USACC Form 139-R, APRIL 2019
CADET APPLICATION AND ENROLLMENT RECORD
Instructions and Notes (USACC Pam 145-4)
The purpose of the Cadet Application and Enrollment Record (CC Form 139-R) is threefold:
1. To record necessary information for entering a Cadet into the CCIMS database.
2. To create a legal record of Cadet enrollment.
3. To guide the Enrollment Eligibility Officer through the process of determining eligibility for enrollment and contracting.
A student is not enrolled in Army ROTC until he/she has completed, signed, and initialed this form and the Enrollment Eligibility Officer certifies by signature that the student is eligible for
entry into the Basic Course. A Cadet will not be contracted until he/she has completed, signed, and initialed this form and the Enrollment Eligibility Officer certifies by signature that the
Cadet is eligible for contracting.
Contracting any student is subject to the approval of the PMS, even when all other eligibility criteria are met.
Cadre will verify that the information on this form is current and accurate during each required periodic counseling with the Cadet.
Reproduction of this form on cardstock for durability is recommended. You may fill in permanent information in ink and changeable items in pencil.
If a waiver is required, refer to the current "Approval Authority/Flow of Cadet Actions" matrix and CC Pam 145-4, or other published guidance for current processing of waivers.
This form will be retained in the Cadet's MPRJ as a permanent document and retained with the Cadet Record Brief for five years following the Cadet's appointment or disenrollment.
Notes and references:
Part I-III
Height and weight is approximate. Fully discuss with the student any physical conditions they identify in Part I.
Part IV
Signing the Loya
lty Oath is optional for noncontracted students enrolling in the Basic Course. Aliens do not sign the Loyalty Oath.
Part V
Basic Course Enrollment Eligibility (Noncontracted Cadets): See notes/instructions for Part V.
Part VI
(1) Academic Status: AR 145-1, Ch 3; CC Pam 145-4.
(2) Conscientious Objection: AR 145-1, Ch 3; CC Reg 145-1.
(3) Character: AR 145-1, Ch 3; CC Pam 145-4.
(4) Tattoos: AR 670-1, dtd 1 Jul 02, para 1-8e, TRADOC MSG dtd 011525Z, Subj: TRADOC/USAREC IET RECRUIT/CADET TATTOO/BRAND POLICY
(5) Citizenship: Must be verified. The following documents may be used in verifying U.S. Citizenship: (a) Birth Certificate, (b) Certificate of Naturalization, (c) Certificate of Naturalization of parents, (d) INS From N-560
(Certificate of Citizenship, (e) Department of State Form 1350 (Certificate of Birth Abroad of a Citizen of the U.S.A.), (f) FS Form 240 (Report of Birth, Child Born Abroad of American Parent or Parents), (g) FS Form
545 (Certification of Birth Abroad of a Citizen of the U.S.A.), (h) Unexpired fully valid US Passport issued in the name of the applicant. AR 145-1, Ch 3; CC Reg 145-1 (for scholarship; CC Pam 145-4 (for processing aliens for
enrollment refer to AR 145-1, Ch 3, and CC Pam 145-4). Dual citizens must express in writing their willingness to renounce foreign citizenship if/when required.
(6) Medical: AR 145-1, Ch 3; CC Pam 145-4; AR 40-29; AR 40-501, Ch 2. Height and weight standards for prior service Cadets are found in AR 600-9. Height and weight standards for non-prior service Cadets are found
in AR 40-501 and CC Pam 145-4.
Nonscholarship Contracting Eligibility: See notes/instructions for Part VI.
Part VII
(1) Basic Course Eligibility Requirements: Cadet must meet basic course eligibility requirements - (1) - (6).
(2) Civil Conviction: AR 145-1, Ch3; CC Reg 145-1; CC Pam 145-4; and AR 601-210, Ch 4.
(3) Dependency: AR 145-1, Ch 3; CC Pam 145-4. In questions of custody, only court orders are acceptable. Powers of Attorney have no binding legal effect in such cases. Cadre will not counsel or advise sole parent
applicants to turn over legal custody; they may only advise on eligibility standards IAW Army policy.
(4) Substance Abuse: AR 145-1, Ch 3; CC Pam 145-4.
(5) Loyalty Oath: Statutory: DoD Dir 1215.8; AR 145-1, Ch 3; CC Pam 145-4. Aliens specifically exempted by law.
(6) Prior Service: AR 145-1, Ch 3; CC Reg 145-1; CC Pam 145-4; AR 601-210, Table 3-6 contains RE codes and their eligibility status.
(7) Citizenship: Must be verified. The following documents may be used in verifying U.S. Citizenship: (a) Birth Certificate, (b) Certificate of Naturalization, (c) Certificate of Naturalization of parents, (d) INS From N-560
(Certificate of Citizenship, (e) Department of State Form 1350 (Certificate of Birth Abroad of a Citizen of the U.S.A.), (f) FS Form 240 (Report of Birth, Child Born Abroad of American Parent or Parents), (g) FS Form
545 (Certification of Birth Abroad of a Citizen of the U.S.A.), (h) Unexpired fully valid US Passport issued in the name of the applicant. AR 145-1, Ch 3; CC Reg 145-1 (for scholarship; CC Pam 145-4 (for processing aliens for
enrollment refer to AR 145-1, Ch 3, and CC Pam 145-4). Dual citizens must express in writing their willingness to renounce foreign citizenship if/when required.
(8) Placement Credit: AR 145-1, Ch 3; CC Reg 145-1.
(9) Academic Alignment: CC Pam 145-4.
(10) Physical Fitness: AR 145-1, Ch 3; CC Reg 145-1; Cc Pam 145-4; Cadet scholarship and non-scholarship contracts.
(11) Medical: AR 145-1, Ch 3; Cc Pam 145-4; AR 40-29; AR 40-501, Ch 2. Height and weight standards for prior service Cadets are found in AR 600-9. Height and weight standards for non-prior service Cadets are found in AR
40-501 and CC Pam 145-4. Female students who are pregnant are ineligible to contract, but regain eligibility at the end of the pregnancy. Pregnancy after enrollment is not a disqualifier.
(12) Age: Statutory: AR 145-1, Ch 3; CC Reg 145-1; CC Pam 145-4.
Scholarship Contracting Eligibility. Se
e notes/instructions for Parts VI and VII.
(1) Basic Contracting Eligibility Requirements: Cadet must meet basic contracting eligibility requirements in Part VI.
(2) Medical: AR
145-1, Ch 3; Cc Pam 145-4; AR 40-29; AR 40-501, Ch 2. Height and weight standards for prior service Cadets are found in AR 600-9. Height and weight standards for non-prior service Cadets are found in
AR 40-501 and CC Pam 145-4. Female students who are pregnant are ineligible to contract, but regain eligibility at the end of the pregnancy. Pregnancy after enrollment is not a disqualifier.
(3) Major: CC Reg 145-1, Appendix F.
(4) Age: Statutory: AR 145-1, Ch 3; CC Reg 145-1.
(5) GPA: CC Reg 145-1.
(6) SAT/ACT: CC Reg 145-1.
(7) Academic Credits: CC Reg 145-1.
(8) Physical Fitness: AR 145-1, Ch 3; CC Reg 145-1; CC Pam 145-4; Cadet scholarship and non-scholarship contracts.