The following is a list of forms you will need to complete as part of your LTC application process.

Forms

  • CC Form 104-R (Academic Worksheet)
  • DD 93 (Record of Emergency Data)
  • CC Form 131-R Cadet Action Request
  • DD 2005 Privacy Act Statement - Health Care Records
  • SF 1199A Direct Deposit Sign-Up Form
  • SGLV 8286 (Servicemember's Group Life Insurance is provide free to the cadet. Your rank, title or grade is "Cadet")
  • SF 86 (National Security Questionnaire)

 

Questions about LTC application paperwork should be directed to:

Ms. Connie Pearson
216 Pasquerilla Center
Notre Dame, IN 46556

(574) 631-6986
1-800-UND-ARMY

cpearso3@nd.edu

 

Scholarship questions should be directed to:

Mr. Adam Henkaline
216 Pasquerilla Center
Notre Dame, IN 46556

(574) 631-4656
1-800-UND-ARMY

ahenkali@nd.edu