportunity to

financial assistance (to include tuition, educational fees, books, laboratory expenses, and supplies), paid by the

contract (breach of contract) regardless of whether I knew that the failure violated the contract and regardless of

FAILURE TO COMPLETE REQUIRED SERVICE OBLIGATION. I understand and agree that if I

I AGREE THAT PENDING DISCHARGE FROM ROTC, I MAY NOT ENLIST. I may not enlist in the

I AGREE THAT ANY OBLIGATION TO REIMBURSE WILL NOT BE ALTERED BY SUBSEQUENT

ENLISTED DUTY. If I am disenrolled from ROTC, I understand the Secretary of the Army, or his or her designee,

ENLISTED ACTIVE DUTY SERVICE OBLIGATIONS. If I am called to active duty for breach of contract under

a. During MS II, 2 years;

b. During MS III, 3 years;

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PART II - AGREEMENT OF SCHOLARSHIP CADET CONTRACTING IN THE SENIOR ROTC PROGRAM (Continued)

DA FORM 597-3, JUL 2005

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may be ordered to active duty for one of the periods listed in paragraph 6 below based upon the year during which

my disenrollment was initiated;

whether the failure was the result of an act or omission on my part made with a specific intent to avoid responsibilities

under the contract.

United States for my advanced education from the commencement of this contractual agreement to the date of my

disenrollment or refusal to accept a commission. This amount includes any financial assistance I may have received

prior to my obligation point. I agree that any money I am determined to owe to the United States shall bear interest at

the rate equal to the highest rate being paid by the United States on securities having maturity dates of ninety days or

less and shall accrue from the day that I am first notified of the amount I owe to the United States as reimbursement

under this contract. I understand that I may be deemed to have failed to comply with the terms and conditions of this

repay my advanced educational assistance in lieu of being ordered to active duty, I will be required to reimburse the

United States government through repayment of an amount of money, plus interest, equal to the entire amount of

voluntarily or because of misconduct fail to begin or fail to complete any period of active duty or duty in a reserve

status not on active duty that I have incurred under this contract whether as an officer or an enlisted soldier, I will be

required to reimburse the United States an amount of money, plus interest, that is equal to or bears the same ratio to

the total cost of the financial assistance provided to me by the United States as the unserved portion of such duty

bears to the total period of such duty I was obligated to serve.

active Army, another military service, or in a military service academy while I am a contracted ROTC cadet unless I

am properly released from my ROTC cadet status.

retains the prerogative to either order me to active duty or order monetary repayment of my scholarship benefits.

Therefore, if I am required to repay my advanced educational assistance under the terms of this contract, my

subsequent enlistment in an Armed Service will not relieve me from my repayment obligation.

the provisions of paragraph 5, above, I will be ordered to active duty for one of the periods listed below, based upon

the year during which the breach occurs -

c. During MS IV, 4 years;

d. After completion of MS IV, 4 years if I was a 2, 3, or 4-year scholarship recipient;

e. Scholarship recipients who are granted extended scholarship benefits beyond 4 years incur an additional

active duty service obligation equivalent to the length of the extended period of scholarship benefits.

f. Any unexpired portion of my enlistment obligation remaining after such active duty must be served in a

Reserve Component.

LEAVE OF ABSENCE, SUSPENSION OR TERMINATION OF SCHOLARSHIP BENEFITS. If my scholarship

RELEASE FROM OBLIGATIONS. I understand that the Secretary of the Army or his/her designee may at any

COMPLIANCE WITH AND CHANGES IN ELIGIBILITY REQUIREMENTS. I acknowledge that I have discussed

I also agree to inform the PMS of any change in my eligibility (medical and non-medical) based on current or

10.

DECLARATION OF BANKRUPTCY. I understand that the cost of my education under this program is, for all

purposes, a debt owed to the United States and entered into voluntarily on my part which, under the provisions of

Title 10, United States Code, Section 2005, Subsection (d), may not voluntarily be discharged by my declaration of

bankruptcy if less than five

) years after the last day of the specified period of active duty.

11.

ORDER TO ACTIVE DUTY IN THE EVENT OF A WAR. I understand that either as an enlisted member or as

12.

COMPLETE AGREEMENT AND SEVERABILITY. I understand the provisions in the contract contain the only

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PART II - AGREEMENT OF SCHOLARSHIP CADET CONTRACTING IN THE SENIOR ROTC PROGRAM (Continued)

DA FORM 597-3, JUL 2005

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benefits are temporarily inactivated by a leave of absence or administrative suspension, or are terminated due to my

failure to meet academic or military retention standards for scholarship cadets, as prescribed by law, Army

regulation, or this contract; I will not be relieved of my obligation to the U.S. Army and my obligations under this

contract remain in effect. If my ROTC scholarship contract is terminated for any reason, but I am qualified and am

allowed to remain in the ROTC program as a nonscholarship cadet, I understand that I will not be required to

reimburse the United States for any financial assistance I received provided that I successfully completed the ROTC

program and all of the active duty and duty in a reserve status not on active duty for which I am obligated under the

provisions of this scholarship contract.

time release me without notice from the obligations under this contract and disenroll me from the ROTC Program

without further benefits hereunder if, in the opinion of the Secretary of the Army or his or her designee, it is in the

best interest of the Army.

revised requirements as soon as I know or should have known of a change in my eligibility status. Failure to so

advise the PMS may result in disenrollment. Nothing in this paragraph requires a disclosure in violation of the

Department of Defense Homosexual Conduct Policy as addressed in AR 600-20.

the eligibility requirements pertaining to enrollment in ROTC, enlistment in the USAR or ARNG, and accepting a

commission as an officer, with the PMS or other designated and authorized ROTC cadre member, and that I

understand these requirements. I realize that these requirements may change in the future. I agree to keep myself

apprised of all changes in requirements and to maintain my eligibility to participate in ROTC at all times in the future.

a commissioned officer in the Reserve Component of the Army of the United States or upon my transfer or

assignment thereto, I may be ordered to active duty without my consent in the event of a war, a national emergency

declared by Congress or the President, an order of the Selected Reserve to active duty authorized by the President,

and as otherwise authorized by law, such call to active duty could be for the duration of a war or any period of time

authorized by law.

binding promises by and to both parties. This agreement controls over any conflicting advice or information that I

may have received orally or in writing from Cadet Command, my PMS, other cadre, cadets or others regarding my

obligations and agreements to the Army. If any provision within this agreement is determined to be invalid or

unenforceable by a court of law, the remaining terms and agreements remain in full force and effect.

N. HOME ADDRESS

(Include ZIP Code)

O. SIGNATURE

P. DATE

(YYYYMMDD)

Q. SIGNATURE OF PARENT OR GUARDIAN R. SIGNATURE OF WITNESS S. DATE

(YYYYMMDD)

T. EFFECTIVE DATE OF

ENROLLMENT (YYYYMMDD)

U. NAME OF ROTC CONTRACTING OFFICIAL

(Print or Type)

V. SIGNATURE OF ROTC OFFICIAL

W. DATE

(YYYYMMDD)

PART V - FOR THE SECRETARY OF THE ARMY

Page 8 of 8

PART III - CONSENT OF PARENT OR GUARDIAN TO CONTRACT IN ROTC AND ENLIST IN THE U.S. ARMY RESERVE

(To be completed if applicant is under 18 years of age at time of contracting in the ROTC program)

PART II - AGREEMENT OF SCHOLARSHIP CADET CONTRACTING IN THE SENIOR ROTC PROGRAM (Continued)

14. I consent to applicant's enrollment in the ROTC and to enlistment in the USAR.

PART IV - CONFIRMATION OF ENROLLMENT AS AN ROTC SCHOLARSHIP CADET

(And of Enrollment in the ROTC Program, If not previously enrolled)

16. On the basis of the above executed contract (Part II), the above named

applicant's selection for the award of the financial assistance indicated (Part I), and

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13. I certify that I am the applicant's parent or legal guardian, and that the applicant's date of birth as shown above

is correct.

15. I have read and thoroughly understand the above statements of terms under which the applicant is being

enrolled, including all statutes, directives, and regulations, incorporated by reference. I relinquish all claims to

applicant's service and to any wages or compensation for such service. I understand that the applicant will be

subject to all of the requirements and lawful commands of the officers who may from time to time be placed over

the applicant, and I certify that no promise of any kind has been made to me concerning the applicant's assignment

to duty or appointment as an officer as an inducement to me to sign this contract.

the executed consent of the parent or guardian (Part III) if applicable, I have selected

and enrolled this applicant as a cadet in the ROTC Program on the effective date of

enrollment in item T.

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