The AFROTC Form 35 plays a crucial role in maintaining the integrity and standards of the Air Force ROTC program. It serves as a certification of an applicant or cadet's involvements with civil, military, or school authorities as well as law enforcement officials. Key to this form is the requirement for individuals to disclose any past arrests, convictions, or any form of involvement with law enforcement, regardless of the outcome or perceived insignificance of these incidents. This includes everything from traffic violations to being judged a juvenile offender. The form emphasizes transparency and honesty, mandating the reporting of any future incidents within a specified timeframe. Failure to accurately report such involvements could have severe consequences, including elimination from consideration for membership in the program or discontinuance for those already enrolled. The AFROTC Form 35 underscores the importance of character requirements in the ROTC program and serves a dual purpose: it ensures candidates meet these standards from the outset and maintains these standards throughout their participation in the program. The information provided on the form is treated with confidentiality, adhering to the Privacy Act of 1974 and the Freedom of Information Act, reflecting the program's commitment to individual privacy while balancing the need for transparency and integrity within its ranks.
Question | Answer |
---|---|
Form Name | Afrotc Form 35 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | 15S, disenrollment, DETENTIONS, 1974 |
FOR OFFICIAL USE ONLY (When filled in)
CERTIFICATION OF INVOLVEMENTS WITH CIVIL, MILITARY OR SCHOOL
AUTHORITIES/LAW ENFORCEMENT OFFICIALS
I. |
STATEMENT TO THE APPLICANT/CADET |
A.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 hours following its occurrence. 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
C.Concealing or failing to report an involvement with civil, military, or school authorities/law enforcement officials, giving false information or claiming subsequent to initial certification that you were unaware of the contents of this document may result in elimination from consideration for membership in the Air Force ROTC program; or, if already a member, may result in your discontinuance from the Air Force ROTC program. The information reported on 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 |
|
I, |
|
|
|
CERTIFY THAT THE INFORMATION CONTAINED IN THE FOLLOWING CERTI- |
|
FICATIONS INCLUDES ALL ARRESTS, DETENTIONS, CONVICTIONS, INVOLVEMENTS, ETC., THAT I HAVE HAD WITH CIVIL, MILITARY (INCLUDING |
|||||
ART. 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 / ORIGINAL |
DATE OF |
|
NAME AND ADDRESS OF ARRESTING |
DISPOSITION/FINDING |
|
|
CITATION |
INVOLVEMENT |
|
AUTHORITY/COURT |
AND SENTENCE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
WERE YOU DETAINED, CONFINED, |
WAS THE USE OF DRUGS OR |
ACTION |
|
|
|
|
|
|
|
|
|
|||||||||||
OR PLACED ON PROBATION FOR |
ALCOHOL CITED? |
|
|
|
|
NO ACTION REQUIRED |
CORROBORATION REQUESTED |
|
||||||||||||||
|
|
|
|
|
||||||||||||||||||
ANY OF THE ABOVE? |
|
|
|
|
|
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
WAIVER GRANTED |
CORROBORATION RECEIVED |
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
YES |
|
NO |
|
|
YES |
|
NO |
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
WAIVER DENIED |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SIGNATURE OF CADET |
|
|
|
|
DATE |
|
|
|
|
REQUEST FOR WAIVER FORWARDED |
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TO AFROTC/RRFP |
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
APPROVED |
|
|
DISAPPROVED |
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
REMARKS/COUNSELING |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cadet has been counseled that his/her conduct will be closely monitored and any future involvements with authorities may result in disenrollment investigation/dismissal. Cadet's initials of acknowledgement: ________
SIGNATURE OF AUTHORIZED REPRESENTATIVE |
GRADE |
DATE |
|
|
|
AFROTC FORM 35, 20100719 |
PREVIOUS EDITIONS ARE OBSOLETE. |
FOR OFFICIAL USE (When filled in)
III. |
|
|
|
|
|
|
|
CERTIFICATION II |
|
|
|
|
|
|
|
|
|
|
|
|||||||
TYPE OF INVOLVEMENT / ORIGINAL |
|
|
DATE OF |
|
|
|
NAME AND ADDRESS OF ARRESTING |
|
|
DISPOSITION/FINDING |
||||||||||||||||
|
|
CITATION |
|
|
INVOLVEMENT |
|
|
|
|
|
AUTHORITY/COURT |
|
|
|
|
|
AND SENTENCE |
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
WERE YOU DETAINED, CONFINED, |
WAS THE USE OF DRUGS OR |
|
|
ACTION |
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
OR PLACED ON PROBATION FOR |
ALCOHOL CITED? |
|
|
|
|
|
NO ACTION REQUIRED |
CORROBORATION REQUESTED |
||||||||||||||||||
|
|
|
|
|
||||||||||||||||||||||
ANY OF THE ABOVE? |
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
WAIVER GRANTED |
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
CORROBORATION RECEIVED |
|||||||||||||||
|
|
YES |
|
NO |
|
|
YES |
|
NO |
|
|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
WAIVER DENIED |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SIGNATURE OF CADET |
|
|
|
|
DATE |
|
|
|
|
|
REQUEST FOR WAIVER FORWARDED |
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TO AFROTC/RRFP |
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
APPROVED |
|
|
|
DISAPPROVED |
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
REMARKS/COUNSELING |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cadet has been counseled that his/her conduct will be closely monitored and any future involvements with authorities may result in disenrollment investigation/dismissal. Cadet's initials of acknowledgement: ________
SIGNATURE OF AUTHORIZED REPRESENTATIVE |
|
|
|
|
GRADE |
|
|
|
DATE |
|
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
IV. |
|
|
|
|
|
|
|
CERTIFICATION III |
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
TYPE OF INVOLVEMENT / ORIGINAL |
|
|
DATE OF |
|
|
|
NAME AND ADDRESS OF ARRESTING |
|
|
|
DISPOSITION/FINDING |
||||||||||||||||
|
|
CITATION |
|
|
INVOLVEMENT |
|
|
|
|
|
AUTHORITY/COURT |
|
|
|
|
|
|
AND SENTENCE |
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
WERE YOU DETAINED, CONFINED, |
WAS THE USE OF DRUGS OR |
|
|
ACTION |
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
OR PLACED ON PROBATION FOR |
ALCOHOL CITED? |
|
|
|
|
|
NO ACTION REQUIRED |
CORROBORATION REQUESTED |
|||||||||||||||||||
|
|
|
|
|
|||||||||||||||||||||||
ANY OF THE ABOVE? |
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
WAIVER GRANTED |
CORROBORATION RECEIVED |
|||||||||||||||
|
|
YES |
|
NO |
|
|
YES |
|
NO |
|
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
WAIVER DENIED |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
REQUEST FOR WAIVER FORWARDED |
||||||||||||
SIGNATURE OF CADET |
|
|
|
|
DATE |
|
|
|
|
|
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TO AFROTC/RRFP |
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
APPROVED |
|
|
|
DISAPPROVED |
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
REMARKS/COUNSELING |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cadet has been counseled that his/her conduct will be closely monitored and any future involvements with authorities may result in disenrollment investigation/dismissal. Cadet's initials of acknowledgement: ________
SIGNATURE OF AUTHORIZED REPRESENTATIVE |
GRADE |
DATE |
|
|
|
AFROTC FORM 35, 20100719 REVERSE