New Students

Following are several forms that new students will be directed to fill out. All forms are in PDF format, except as noted. Forms should be submitted to loberbroeckling1@loyola.edu. Please put "CDT (your last name): Forms" as the subject line of the email.

• CCF 139-R (Excel doc) Cadet Enrollment Form
• 104 R (Excel doc) Planned Academic Program Worksheet
• CC FORM 136-R (Word doc), Briefing on Government Sponsored Benefits for ROTC Cadets
• CC FORM 137-R (Excel doc), Authorization/Declination for Access to Student Records
• DD Form 93, Record of Emergency Data
• DD Form 2005, Privacy Act Statement - Health Care Records
• DD Form 2058, State of Legal Residence Certificate
• DA Form 3425-R, Medical Fitness Statement for Enrollment in Basic Course, Senior ROTC
• SGLV 8286, Servicemembers’ Group Life Insurance Election and Certificate
• Form W-4
• Form 1199A, Direct Deposit Sign-Up Form
• Standard Form 86, Questionnaire for National Security Positions
• Physical Fitness Standards (Word doc)