NAME: Suspense:In Enrollment Package YES NOInstructionsAF Form 883AFROTC Form 20Tattoo PolicyLetter of IntentRequest & Consent for ReleaseMail Access AuthorizationParent ReleaseAFROTC Form 35AFROTC Form 500AF Form 3010Statement of UnderstandingDD Form 2005AFROTC 28 (Pre-participatory sports physical)Cross-town Application (Non-Marquette students ONLY)Additional Item(s) NeededACT/SAT Scores (Registrars Office)Transcripts (Only If Attended Other Colleges)Selective Service Number (Males Only)JROTC Certificate (If Applicable)Carl A. Spaatz Award (If Applicable)Amelia Earhart Award (If Applicable)Billy Mitchell Award (If Applicable)Private Pilot License (If Applicable)

Following Items must be brought to Detachment --- NO COPIES !!!Social Security CardState Issued Birth Certificate

Items To Be Completed At DetachmentAF Form 2030Drug Demand Reduction Program MOUSign DD Form 93Height: Weight: Date:

For any questions on this package please call (414) 288-7798/7694

INSTRUCTIONS Read the instructions carefully and thoroughly. If you have any questions or are not sure on how to complete the form, contact one of the NCOs at Detachment 930, (414) 288-7682. AF Form 883: Privacy Act Statement-US Air Force Application Record 1. Read the form completely and thoroughly. 2. Initial where indicated. AFROTC IMT 20: Application for AFROTC Membership 1. Read the form completely and thoroughly. 2. Answer all questions in Part I a. If you do not know your projected graduation date, please approximate. Most degrees take 4 years. b. If you do not know your academic major yet, print “undecided.” 3. Read and complete Part II. 4. Read and complete Part III. NOTE: Ensure to choose only one of the options (swear or affirm). It does not matter which one you choose. Letter of Intent 1. Read the form completely and thoroughly. 2. Date the form at the top, circle the appropriate school you will be attending, fill in your major in item 3 and indicate whether you are/are not a ROTC scholarship recipient in item 4. If you are a scholarship winner, fill in the length and type of scholarship you received. 3. Print full name/social security number and sign on appropriate lines. Request and Consent for Release of Student Records 1. Read the form completely and thoroughly 2. Fill in the current date on the line labeled Date. 3. Print your full name in the Memorandum for line. 4. Print your name on the line in the 1st Ind line. 5. Sign on the line labeled Student’s Signature. 6. If you are under 18 years of age, have a parent or guardian sign on the appropriately labeled line. Mail Access Authorization 1. Fill in the current date on the line labeled date. 2. Print your full name in the Memorandum for line. 3. Read the form completely and thoroughly. 4. Print your name on the line in the 1st Ind line. 5. Fill in the current date on the line labeled Date. 6. Circle either do or do not, not both of them. 7. Sign on the line labeled signature.

Permission To Release Cadet Information to Parents 1. Read the letter and initial the appropriate block. 2. Print name, sign and date letter. AFROTC IMT 35: Certificate of Involvement…. 1. Read the form completely and thoroughly. 2. Print your name in Section I (first name, middle initial, last name). 3. Fill out Section II completely and accurately. a. Include any civil involvements. Give the original disposition, finding, and/or sentence (If fined, include the amount). b. Speeding tickets, no matter how minor, must be listed. c. If you have no civil involvements, print “none” under Type of Involvement. d. Check the appropriate box whether you were detained, confined, or placed on probation. e. Check in the appropriate box if the use of drugs or alcohol was cited. f. Do not check any of the boxes in the Action Section. 4. Sign and date the form in the blocks labeled Signature of cadet and date. AFROTC IMT 500: Restrictions on Personal Conduct in the Armed forces 1. Read the form completely and thoroughly. 2. Fill out the first line only (Date of Application, Name and Signature). 3. Leave the bottom two lines blank; they will be filled out at a later date. AF IMT 3010: USAF Statement of Understanding For Dependent Care Responsibility 1. “X” the appropriate black, on the left of each status, under Marital Status. 2. Read Section II and initial all the blocks. 3. Write “None” and your initials if you have no dependents. Otherwise, please write the name and age (if dependent is a child) of your dependent(s). In addition, indicate whether or not you have custody (if dependent is a child). Write your initials directly following the dependent information. 4. Fill in Section IV. 5. Leave all other sections blank. Statement of Understanding: Air Force Dependency Policy 1. Read the form completely and thoroughly 2. Print your full name on the top line in the first paragraph. 3. Sign and date on the line labeled Cadet’s Signature and Date. 4. Print your full name on the line labeled Cadet’s name, Typed or Printed. 5. Leave the other lines blank. DD Form 93: Record of Emergency Data Complete entire form in pencil, unless emailing, by following directions. - Items 1 and 2 are self explanatory. - Item 3a: “x” Air Force

- Item 3b: Write, “AFROTC, Det 930” - Items 4a-5d: Complete (if applicable). - Item 6a-b: Print your father’s Last, First, and Middle Initial and address. Write “Unknown” if his whereabouts are unknown. Write “Deceased” if he is deceased. - Item 7a-b: Print your mother’s Last, First, and Middle Initial and address. Write “Unknown” if her whereabouts are unknown. Write “Deceased” if she is deceased. - Items 8a-10: LEAVE BLANK - Item 11a-d: State your beneficiary for death gratuity pay, relationship, address, and percentage to be paid.

FOR EXAMPLE: Item 11a: Anna K. Smith; Item 11b: Mother; Item 11c: Same as item 7a; Item 11d: 100% NOTE: If more than one person is written as a beneficiary, the percentage must ultimately equal 100%. (i.e. if mom and dad are listed, then they would receive 50% ea)

- Item 12a-c: LEAVE BLANK -Item 13a-b: PADD stands for Person Authorized Direct Disposition. In the event of a fatal incident, please indicate to whom you would prefer your remains to be released to. Specific names are required when listing your chosen individuals. -Item 14: LEAVE BLANK (unless otherwise directed by Detachment staff.) -Item 15: Do not sign or date form – we will have you sign and date the form upon arrival at the detachment. DD Form 2005: Privacy Act Statement-Health Care Records 1. Read the form completely and thoroughly. 2. Fill out all three blocks at the bottom of the form. AFROTC Pre-Participatory Sports Physical (AFROTC Form 28) 1. Read the form completely and thoroughly. 2. Write your first and last name in Item 1. 3. The remainder of this form is required to be completed by a medical professional (i.e. Medical Doctor, Nurse Practitioner, or Physician Assistant.) 4. This form must be completed and returned to our office prior to any Physical Fitness (PT) training with AFROTC. AFROTC Physical Health Screening Questionnaire (AFROTC Form 29) 1. Read each item beginning with the top of the page. 2. Circle the answers as they apply for questions1-8 in the “First PT Activity” column only. 3. Date, print, and sign your name at the bottom of the page under “First PT Activity” portion only. 4. This form must be completed and returned to our office prior to any Physical Fitness (PT) training with AFROTC.

Mail, drop-off or email all completed paperwork to the address below: Air Force ROTC Detachment 930 Organizational Mailbox:Marquette University AF930@Marquette.edu707 N. 11th Street, Suite 203 Milwaukee, WI 53233 You will need to bring your original State Issued Birth Certificate with raised seal to the detachment. Once it has been seen by one of the active duty personnel, a copy will be made and the original given right back to member. You also need to bring your Social Security card (original). Again, once it is seen by one of the active duty personnel, a copy will be made and the original given right back. A copy of your ACT/SAT scores is also needed. If you do not have a copy, you should be able to get a copy from your guidance counselor or from the registrar office. If you are/were a member of JROTC, Civil Air Patrol, boy scouts, girl scouts or have your private pilot license, we also need a copy of that certificate. Attendance At Other College(s): If you have attended other colleges, we will need copies of your transcripts. You should have had them sent to the local college you are attending and be able to get a copy from them. Prior Service: If you are prior service, you will need to bring in a copy of your DD Form 214 (part 4). If you are in the Guard or Reserves, we need a DD Form 368, Conditional Release from your unit signed by the STATE ADJUTANT GENERAL (if delegated, need a copy of delegation letter). See the AFROTC Detachment NCOs for a copy of this form. You will need to coordinate with your unit to get this form signed. Naturalized Citizens: If you are a naturalized citizen, we will also need to see your naturalized certificate (original) to get some information from it. Males Only: We need a copy of your selective service card. If you cannot find it, you can go to: https://www4.sss.gov/regver/verification1.asp on the Internet and get a copy of it. If you have any questions or concerns contact Cadre Admin at (414) 288-7682.

PRIVACY ACT STATEMENT -- US AIR FORCE APPLICATION RECORD

AUTHORITY: 10 USC Sections 133, 265, 275, 504, 508, 510, 672(d), 678, 837, 1007, 1071 through 1480, 1553, 2105, 2107, 3012, 5031, 8013, 8033, 8496, and 9411; 32 USC 708; 44USC 3101; and Executive Orders 9397, 10450, and 11652.

PURPOSE: To determine your mental, medical, and moral qualifications for entry into the US Air Force. This data is FOR OFFICIAL USE ONLY and will be maintained in strict confidence within the Department of Defense according to Federal law and regulation. If you are acceptedand subsequently enter into a component of the Air Force, the information becomes a part ofyour military personnel records which is used to provide information for personnel management actions. If you are not accepted or do not subsequently enter a component of the Air Force,your records will be destroyed as specified by regulation.

ROUTINE USES: This information may be disclosed to the Social Security Administration and the Department of Treasury to establish a record of income; to federal, state, local or foreignlaw enforcement authorities for investigating or prosecuting a violation or potential violation oflaw; to federal, state, or local agencies to obtain information concerning hiring or retention of anemployee, issuance of a security clearance, letting of a contract, or issuance of a license, grantor other benefit; to a federal agency in response to its request in connection with the hiring orretention of an employee, issuance of a security clearance, reporting of an investigation of anemployee, letting of a contract, issuance of a license, grant, or other benefit by the requestingagency to the extent that the information is relevant and necessary to the requesting agency'sdecision on the matter; to a congressional office in response to their inquiry made at therequest of the individual; to the Office of Management and Budget (OMB) in connection withreview of private relief legislation as set forth in OMB Circular A19; to foreign law enforcement, security, investigatory, or administrative authorities to comply with requirements of international agreements and arrangements; to state and local taxing authorities in accordance with TreasuryFiscal Requirements Manual Bulletin 7607; to the Office of Personnel Management (OPM)concerning information on pay and leave, benefits, retirement deductions, and other information necessary for OPM to carry out its functions; to NARA for records management functions; andto the Department of Justice for pending or potential litigation.

DISCLOSURE IS VOLUNTARY: However, failure to furnish information needed to determine your mental, medical and moral qualifications for entry into the US Air Force will result in adenial of application.

PREVIOUS EDITIONS ARE OBSOLETE AF IMT 883, 19900401, V2

ANSWER THE FOLLOWING QUESTIONS (Check the applicable blocks. If yes, explain on reverse.)

APPLICATION FOR AFROTC MEMBERSHIP OMB No. 0701-0105

Expires 20070531(Please read Privacy Act Statement on reverse before completing this form.)

Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching

existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this

burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington

Headquarters Services, Directorate for Information Operations and Reports, (0701-0105), 1215 Jefferson Davis Highway, Suite 1204, Arlington, Virginia

22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a

collection of information if it does not display a current valid OMB control number. Please DO NOT RETURN your form to the above address . Return

completed form to your AFROTC detachment.

GENERAL MILITARY COURSE/PROFESSIONAL OFFICER COURSE/COLLEGE SCHOLARSHIP PROGRAM APPLICANT DATAI.

NAME (Last, First, Middle Initial) SOCIAL SECURITY NUMBER DATE OF BIRTH GENDER

FEMALE MALE

ETHNIC GROUP

AMERICAN INDIAN OR

ALASKAN NATIVE

ASIAN HAWAIIAN BLACK, NOT OF

HISPANIC ORIGIN

WHITE, NOT OF

HISPANIC ORIGIN

DECLINE TO RESPONDHISPANIC

MARITAL STATUS NUMBER OF DEPENDENTSPLACE OF BIRTH (City/State)

MARRIED SINGLE DIVORCED

COLLEGE/UNIVERSITY (Include Student ID Number if different from SSN) PROJECTED GRADUATION DATE ACADEMIC MAJOR

PERMANENT MAILING ADDRESS (Street, City, State, ZIP Code, andTelephone Number and E-mail Address)

IN CASE OF EMERGENCY CONTACT

TELEPHONE NUMBER EMERGENCY CONTACT (Include Area Code)

BACKGROUND EXPERIENCE

CURRENT MAILING ADDRESS (Dorm, Room, Telephone Number, Street, City, JUNIOR ROTC CIVIL AIR PATROL AWARDSEAGLE SCOUTState, and ZIP Code)

NONE 3-YEAR YESYES NO

NO1-YEAR 4-YEAR MITCHELL

2-YEAR EARHARTSELECTIVE SERVICE NUMBER (Males Only)

SPAATZBRANCH OF SERVICE:

MILITARY SERVICE OF PARENT OR GUARDIAN CURRENT STATUS OF PARENT OR GUARDIAN

YEARS OF SERVICE HIGHEST GRADEAIR FORCE

ARMY

MARINES

NAVY

COAST GUARD

MERCHANT MARINECIVILIAN RETIRED

MILITARY

ACTIVEDUTY

YES NOAre you now or have you ever been an enlisted or warrant officer of any component of the US armed forces (i.e., Reserve, USN, USAF,

USMC, USA, USCG, Merchant Marine)? If yes, complete the rest of this block.

BRANCH OF SERVICE FROM (Mo/Yr) TO (Mo/Yr) TYPE OF DISCHARGE YEARS REMAINING ONENLISTMENT

HIGHEST GRADE

YES NO

1. Have you ever applied for, been enrolled, or on contract in an Officer Training Program of the US Army, USAF, USMC, USCG, USN, Merchant

Marine, or preparatory schools? (If yes, indicate in remarks where and when.)

2. Are you now, or have you ever been, a commissioned officer of any component of the armed forces (including Reserve, USAF, USN, USA,

USMC, USCG, Merchant Marine)?

3. Are you now, or have you ever been, an officer of the Health Services and Mental Health Administration?

4. Are you now, or have you ever been, a member of the National Oceanic Atmospheric Administration?

5. Are you a U.S. Citizen? If yes, how obtained: BIRTH NATURALIZED

(If a naturalized citizen, or born outside of the U.S. of American parents, submit proof of citizenship. Reference AFROTCI 36-2011.)

6. Have you ever taken the AFOQT? (If yes, indicate in remarks section where and when.)

7. Have you ever had a physical for entry into the armed forces, Air Force ROTC, etc.? (If yes, indicate in remarks section where and when.)

8. Have you ever been denied enlistment into the armed forces?

9. Do you already have a degree (BA, BS, etc.)?

10. Are you an AFROTC Scholarship Designee? NO YES (Check one) 4-year 3-year

11. Are you a conscientious objector? (A conscientious objector is defined as: one who has or had a firm, fixed and sincere objection to

participation in war in any form or to bearing of arms because of religious training or belief, which includes solely moral or ethical beliefs.)

12. Are you now or have you ever been affiliated with any organization or movement that seeks to alter our form of government by

unconstitutional means, or sympathetically associated with any such organization, movement, or members thereof? (If yes, please describe.)

AFROTC FORM 20, 20060901, V1 PREVIOUS EDITIONS ARE OBSOLETE.

YES NOANSWER THE FOLLOWING QUESTIONS (CONT)

13. Do you understand that participation in Air Force ROTC requires strenuous physical activity? (You will be required to obtain medical

clearance from a physician prior to program entry.)

II. STATEMENT OF UNDERSTANDING

I understand that membership in the General Military Course (GMC) or attendance at Field Training (FT) does not guarantee that I will be accepted into the

Professional Officer Course (POC). I understand that if I am not on scholarship, attendance at FT does not guarantee or commit me to enter the POC.

GMC scholarship cadets who attend the first AS 200 class or Leadership Laboratory incur an Active Duty Service Commitment and are liable to call to

extended active duty or recoupment (which includes payback of scholarship benefits received during the AS 100 year).

SIGNATURE OF APPLICANT DATE

III. OATH OF ALLEGIANCE

swear or affirmI do solemnly that I will support and defend the Constitution of the United States against all enemies foreign or domestic; that I will

bear true faith and allegiance to the same; and that I take this obligation freely, without any mental reservation or purpose of evasion.

SIGNATURE OF APPLICANT DATE

REMARKS

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. 33, Appointment in Regular Component; 10 U.S.C. 103, Senior Reserve Officers’ Training Corps as implemented by AFROTCI

36-2011, Air Force Reserve Officers’ Training Corps; and E.O. 9397 (SSN). PURPOSE: To process and manage selected students for acceptance into the

USAF ROTC program. ROUTINE USES: This information may be disclosed to federal, state, local or foreign law enforcement authorities for investigating or

prosecuting a violation or potential violation of law; to federal, state, or local agencies to obtain information concerning hiring or retention of an employee,

issuance of a security clearance, letting of a contract, or issuance of a license, grant or other benefit; to a federal agency in response to its request in

connection with the hiring or retention of an employee, issuance of a security clearance, reporting of an investigation of an employee, letting of a contract,

issuance of a license, grant, or other benefit by the requesting agency to the extent that the information is relevant and necessary to the requesting agency's

decision on the matter; to a congressional office in response to their inquiry made at the request of the individual; to the Office of Management and Budget in

connection with review of private relief legislation as set forth in OMB Circular A-19; to foreign law enforcement, security, investigatory, or administrative

authorities to comply with requirements of international agreements and arrangements; to state and local taxing authorities in accordance with Treasury Fiscal

Requirements Manual Bulletin 7607; to the Office of Personnel Management (OPM) concerning information on pay and leave, benefits, retirement deductions,

and other information necessary for OPM to carry out its functions; to NARA for records management functions; and to the Department of Justice for pending or

potential litigation. DISCLOSURE: Furnishing the information is voluntary. Failure to provide requested information will hinder processing.

AFROTC FORM 20, 20060901, V1 (REVERSE)

MEMORANDUM FOR CADET __________________________________ FROM: AFROTC Detachment 930/DP Marquette University P.O. Box 1881 Milwaukee WI 53201-1881 SUBJECT: Air Force and Air Force Reserve Officer Training Corps Tattoo/Body Piercing Policy 1. IAW AFI 36-2903 the following defines the Air Force and Reserve Officer Training Corps on tattoos and body piercings. Tattoos/Brands/Body Markings. A tattoo is defined as a picture, design, or marking made on the skin or other areas of the body by staining it with an indelible dye, or by any other method, including pictures, designs, or markings only detectible or visible under certain conditions (such as ultraviolet or invisible ink tattoos). A brand is defined as a picture, design, or other marking that is burned into the skin or other areas of the body. Body markings are pictures, designs, or other markings as a result of using means other than burning to permanently scar or mark the skin. (Unauthorized content). Tattoos/brands/body markings anywhere on the body that are obscene, commonly associated with gangs, extremist, and/or supremacist organizations, or that advocate sexual, racial, ethnic, or religious discrimination are prohibited in and out of uniform. Members who have or receive unauthorized content tattoos/ brands /body markings are required to initiate tattoo/brand/body marking removal/alteration. (Excessive). Excessive tattoos/brands/body markings will not be exposed or visible (includes visible through the uniform) while wearing any/all uniform combination(s) except the PTU. This includes any combination of short sleeve, long sleeve, open collar uniform, utility uniform sleeves rolled up or worn down, flight duty uniform, etc. This policy does not apply when wearing the PTU. ―Excessive‖ is defined as any tattoos/brands/body markings that exceed ¼ (25%) of the exposed body part and are readily visible when wearing any/all uniform combinations(s). The ―exposed body part is defined as the total area, to include front, sides and back of a limb or other body part protruding from a uniform item. Cosmetic tattooing. Tattooing for cosmetic purposes is authorized when directed by licensed, qualified medical personnel to correct a medical condition, illness or injury for both men and women. When not medically directed, cosmetic tattooing is permitted for women if done to apply permanent facial makeup (i.e. eyebrows, eye liner); the cosmetic tattooing must have a natural appearance and be conservative, moderate, within reasonable limits, not excessive or extreme, not distinctly contrast with their complexion, and in good taste.

DEPARTMENT OF THE AIR FORCE AIR UNIVERSITY (AETC)

Body Piercing/Ornamentation, In uniform on or off a military installation: With the exception of earrings for women, all members are prohibited from attaching, affixing, or displaying objects, articles, jewelry or ornamentation to or through the ear, nose, tongue, eye brows, lips, or any exposed body part (includes visible through the uniform). In civilian attire off duty on a military installation: With the exception of earrings for women and areas in and around military family and privatized housing, all Air Force members are prohibited from attaching, affixing and/or displaying objects, articles, jewelry or ornamentation to and/or through the ear, nose, tongue, eye brows, lips, or any exposed body part (includes visible through clothing). Dental ornamentation: Teeth, whether natural, capped, or veneered, will not be ornamented with designs, jewels, initials, etc. The use of yellow gold, white gold, or platinum caps (permanent or temporary) merely to add ornamentation to the teeth and not required by dental/medical necessity is prohibited. 2. If you have any questions please contact myself or SSgt Coblentz at (414) 288-7682/7798. CHRISTINE A. TALAMANTES, TSgt, USAF NCOIC, AFROTC Detachment 930 1st Ind, Cadet ______________________ MEMORANDUM FOR AFROTC DET 930 1. I have read and understand the above policy on the Air Force and Air Force Reserve Officer Training Corps tattoo and body piercing policy. 2. I have a tattoo. If you do have a tattoo. Size (approximate inches) _________ What is the tattoo of ___________________? Where is the tattoo located on your body ___________ ? ___________________________________ PRINTED NAME/SIGNATURE/DATE

Date: ___________________

MEMORANDUM FOR RECORD SUBJECT: Letter of Intent 1. I intend to enroll in Air Force ROTC at Detachment 930 in _______________________. (term) 2. I will attend: 3. I will major in ____________________________________________. 4. I have an Air Force ROTC scholarship. If on scholarship: Length: __________

T

_____

ype: _______________ _____________________________________ ___________________________________ PRINT FULL NAME/SSN SIGN

DEPARTMENT OF THE AIR FORCE

AIR UNIVERSITY (AETC)

DEPARTMENT OF THE AIR FORCE AIR UNIVERSITY (AETC)

____________ Date MEMORANDUM FOR CADET _________________ FROM: AFROTC Det 930/DP SUBJECT: Request and Consent for Release of Student Records 1. In compliance with PL 93-389, “Family Educational Rights and Privacy Act”, your consent is required to permit the educational institution or AFROTC Detachment 930 in which you are/were enrolled to release official copies of your transcripts of grades and/or other student records, files, or data that are a part of your student records to Department of Defense (DOD) agencies, as may be required by such agencies. 2. It is mutually understood that the purposes of this request for official copies of student records is necessary for AFROTC screening and evaluation of its present and potential cadet members and those cadets commissioned or disenrolled form the AFROTC program. It is further understood that the privacy of the information collected by means of this request will be maintained in accordance with the Privacy Act of 1974 and the Freedom of Information Act, and the information will be used for official AFROTC evaluation. CHRISTINE TALAMANTES, TSgt, USAF NCOIC, Personnel 1st Ind, Cadet ___________________ MEMORANDUM FOR AFROTC Det 930 I have read and understand your request for official copies of my school records. I hereby voluntarily consent to the release of such official records as you may require in your above-stated request. I therefore authorize appropriate school officials or detachment personnel to release to the above signed requester, her successor, or to the appropriate DOD agency any and all official records, files, and data for their use as requested above. __________________________________ _____________________________________ (Student’s Signature) (Parent’s Signature if student is under 18 years of age) __________________________________ _____________________________________ (SSN) (School Attending)

___________________ (Date) MEMORANDUM FOR CADET________________________ FROM: AFROTC Det 930/CC SUBJECT: Mail Access Authorization From time to time, official US Air Force correspondence delivered to the detachment addressed to cadets needs to be opened by the Detachment Commander (CC), Unit Personnel Actions NCO (DP) and or the Information Manager (IM). Access is for the verification and accuracy of contents only. Documents in particular are commissioning assignments, cadet travel summaries, and all Leave and Earnings Statements (LES). These documents must be verified upon receipt to ensure their accuracy and correct/report any discrepancies to higher headquarters. In accordance with the Privacy Act, cadets’ permission for cadre members to access these records is needed. Therefore, cadets are asked to provide their payroll signature to serve as consent to access mail. Giving consent is strictly voluntary; however, cadets who do not consent to access will delay processing of critical documents essential to AFROTC matters. Only official USAF correspondence that is specifically approved by the commander will be opened. ROBERT T. HASSLER, Lt Col, USAF Commander _______________________ (Date) 1st Ind, Cadet _____________________ MEMORANDUM FOR AFROTC Det 930 I do/do not consent for AFROTC Det 930 Cadre to access my official mail. ___________________________________ _______________________________________ (Cadet’s Signature) (Parent’s Signature if student is under 18 years of age)

DEPARTMENT OF THE AIR FORCE

AIR UNIVERSITY (AETC)

PERMISSION TO

RELEASE CADET INFORMATION TO PARENTS

There are times when parents call AFROTC Detachment 930 cadre to inquire as to the status of their son or daughter. Often it is just to see how he or she is doing. In addition, cadre members need to be able to call parents under special circumstances.

The cadre at Detachment 930 is sensitive to your privacy and does not want to

violate it in any way. Therefore, we are asking your permission to answer questions your parents may ask concerning your well-being and to contact them should we need to inquire about your status in the corps. We assure you we will not abuse this privilege and will continue to keep your records under the utmost confidence.

_______ Permission granted (Initials) _______ Permission not granted (Initials) ___________________________ ___________________________ ____________ Cadet’s Printed Name Cadet’s Signature Date

FOR OFFICIAL USE ONLY (When filled in)CERTIFICATION OF INVOLVEMENTS WITH CIVIL, MILITARY OR SCHOOL

AUTHORITIES/LAW ENFORCEMENT OFFICIALSI. STATEMENT TO THE APPLICANT/CADETA. The Detachment Commander must know if you have ever been arrested, convicted, involved with law enforcement officials or authorities for him/her to

determine if you meet the character requirements for membership in Air Force ROTC. It is necessary for you to report any involvement with civil, military, or school authorities/law enforcement officials regardless of its insignificance, disposition, or finding on the certification provided below. Include traffic violations and any incidents which resulted in your being judged a juvenile offender. A finding of not guilty or advice by an attorney, court official, or

anyone else to consider your record as clear does not constitute authority to leave the involvement off of the certification.

B. In the future, you must report any civil involvements to the Detachment Commander or his/her designated representatives within 72 hoursoccurrence. If such incidents occur during a period of leave from the institution (e.g., student teaching or foreign study), attendance at Field Training, or during normal vacation periods, the 72-hour time limit will apply effective with the official date of your return to the institution.

C. Concealing or failing to report an involvement with civil, military, or school authorities/law enforcement officials, giving false information or claimingsubsequent to initial certification that you were unaware of the contents of this document may result in elimination from consideration for membershipin the Air Force ROTC program; or, if already a member, may result in your discontinuance from the Air Force ROTC program. The information reportedon this certification form will be treated as confidential matter, subject to the provisions of the Privacy Act of 1974 and the Freedom of Information Act.

CERTIFICATE

CERTIFY THAT THE INFORMATION CONTAINED IN THE FOLLOWING CERTI-I,FICATIONS INCLUDES ALL ARRESTS, DETENTIONS, CONVICTIONS, INVOLVEMENTS, ETC., THAT I HAVE HAD WITH CIVIL, MILITARY (INCLUDINGART. 15S), OR SCHOOL AUTHORITIES/LAW ENFORCEMENT OFFICIALS REGARDLESS OF DISPOSITION OR SEEMING INSIGNIFICANCE. THE LISTS

ARE COMPLETE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF.

II. CERTIFICATION I

TYPE OF INVOLVEMENT / ORIGINALCITATION

DATE OFINVOLVEMENT

NAME AND ADDRESS OF ARRESTINGAUTHORITY/COURT

DISPOSITION/FINDINGAND SENTENCE

WERE YOU DETAINED, CONFINED,OR PLACED ON PROBATION FORANY OF THE ABOVE?

WAS THE USE OF DRUGS ORALCOHOL CITED? NO ACTION REQUIRED CORROBORATION REQUESTED

WAIVER GRANTED CORROBORATION RECEIVEDYES NO YES NO

WAIVER DENIEDSIGNATURE OF CADET DATE REQUEST FOR WAIVER FORWARDED

TO AFROTC/RRFP

APPROVED DISAPPROVED

REMARKS/COUNSELING

SIGNATURE OF AUTHORIZED REPRESENTATIVE GRADE DATE

PREVIOUS EDITIONS ARE OBSOLETE.AFROTC FORM 35, 20100719

ACTION

Cadet has been counseled that his/her conduct will be closely monitored and any future involvements with authorities may result in disenrollmentinvestigation/dismissal. Cadet's initials of acknowledgement: ________

following its

RESTRICTIONS ON PERSONAL CONDUCT IN THE ARMED FORCES

1. Military life is fundamentally different from civilian life. The military has its own laws, rules, customs, and traditions, including numerousrestrictions on personal behavior, that would not be acceptable in civilian society. These are necessary because military units and personnelmust maintain the high standards of morale, good order, discipline, and unit cohesion that are essential for combat effectiveness.

2. The Armed Forces must be ready at all times for worldwide deployment. Military law and regulations, including the Uniform Code of MilitaryJustice, apply to service members at all times, both on base and off base, from the time the member enters the service until the member isdischarged or otherwise separated from the Armed Forces.

3. Members of the Armed Forces may be involuntarily separated before their term of service ends for various reasons established by law andmilitary regulations, such as:

a. A member may be separated for a pattern of disciplinary infractions, a pattern of misconduct, commission of a serious offense, or civilian conviction.

b. A member who has been referred to a rehabilitation program for personal drug and alcohol abuse may be separated for failure through inability or refusal to participate in, cooperate in, or successfully complete such a program.

c. A member may be discharged by reason of parenthood, if it is determined the member, because of parental responsibilities, is unable to perform his or her duties satisfactorily or is unavailable for worldwide assignment or deployment.

d. A member may be separated for failure to meet service weight control standards or physical fitness standards.

e. A member may be separated for harassment of or violence against any service member.

SIGNATUREDATE OF APPLICATION NAME (Last, First, MI)

SIGNATUREDATE OF ENLISTMENT NAME (Last, First, MI)

SIGNATUREDATE OF COMMISSION NAME (Last, First, MI)

AFROTC FORM 500, 20110804 PREVIOUS EDITIONS ARE OBSOLETE.

My eligibility is based on my marital and dependency status and failure to claim all my dependents may result in my involuntary separ- ation from the Air Force. I haveread and understand the following definitions the Air Force considers a dependent for accession purposes. 1. A spouse. 2. Any person under the age of 18 forwhom the applicant or spouse has legal or physical custody, control, care, maintenance, or support. includes children from a previous marriage, a relative by bloodor marriage and stepchildren or adopted children of the applicant or spouse. 3. Any unmarried natural children of the applicant or spouse regardless of currentresidence. For male applicants, the term natural child includes those born out of wedlock. 4. Any person who is dependent upon the applicant or spouse for theircare, maintenance, or support regardless of age. (5) FOR MALE APPLICANTS ONLY. An unborn child of the spouse or one claimed by or a court order determinesis his.

NONE ____ (initials)

USAF STATEMENT OF UNDERSTANDING FOR DEPENDENT CARE RESPONSIBILITY(This form is subject to the Privacy Act of 1974. Use Blanket PAS - AF Form 883)

I. MARITAL STATUSSINGLE MARRIED (Civilian) MARRIED (Military) SEPARATED DIVORCED WIDOWED

II. STATEMENT OF UNDERSTANDINGI understand:

( )It is my responsibility to provide legal documents (marriage certificate, birth certificate, etc.) to substantiate my dependent(s) and it is my responsibility to supportmyself and my dependent(s) on the pay and allowances I receive. I also understand arrangements for care of my dependent(s) is my personal responsibility andwill not interfere with my assigned Air Force duties, including shift work, weekend duty, temporary duty away from my assigned duty station and short notice deploy- ments and evacuations. I further understand my dependent(s) will not prevent me from being available for worldwide assignment and failure to perform my military

( )dependent(s) may result in disciplinary action, to include involuntary discharge.

If applying for an enlisted program, my dependent(s) are not permitted to accompany me during basic training, and it is recommended they notaccompany me during any technical training. If applying for an officer program, it is strongly recommended my dependent(s) not accompany me whileattending training. I also understand government family quarters are assigned based on application date, grade, date of grade, number of dependents,

( )and availability.

Military couples with dependent(s) are required to make dependent care arrangements that allow both members to meet all military obligations andduties. I also understand each member is considered to be serving in his or her own right and must be available for worldwide assignment regardless ofmarital or dependent status. Additionally, I understand married Air Force couples may apply for a join spouse assignment but there is no guarantee they

( )will be assigned together.

III. REMARKS

IV. APPLICANT CERTIFICATION

I have read the information on this form and understand how it applies to me and my dependent(s). I also understand the needs of the Air Force comefirst and I may be involuntarily discharged should I violate any of these provisions. I certify the information on this form is of my personal knowledge andis true and correct and my recruiter did not advise me to conceal any dependency information.

DATE NAME (Last, First, Middle Initial) SSN SIGNATURE

V. RECRUITER CERTIFICATIONI certify the information on this form was explained to the applicant and I verified the applicant's dependent(s) and marital status from appropriatesource documents.

DATE RECRUITER'S NAME/GRADE SIGNATURE

VI. APPLICANT FINAL CERTIFICATIONOn the date of enlistment or commissioning or appointment and prior to signing the oath, I reviewed the information on this form and hereby reaffirmcomplete knowledge and understanding of the statements contained herein. I further certify all changes to my marital or dependent status sinceinitiation of this form are explained in Section III.DATE SIGNATURE

VII. AIR FORCE REPRESENTATIVE FINAL CERTIFICATIONI have verified all known changes to the applicant's marital or dependent status since initiation of this form and certify they are explained in Section III.DATE NAME/GRADE OF AIR FORCE REPRESENTATIVE SIGNATURE

AF IMT 3010, 19930701, V2 PREVIOUS EDITIONS ARE OBSOLETE.

INSTRUCTIONS

This form is mandatory for all applicants applying for enlistment, commissioning or appointment in the Air Force (AF). Complete inaccordance with AFI 36-2002 and the following instructions:

Section I, Marital Status.

Applicant marks the applicable marital status.

Section II, Statement of Understanding.

Applicant initials all paragraphs to acknowledge his/her understanding. (NOTE: When applicant furnishes proof of permanent transfer of all rights to thelegal, physical, or other responsibility for the custody, control, care, maintenance, and support of a dependant under 18-years of age through formaladoption, they will not be considered a dependant for accession purposes.)

Section III, Remarks.

If a dependency eligibility/waiver is required and approved; list date of approval, approving official, and position. If there are no comments, enter "None"and applicant must initial.

Section IV, Applicant Certification.

Self explanatory.

Section V, Recruiter Certification.

Self explanatory.

Section VI, Applicant Final Certification.

Complete on date of final enlistment, commissioning or appointment. (NOTE: Do not complete at time of delayed enlistment program (DEP) entry.)

Ensure all changes to applicant's marital and dependent status are annotated in Section III.

Section VII, Air Force Representative.

Complete on date of final enlistment, commissioning, or appointment. (NOTE: Do not complete at time of DEP entry.) Ensure all changes to applicant'smarital and dependent status are annotated in Section III.

AF IMT 3010, 19930701, V2 (REVERSE)

STATEMENT OF UNDERSTANDING AIR FORCE ROTC DEPENDENCY POLICY

I have been briefed on the Air Force policies concerning family care responsibility and family care responsibility as an AFROTC retention standard. (A family member is any person over whom I have legal or physical custody or control, or who relies primarily upon me for their care, maintenance, or support regardless of age). In particular, I understand the following: a. (Non-contract Cadet) If I am/become unmarried or married (to include a common-law spouse) to a military member (including another AFROTC cadet), and become responsible for any family member incapable of self-care, I must aquire and maintain an approved Family Care Plan IAW AFI 36-2908, Family Care Plans, that will adequately cover my time in AFROTC. Additionally, I understand that upon arrival at my first duty station, I will be required to submit a revised family care plan. While in AFROTC if I am unable or unwilling to create or maintain such a family care plan, I will no longer meet AFROTC retention standards. In such case, I would then be subject to disenrollment from AFROTC for failure to main-tain military retention standards. If I am disenrolled, I will also be subject to recoupment of my scholarship benefits. b. (Contract Cadet) If I am disenrolled from AFROTC after becoming a contract cadet, I am subject to call to EADin my enlisted grade, recoupment of scholarship benefits, or release. If I have more than two (three with an approved wa-iver) dependents incapable of self-care, I understand I do not meet enlisted accession standards and cannot be subject to EAD in my enlisted grade and can only be subject to recoupment or release.

Certification Reason Application Enlistment Commissioning Dependency Status Chg

Date

Cadet Printed Name

Cadet Signature

Cadre Printed Name

Cadre Signature

Certification Reason Application Enlistment Commissioning Dependency Status Chg

Date

Cadet Printed Name

Cadet Signature

Cadre Printed Name

Cadre Signature

Certification Reason Application Enlistment Commissioning Dependency Status Chg

Date

Cadet Printed Name

Cadet Signature

Cadre Printed Name

Cadre Signature

Certification Reason Application Enlistment Commissioning Dependency Status Chg

Date

Cadet Printed Name

Cadet Signature

Cadre Printed Name

Cadre Signature

I CERTIFY THIS CADET/APPLICANT'S LEAN BODY MASS POSES NO HEALTH RISK; NO SIGNS OF EATING DISORDERS EXIST. I HAVE DISCUSSED THE

I

I HAVE DISCUSSED APPROPRIATE AND SAFE WEIGHT LOSS WITH THE CADET/APPLICANT.

FROM PARTICIPATING IN A RIGOROUS PHYSICAL TRAINING PROGRAM. IF A MEDICAL CONDITION/PHYSICAL IMPAIRMENT EXISTS THAT MAYPRECLUDE THE INDIVIDUAL FROM PARTICIPATING, PLEASE EXPLAIN:

FIND MEDICAL CONDITION(S) OR PHYSICAL IMPAIRMENT(S) THAT WOULD PRECLUDE THIS CADET/APPLICANT

AIR FORCE ROTC PRE-PARTICIPATORY SPORTS PHYSICAL

AFROTC FORM 28, 20120712

PHYSICIAN OR MEDICAL AUTHORITY SIGNATURE EXAMINATION DATE

2. AFROTC DETACHMENT

MEDICAL AUTHORITY:

(Medical Authority Initials)

DID / DID NOT (please circle)

(Medical Authority Initials)

(IF CADET/APPLICANT IS BELOW AIR FORCE WEIGHT STANDARDS)

(FOR ALL CADETS/APPLICANTS)

(IF CADET/APPLICANT EXCEEDS AIR FORCE WEIGHT STANDARDS)

PLEASE REVIEW THE ABOVE INFORMATION. CONDUCT COUNSELING BELOW IN APPLICABLE AREAS, AND SIGN.

I,

8.

9.

10.

11.

(print name) ______________________________________________________________, HAVE EXAMINED THIS CADET/APPLICANT AND REVIEWED

HIS/HER MEDICAL HISTORY. THE FOLLOWING ARE THE RESULTS:

1. CADET/APPLICANT NAME

MEDICAL AUTHORITY:

EXCEEDS AIR FORCE WEIGHT STANDARDS

IS BELOW AIR FORCE WEIGHT STANDARDS

IMPORTANCE OF NUTRITION AND WEIGHT MANAGEMENT.

IS WITHIN AIR FORCE WEIGHT STANDARDS

6. BODY FAT STANDARDS:FEMALE - 28%

MALE - 20%

7. CHECK APPLICABLE BOX

MINIMUM MAXIMUM

3. CADET/APPLICANT MEASUREMENTS HEIGHT WEIGHT

4. AIR FORCE WEIGHT STANDARDS

(found on reverse)

Measure height and weight of cadet/applicant. Compare results to AF standards listed on reverse, check block 7 and certify as

930

AFROTC CADRE: If cadet/applicant exceeds AF weight standards, conduct a Body Fat Measurement IAW DoDI 1308.3.

A DISQUALIFIED DODMERB OR MEPS PHYSICAL SUPERSEDES THIS FORM. A CADET MAY NOT PARTICPATE IN THE AFROTC PHYSICALAFROTC CADRE:

TRAINING PROGRAM IF THEY HAVE A DISQUALIFIED DODMERB OR MEPS PHYSICAL.

AFROTC CADRE SIGNATURE DATE

5. BODY FAT MEASUREMENT

requested below.

AFROTC FORM 28, 20120712 REVERSE

MAXIMUM AND MINIMUM AIR FORCE ALLOWABLE WEIGHT STANDARDS

TABLE 1. MAXIMUM ALLOWABLE WEIGHTS FOR BMI OF 27.5 (REGARDLESS OF AGE) (58 - 80 INCHES)

HEIGHT(INCHES)

58

131 136 141 145 150 155 160 165 225 231170 175 180 186 191 197 202 205 214 220 237 244 250

172

59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80

MAXIMUMWEIGHT (POUNDS)

TABLE 2. MINIMUM ALLOWABLE WEIGHTS FOR BMI OF 19.0 (58 - 80 INCHES)

HEIGHT(INCHES)

58

91 94 97 100 104 107 110 114 156 160117 121 125 128 132 136 140 144 148 152 164 168

59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80

MAXIMUMWEIGHT (POUNDS)

CROSS TOWN ROTC APPLICATION

1. Enter all requested information then print using the Print Form button below. This information will be shared with Marquette University. 2. Return the form to your ROTC Department. 3. After your application has been processed, you will receive a MU username and password in the mail with which you may access CheckMarq, the University's student information system, in order to register for ROTC classes. 4. Check with the Marquette University ROTC Department for course information.

INSTRUCTIONS FOR STUDENTS.

STUDENT INFORMATION.

NameLast First Middle

Gender Male FemaleDate of Birth

Campus / Local Phone

SSN

Relationship to YouPhone

Signature Date

Do Not Write in This Space - For Office of the Registrar Use Only Rev. 10/2010

Home AddressStreet City ZipState

Have you registered for Marquette courses in the past? Yes No

Race / Ethnic Background Hispanic Asian / Pacific Islander Black / Non-Hispanic

American Indian / Native Alaskan White / Non-Hispanic

Emergency Contact: Name

CityStreet ZipState

Home Phone

Home Institution Home Institution Student E-Mail

Marquette ROTC Program Enrolling: Air Force Army Navy Summer

Term / Year to Enroll: Fall Spring Year

Approved Regular Approved Auditor Denied By:

Processed by: Date:

Student MUID: ROTC Copied on:

Citizenship U.S. Citizen U.S. Visa Holder OtherSpecify Specify

Marital Status

Instructions for ROTC Department: Scan completed form to Office of the Registrar.

Do Not Write in This Space - For ROTC Department Use Only