Cc Form 159 R – Fill Out and Use This PDF

Updated: Nov 2, 2026

The CC 159 R form, officially known as the ROTC Scholarship Interview Sheet, is a crucial document in the assessment and selection process for ROTC Scholarship applicants. It records key details about the applicant, including personal information, and evaluates them across various criteria—scholarship, athletic ability, and leadership—to determine their potential suitability for an Army ROTC Scholarship. For those aiming to secure an ROTC Scholarship, understanding and preparing for what's assessed on the CC 159 R form is a step closer to achieving your military and educational goals. Ready to embark on your journey? Click the button below to start filling out your form.

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How to Fill Out CC Form 159

CC Form 159 at a glance

What it is: ROTC SCHOLARSHIP INTERVIEW SHEET, USACC Form 159-R, MAY 2022.

Who signs: Interviewer Signature.

Guidance to Interviewer: the purpose of the interview is to assess the qualitative aspects of an applicant as expressed through the Whole Person Score and Personal Statement and to validate the selection of an applicant as a potential 4-year Scholarship Winner.

A filled-in CC Form 159 example: an interviewer fills page 1 of the sheet

CC Form 159 example filled out, example: an interviewer fills page 1 of the sheet — Pat Sample, an interviewer, fills the top of USACC Form 159-R. The applicant has a GPA over 3.0, and every accomplishment box on the sheet is marked. The picture shows page 1 filled in; none of its entries is real. The SAT and ACT scores are both over the printed cut-offs, so both are entered. Appearance, Motivation and Potential and PMS Recommendation are left blank because they are on page 2.

How to fill out CC Form 159, box by box

Applicant

Enter the Name of Applicant (Last Name, First Name MI), the Applicant ID and the Ht/Wt Data.

Please read to the applicant: This interview is authorized IAW Cadet Command Regulation 145-1 and information provided during the interview is subject to the Privacy Act of 1974.

Honors or AP Courses (Scholar)

Honors or AP Courses (Scholar): Membership in National Honor Society, Honors, Advanced Placement (AP), or International Baccalaureate (IB) Courses, List Courses (Completed), GPA over 3.0, SAT/ACT over 1100/24 and Top 10% of High School Class.

Two or more Varsity Letters (Athlete)

Two or more Varsity Letters (Athlete): Two or more Varsity Letters from School Team, List Sports, Membership in Regional/Competitive League, List Sport/League, and Active involvement in organized competitive (club, church league) team sports or active involvement in individual athletic competitions (triathlon, mountain biking, running, etc.), and List Organization.

Student Government (Leader)

Student Government (Leader): Elected Member of Student Government/Class Activity, List Activities.

Captain of Athletic or Academic Team, Eagle Scout/Gold Star/CAP Billy Mitchell, List Sport/Scout/CAP, and Served in position of responsibility in school/club or private organization and leader in volunteer service organization activities, List Volunteer.

Appearance, Motivation and Potential

Fill in Appearance (Composure), Verbal Communication Skills, Motivation, Potential and Additional Notes.

Interview Date, Location and Type

Fill in Interview Date, Interviewer Name, Rank, Interview Location, Position Title, Interview Type and Explanation.

Scores

On page 2, enter score from 0 to 40 for Personal Qualities and Potential. On page 2, Personal Quality Points: the following are general scoring guidelines for Personal Qualities: Outstanding/Top applicant in all aspects: (40 points), Good, above average applicant with few weaknesses: (20 points), Not appealing. Immature. Poor impression. Unstable or offensive: (0 points).

Potential Points: the following are general scoring guidelines for Potential: Outstanding candidate; all indicators say he/she will commission: (40 points), Strong contender with high probability of commissioning: (20 points), Commissioning problematic: (0 points).

PMS Recommendation

PMS Recommendation: I recommend this student for a scholarship:

Sources

[1] USACC Form 159-R (MAY 2022), ROTC Scholarship Interview Sheet, U.S. Army Cadet Command (the Official source link on this page).

Cc Form 159 R PDF Details

The CC 159 R form serves as the official evaluation tool during Army ROTC scholarship interviews, providing a structured framework for assessing each candidate across three core categories. The Scholar category reviews academic records, including GPA, SAT or ACT scores, class rank, and Advanced Placement coursework. The Athlete category captures varsity letters earned and active participation in individual or team sports. The Leader category documents elected student government roles, community service, and other leadership positions held before college. Each category carries a defined point allocation, and candidates scoring in the top tier across at least two categories are typically advanced to the next selection stage.

Beyond the three-category rubric, interviewers evaluate six personal qualities during the face-to-face session: appearance, composure, verbal communication skills, motivation, potential, and overall character. Evaluators record numeric scores alongside detailed observer notes, since the selection board weighs both the point totals and qualitative observations when determining a candidate's final rank on the National Order of Merit List. The form is completed by the interviewing officer and retained by the battalion PMS. Applicants who understand each evaluated section before their interview gain a measurable advantage when preparing their responses and presentation.

Question	Answer
Form Name	Cc Form 159 R
Official Name	ROTC Scholarship Interview Sheet
Form Length	2 pages
Fillable?	Yes
Fillable fields	40
Avg. time to fill out	30 sec
Used By	ROTC Scholarship Candidates, Army Battalion Interviewers
Categories Evaluated	Scholar, Athlete, Leader
Other names	rotc scholarship interview form, army rotc interview sheet, rotc interview questions, arotc scholarship interview questions