DA FORM 3126-1, SEPTEMBER 2010 PREVIOUS EDITIONS ARE OBSOLETE
APPLICATION AND CONTRACT
FOR ESTABLISHMENT OF A NATIONAL DEFENSE CADET CORPS UNIT
For use of this form, see AR 145-2; the proponent agency is DCSPER
Form Approved
OMB Number 3126-1
Expires 09/01/2012
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APPLICATION
By direction of the governing official of
(Name of School System / District)
, an application is hereby submitted for
(City, State, Zip Code)
the establishment of a unit of the National Defense Cadet Corps under the provisions of section 2031, Title 10, United States Code at
(Complete Name and Address of School)
CONTRACT
1. Contingent upon the acceptance of the above application and conditioned upon the fulfillment of all
promises enumerated in paragraph 2 following, the Secretary of the Army agrees as follows:
a. To establish a unit of the National Defense Cadet Corps (NDCC) at the school named above.
b. To provide for use in the NDCC program such available government property as may be authorized
by law and applicable tables of allowances;
2. Contingent upon the acceptance of this application by the Secretary of the Army, and conditioned upon
the fulfillment of the promises enumerated in paragraph 1 above, the governing authorities of this school
agree as follows:
a. To provide appropriate academic credit applicable toward graduation for a course of instruction as
prescribed by the Secretary of the Army, which will be ______ required, or ______ elective.
b. To conduct the following type of NDCC training: ______ (1) Academic track; _____ (2)
Technical track; and _____ (3) To establish the unit as a ______ single unit, or ______ a part of a
multiple unit system; and to establish the unit as a 3year ______ , or 4 year ______ program; and to
establish the unit as a Class High School (HS) ______ or a Military Institute (MI) ______ .
c. To make available for use by the NDCC unit necessary and adequate classrooms, administrative
offices, office equipment, instructional supplies, storage space, drill area, utilities, to pay the cost and
maintenance thereof, and other required facilities in a fair and equitable manner in comparison with other
institutions (does not have to be departments), and to pay the cost of utilities and maintenance thereof. To
make available in the NDCC administrative office a telecommunications line suitable for voice transfer,
Internet connectivity, and data transfer and to pay the costs of installation and maintenance thereof to
include phone calls (local and official
long distance).
d. To employ certified instructors authorized and approved by the Army to administer the Army
approved courses at no expense to the Government, (a minimum of one officer and one noncommissioned
officer per unit). Contract periods will be negotiated to permit year round management of the program and
control of government property. Instructor contracts may be extended up to 21 days to allow instructors to
attend JCLC camp. These extensions will be approved on a case-by-case basis. School authorities agree to
pay retired Army NDCC instructors in accordance with applicable federal law and regulations. NDCC
instructors should be paid in the same manner as JROTC instructors as depicted in AR 145-2. Ensure that
instructors are under contract and therefore provided liability insurance (and proof thereof) through the
school or schools sponsored activities or duties (including extracurricular activities, i.e. JCLC, adventure
training, drill competition, marksmanship competitions, etc).
e. To request from CG, U.S. Army Cadet Command permission to hire, by name and position, the
individuals to be employed as the Senior Army Instructor and Army Instructor.
f. To appoint a military property specialist (MPS) who is not on active duty with the Army and who will
be empowered to requisition, stock, and account for government property issued to the school and otherwise
to transact matters pertaining thereto, for and in behalf of the school. If this duty is assigned to a retired
Army individual who is also employed as a NDCC instructor, that person will be provided a minimum of
one class period daily, in addition to their planning period, to complete MPS requirements.
g. To notify the CG, U.S. Army Cadet Command of the name and position of the individual designated as
military property specialist.
h. To conform to the current laws and regulations relating to issue, care, use, safekeeping, turn-in, and
accounting for such government property as may be issued to the school.
i. To comply with provisions of law, and the regulations of the Secretary of the Army, pertaining to the
furnishing of a bond and/or insurance to cover the value of all government property issued to the school,
except expended articles, and supplies properly expended in operations, maintenance, and instruction.
j. To maintain an enrollment in the institution of not less than 100 physically fit students (or 10% of the
eligible student population, whichever is less) who are in a grade above the 8th grade.
k. To adhere to a policy of nondiscrimination on the basis of race, religion, color, gender, sex, marital
status, political affiliation, physical ability, nation origin, sexual orientation or status as apparent, with respect
to admission or subsequent treatment of students and instructors.
l. To require instructors to wear Army uniforms to accomplish NDCC duties and maintain Army
standards of physical fitness, appearance, and height and weight. Any additional duties given to instructors
while in uniform will be appropriate and in no way demean the individual, the uniform, or the U.S. Army.
m. To encourage and support the professional development of NDCC instructors and permit attendance at
U.S. Army sponsored orientation, refresher training, workshops, and conferences.
n. To assist the Army in evaluating the quality of instruction by assessing the performance of instructors.
o. To conform to the regulations of the Secretary of the Army relating to the conduct of the NDCC..
3. It is mutually understood and agreed as follows:
a. That this contract shall become effective when the authorities of this school have been notified officially
that the Army has approved the establishment of a NDCC unit on the date specified.
b. That the Army shall have the right at any time to withdraw approval and authorization of any personnel
employed by the school pursuant to paragraph 2d above. Such withdrawal of authorization of any personnel
employed by the school pursuant to paragraph 2d above will require the decertification of the individual from
the NDCC program.
c. That this contract may be terminated in the following manner:
(1) At any time, by mutual consent and agreement of both parties.
(2) Upon the giving of one year’s notice of such intent to terminate by either party.
(3) If the NDCC unit is placed on probation pursuant to regulations prescribed by the Army.
(a) This contract will terminate at the end of one year from the date the unit was placed on
probation, unless the reason for such probationary status has been removed to the satisfaction of the Army
prior to such expiration.
(b) For enrollment, if the NDCC unit is in at least its third year of operation and does not satisfy
the enrollment requirements in 2j above, the unit will be immediately placed on probation. If enrollment
requirements are not met within 30 days of the beginning of the next school year, the contract will be
terminated at the end of that school year.
4. This contract supersedes all existing contracts between the Department of the Army and the school
pertaining to this matter.
FOR THE SCHOOL
TYPED NAME AND TITLE
SIGNATURE DATE
FOR THE SECRETARY OF THE ARMY
TYPED NAME AND TITLE
SIGNATURE DATE
Page 2, DA Form 3126-1, SEPTEMBER 2010
THE FOLLOWING AGREEMENT AND INFORMATION IS TO BE CONSIDERED AS PART OF THIS CONTRACT
AGREEMENT REGARDING FACILITIES TO BE PROVIDED FOR THE USE OF THE
NATIONAL DEFENSE CADET CORPS PROGRAM, WITHOUT EXPENSE TO THE DEPARTMENT OF THE ARMY
The authorities of the above-named institution agree that the facilities specified below shall be furnished for the use of the NDCC program, without expense to
the Department of the Army (phrases such as “as needed”, “as required”, etc., will not be used in describing the following):
1. OFFICES 2. STORAGE ROOMS
NO. OF
ROOMS
SIZE
BUILDING IN WHICH LOCATED
NO. OF ROOMS
EXCLUSIVE OR JOINT USE
NOTE: Storage rooms, particularly for clothing and small articles of equipment, must be adequately lighted and ventilated and provided with shelving, cabinets, and locked arms racks. Windows
must be securely barred and doors reinforced and fitted with cylinder locks.
3. CLASSROOMS
NO. OF ROOMS AND BUILDING
SEATING CAPACITY
EXCLUSIVE OR JOINT USE
NOTE: Classrooms must be adequately lighted and ventilated and provided with standard equipment. If joint use is specified, rooms must be available for Army NDCC classes when scheduled.
4. ASSEMBLY HALL
a. SEATING CAPACITY b. PROJECTION EQUIPMENT IF PROVIDED
FOR
c. WILL BE AVAILABLE FOR ARMY NDCC CLASSES AS
FOLLOWS:
5. GYMNASIUM
a. SIZE OF GYM OR OTHER INDOOR DRILL AREA
b. WILL BE AVAILABLE FOR ARMY NDCC CLASSES AS FOLLOWS:
6. OUTDOOR DRILL AREA
a. SIZE
b. WILL BE AVAILABLE FOR ARMY NDCC AS FOLLOWS:
7. TARGET RANGE INDOOR OUTDOOR
a. NO. OF FIRING POINTS b. WILL BE UNDER JURISDICTION OF
8. REMARKS:
Institutions should retain a copy of the contract and send the original to the designated JROTC Brigade:
COMMANDER
2
ND
BDE, USACC
ATTN: ATCC-BBJ
(JROTC)
5212 Maryland
Ave
Fort Dix, NJ
08640
Connecticut
Maine
Massachusetts
New Hampshire
New Jersey
New York
Pennsylvania
Rhode Island
Vermont
Germany
Italy
COMMANDER
3
RD
BDE, USACC
ATTN: ATCC-CCJ
(JROTC)
2730 Sampson
Street, Bldg 73,
Naval Station,
Great Lakes, IL
60088
Iowa
Illinois
Kansas
Michigan (UP)
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
Wisconsin
COMMANDER
4
th
BDE, USACC
ATTN: ATCC-DDJ
(JROTC)
2175 Reilly Road
Stop A
Fort Bragg, NC 28310
District of Columbia
Delaware
Maryland
North Carolina
South Carolina
Virginia
West Virginia
COMMANDER
5
th
BDE, USACC
ATTN: ATCC-EJR
(JROTC)
1265 Buck Road
2
nd
Floor
Fort Sam Houston,
TX 78234
Arkansas
Arizona
Colorado
North Mexico
Oklahoma
Texas
Utah
Wyoming
COMMANDER
6
th
BDE, USACC
ATTN: ATCC-FFJ
(JROTC)
246 Blanton Road
Building 1031
Hunter Army
Airfield, GA 31409
Alabama
Florida
Georgia
Louisiana
Mississippi
Puerto Rico
Virgin Islands
COMMANDER
7
TH
BDE, USACC
ATTN: ATCC-GGJ
(JROTC)
1468, 328
3
RD
Avenue
Fort Knox, KY
40121
Indiana
Kentucky
Michigan
Ohio
Tennessee
COMMANDER
8
TH
BDE, USACC
ATTN: ATCC-HHJ
(JROTC)
Box 339500
Mail Stop MS 83
Joint Base Lewis-
McCord, WA
98433
Alaska
American Samoa
California
Guam
Hawaii
Idaho
Mariana Islands
Montana
Nevada
Oregon
Washington
Japan
Korea
Page 3, DA Form 3126-1, SEPTEMBER 2010
9. DATA PERTAINING TO SCHOOL
a. NAME OF SCHOOL (No abbreviations) :
b. SCHOOL’S COMPLETE MAILING ADDRESS (Include ZIP code):
(If P.O. Box must also provide street address for shipping purposes)
c. TYPE OF SCHOOL(Check appropriate box):
Municipal State Denomination (Specify)
d. PRINCIPAL’S NAME:
e. TELEPHONE NUMBER:
f. FAX NUMBER:
g. E-MAIL ADDRESS:
10. DATA PERTAINING TO DISTRICT
a. NAME OF DISTRICT (No abbreviations) :
b. DISTRICT’S COMPLETE MAILING ADDRESS (Include ZIP code):
c SUPERINTENDENT’S NAME:
d. TELEPHONE NUMBER:
e. FAX NUMBER:
f. E-MAIL ADDRESS:
11. LIST ACCREDITING AGENCY
a. REGIONAL
b. STATE
C. OTHER
12. TOTAL ENROLLMENT OF SCHOOL:
13. ESTIMATED NO. OF QUALIFIED STUDENTS WHO WILL ENROLL
IN THE NDCC PROGRAM:
14. LIST TECHNICAL COURSES OFFERED AT SCHOOL:
15. WILL STUDENTS BE GIVEN A MEDICAL EXAMINATION:
16. BAND:
a. THE BAND WILL // WILL NOT BE AVAILABLE FOR NDCC CEREMONIES?
b. THE BAND WILL BE A SCHOOL BAND // NDCC BAND.