ADDENDUM TO CERTIFICATE AND ACKNOWLEDGEMENT OF SERVICE
REQUIREMENTS (DA FORM 3540) FOR ALL PERSONNEL APPLYING FOR PARTICIPATION IN THE RESERVE
OFFICERS TRAINING CORPS (ROTC)/ SIMULTANEOUS MEMBERSHIP PROGRAM (SMP)
For use of this form, see AR 601-210; the proponent agency is DCS, G-1.
INFORMATION REQUIRED BY THE PRIVACY ACT
Title 10 USC Section 270, 10 USC 511, 10 USC 673a and Executive Order 9397, 22 November 1943.
To explain additional obligations and participation requirements imposed as a result of this specific option and to
insure that your agreement to these conditions is a matter of record.
Confirmation of obligations and participation requirements incurred under this option; occasionally as a basis for
removal from the program if the requirements are not met.
Disclosure of your SSN is voluntary; however, if not provided you will not be accepted into the program.
This addendum to DA Form 3540 will be completed by all individuals applying form participation in the ROTC/SMP and will be reproduced
INSTRUCTIONS TO USAR ACCEPTANCE OFFICIAL
Each individual applying for participation in the ROTC/SMP will read, initial where indicated, and sign this addendum prior to participating in
the program if they are currently unit members, or prior to being enlisted, reenlisted, extended, or reassigned, as a member of a troop program
unit of the USAR. All questions will be answered to the applicant's satisfaction. After completion of the Authentication block below, a copy of
this Addendum will be attached firmly to each copy of the DA Form 3540 and distributed in accordance with the instructions contained in
Section IV, Chapter 8, AR 140-111.
EXPLANATION TO APPLICANT
1. In connection with my selection for participation in the ROTC/SMP as a currently assigned unit member, or in connection with my enlist-
ment, reenlistment, extension of enlistment, or reassignment from Control Group
(ROTC ) to a troop program unit of the US Army Reserve, I
accept the following
Option 1: Selection for participation in ROTC/SMP as a member currently assigned to the appropriate troop program unit. I further
acknowledge that (check one):
I have previously successfully completed a basic training course conducted by the US Armed Forces; or I have successfully com-
pleted 3 years or more of Junior ROTC and a letter of acceptance by a Professor of Military Science as credit placement for enrollment in
Advanced ROTC has been issued and is available to the recruiting officials; or I have attended a Service Academy for one year; or I have
successfully completed MS II; or I have successfully completed ROTC Basic Camp. Read and initial paragraphs 2a through 2f, h, i, j, l, and m.
Entry on Initial Active Duty for Training (IADT) to complete basic training is required to be successfully completed prior to
entrance in ROTC/SMP. Read and initial paragraphs 2a through 2f, h, i, j, l, and m.
Option 2: Enlistment for ROTC/SMP with no previous military service or ROTC credit placement for enrollment in Advanced ROTC.
Entry on Initial Active Duty for Training (IADT) to complete basic training is required to be successfully completed prior to entrance in ROTC/
SMP. Read and initial paragraphs 2a through g, i, j, k, and m.
Option 3: Enlistment, reenlistment, or extension of enlistment, for ROTC/SMP with one of the following:
a. Previous military service and have successfully completed a basic training course conducted by US Armed Forces.
b. Have successfully completed 3, or more, years of Junior ROTC and a letter of acceptance by a Professor of Military Science
as credit placement for enrollment in Advanced ROTC, has been issued and is available to the recruiting officials.
c. Have attended a Service Academy for one year.
d. Have successfully completed MS II.
e. Have successfully completed ROTC Basic Camp
Read and initial each paragraph 2 a through 2m.
Option 4: Reassignment from Control Group (ROTC) to a troop program unit for participation in ROTC/SMP and already enrolled and
participating in the Advanced ROTC Program. Read and initial paragraphs 2a, b, c, d, i, j, k, and m.
2. In connection with my enlistment, reenlistment, extension of enlistment, or reassignment from Control Group (ROTC) , the following
additional agreements are acknowledged:
a. I understand the ROTC/SMP is a voluntary officer training program which requires Reserve Component enlisted status for eligibility.
b. I understand that by law (10 USC 2106) a commissioned officer may not apply credits which stem from enlisted service served
concurrently with ROTC Advanced Course training, when computing length of service for any purpose.
c. I understand that participants in the Army ROTC scholarship program are not eligible for participation in ROTC/SMP. ROTC/SMP
participants may apply for Army ROTC scholarships; however, they will be reassigned from the troop program unit to the Control Group (ROTC)
prior to acceptance of such scholarships.
d. I agree that upon successful completion of the ROTC Advanced Course, to include ROTC Advanced Camp, I will volunteer for
commissioning under the provisions of the ROTC Early Commissioning Program (ECP ) if, upon completion, I am not scheduled to receive a
baccalaureate degree within six months.
e. I am not ineligible to enroll in the Advanced ROTC Program as provided in paragraph 3-14, AR 145-1.
APD LC v1.01ES
DA FORM 4824, APR 2005
PREVIOUS EDITIONS ARE OBSOLETE.