USACC Form 167-R PDF Details

Individuals who do not notify ROTC Cadet Command of acceptance will lose their scholarship.

Control number: a scholarship offered without a Scholarship Control Number is unauthorized and not valid.

Advance designees: PMS validation of 3- and 2-year advance designees must be completed by 1 July the summer before the Cadet is scheduled to contract.

Transcript: a transcript must be included for PMS validation of 3- and 2-year advance designees.

Scholarship: the Cadet may lose the scholarship if the Cadet changes to another academic discipline without prior written consent of the Professor of Military Science.

Disclosure: all data is mandatory.

QuestionAnswer
Form NameUSACC Form 167-R
Form Length1 page
Fillable?Yes
Fillable fields53
Avg. time to fill out9 min
EditionJANUARY 2026
Proponent agencyATCC-ROI
Who signsThe Cadet and the PMS
Other namesUSACC Form 167-R, CC Form 167-R, CC 167-R, Form 167-R, 167-R, ROTC scholarship acceptance declination statement
Issuing AuthorityROTC Cadet Command
Applicable RegulationCC Reg 145-1
PurposeROTC Scholarship Acceptance or Declination
Who Completes ItArmy ROTC Scholarship Recipients
Official sourceUSACC Form 167-R (Rev JANUARY 2026), ATCC-ROI