REQUEST FOR NON-SCHOLARSHIP GUARANTEED RESERVE FORCES DUTY (GRFD)
CONTROL NUMBER
For use of this form, see CC Reg 145-10, the proponent agency is ATCC-OP-I-I
DATA REQURED BY THE PRIVACY ACT OF 1974
Authority 10 USC 2101, 2103, 2104, 2107, 2107A, 2111, and 5 USC 301.2
Principal Purpose To obtain personal data in order to authorize a GRFD Cadet Contract Endorsement for a non-scholarship cadet
participating in the Senior ROTC program.
Routine Uses To provide information for use in issuing a GRFD Control Number.
Disclosure Disclosure is voluntary. However, failure to provide complete information and provide responses will suspend
cadet's request for a GRFD Control Number.
1. TO Commander, U.S. Army Cadet Command
ATTN: ATCC-OP-I-I
55 Patch Rd., Bldg. 56
Fort Monroe, VA 23651-5000
2. FROM
IAW Cadet Command Regulation 145-10, request a GRFD Control Number be issued to the following cadet:
3a. NAME (Last, First, MI) 3b. SSN
4. ADVANCED COURSE ENROLLMENT DATE 5. ACADEMIC MAJOR AND CODE
6. HOST INSTITUTION AND FICE CODE
7. COMMISSION/GRADUATION DATE
8. This cadet was/was not (circle one) released IAW AR 635-200, Chapter 16, para 2c, as part of the Green to
Gold Program.
9. This cadet meets all eligibility requirements for Advanced Course enrollment and the GRFD Program.
I support this request.
10. This cadet understands that he/she must participate in the Simultaneous Membership Program (SMP).
11a. SMP INFORMATION: (Circle One)
ARNG USAR
11b. SMP UNIT:
12. REMARKS:
13a. CADET SIGNATURE:
14a. PROFESSOR OF MILITARY SCIENCE (PMS) SIGNATURE: 14b. DATE
13b. DATE
CC FORM 227-R, AUG 06 PREVIOUS EDITIONS ARE OBSOLETE
