How to Fill Out DA Form 4824

DA Form 4824 at a glance

What it is: DA Form 4824 is the addendum to the 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).

Who signs: Authentication has the Signature of Applicant and the Signature of Unit Commander.

A filled-in DA Form 4824 example: a unit member chooses Option 1

DA Form 4824 example filled out, example: a unit member chooses Option 1
Sam Sample completes DA Form 4824 to join the ROTC/SMP. Sam is a unit member who completed basic training, so Option 1 is checked. Only Option 1 applies, so Option 2, Option 3, Option 4 and Option 5 stay empty. Sam checks only one of the two boxes under Option 1, so Entry on Initial stays empty. Option 1 lists 2a through 2f, h, i, j, l, and m, so Initial g and Initial k stay empty. Sam has no other promise, so NONE is written in Any other promise. Pat Example, a captain, is the unit commander who signs. The picture shows the filled form; its names and figures are sample values.

How to fill out DA Form 4824, box by box

Option 1 to Option 5

DA Form 4824 example filled out, option 1 to Option 5

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):

First box: I have previously successfully completed a basic training course conducted by the U.S. Armed Forces; or I have successfully completed 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.

Second box: Entry on Initial Active Duty for Training (IADT) to complete basic training is required to be successfully completed prior to entrance in ROTC/SMP. Either way, 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. 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 U.S. 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.

Option 5: I am enlisting pursuant to being offered a minuteman scholarship. I understand that if I have not been to Basic Combat Training, I will not be required to attend as long as I contract with ROTC within 15 months of the start date. Read and initial paragraphs 2a, f, i, k, l, and m.

Initial a to c

DA Form 4824 example filled out, initial a to c

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. Initial in the Initial box.

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.

Initial d to m

DA Form 4824 example filled out, initial d to m

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.

f. I understand if I am accepted for participation in the ROTC/SMP and do not apply for enrollment in the ROTC Advanced Course within one year following enlistment, I will be dropped as a potential ROTC/SMP participant and retained in the unit in an enlisted status until completion of my military service obligation (statutory or contractual). I will also be required to undergo any initial active duty for training not previously completed.

g. I understand if I enlist directly for participation in the ROTC/SMP and I apply but am not accepted for enrollment in the ROTC Advanced Course (see eligibility requirements, paragraphs 3 51 and 3-17, AR 145-1) I will, at my request be retained in the unit, or be honorably dis-charged. If I am retained in an enlisted status I will be dropped as a potential ROTC/SMP participant and required to complete an initial active duty for training not previously completed.

h. I understand if I enlisted under any other enlistment program or option and was selected for ROTC/SMP participation and I do not apply for enrollment in the ROTC Advanced Course within one year following my selection, or I am not accepted for enrollment in the ROTC Advanced Course, I will be dropped as a potential ROTC/SMP participant and retained in an enlisted status until completion of my military service obligation (statutory or contractual).

i. I understand that if I am dis-enrolled from Advanced ROTC, or fail to complete the ROTC Advanced Course, I will be dropped from the ROTC/SMP and, if otherwise qualified, retained in the unit in an enlisted status until completion of my military service obligation (statutory or contractual). I must undergo initial active duty for training if not previously completed. I will be administratively reduced immediately to the grade and rank authorized by AR 140-158.

j. I understand that if I fail to volunteer for the ROTC Early Commissioning program (ECP), or fail to accept a commission, or fail to be tendered a commission, I will be treated in the same manner as those ROTC/SMP participants who fail to complete Advanced ROTC.

k. I understand that when enlisting directly for participation in the ROTC/SMP I am not entitled to enlistment incentives under the provisions of DA Circular 135-23, or similar Federal directives.

l. I understand that when entering the ROTC/SMP if I received an enlistment incentive under the provisions of DA Circular 135-23, or similar Federal directives, I will not be entitled, upon my assignment to an officer-trainee position, to future incentive payments and may be required to pay back some, or all, of the money I have received prior to my assignment to an officer-trainee position.

m. I understand that any enlistment/reenlistment program, other than the Enlistment Incentive Program (DA Circular 135-23, or other similar Federal directives), which I would have otherwise elected and been eligible for upon initial enlistment/reenlistment, will be available upon my application for said program should I remain in an enlisted status upon removal from the ROTC/SMP.

Any other promise

DA Form 4824 example filled out, any other promise

3. I have read, initialed, and understood, each of the statements which pertain to the option I chose in paragraph 1.

Any other promise, representation, or commitment made to me in conjunction with my enlistment, reenlistment, extension of enlistment, or reassignment from Control Group (ROTC), for participation in the Reserve Officers Training Corps (ROTC)/Simultaneous Membership Program (SMP) is written in my own handwriting, or is hereby waived. (If none, write "NONE".)

Authentication

DA Form 4824 example filled out, authentication

Under Authentication, enter the Assigned Unit Designation and Complete Address (Include ZIP Code and UIC).

The applicant enters the Date (YYYYMMDD), the Name of Applicant and the Signature of Applicant.

The unit commander enters the Date (YYYYMMDD), the Name, Grade, and Branch of Unit Commander and the Signature of Unit Commander.

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. After completion of the Authentication block, 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.

More rules for DA Form 4824

For use of this form, see AR 601-210; the proponent agency is DCS, G-1.

Providing the information is voluntary, however failure to provide the required information may result in denial of participation in ROTC/SMP.

Sources

[1] DA Form 4824 (NOV 2023), Addendum to Certificate and Acknowledgement of Service Requirements, Department of the Army (the Official source link on this page).

DA Form 4824 PDF Details

Each individual applying for participation in the ROTC/SMP will read, initial where indicated, and sign this addendum.

Option 1: selection for participation in ROTC/SMP as a member currently assigned to the appropriate troop program unit.

Option 2: enlistment for ROTC/SMP with no previous military service or ROTC credit placement for enrollment in Advanced ROTC.

Option 5: enlisting pursuant to being offered a minuteman scholarship.

Scholarships: participants in the Army ROTC scholarship program are not eligible for participation in ROTC/SMP.

QuestionAnswer
Form NameDA Form 4824
Form Length2 pages
Fillable?Yes
Fillable fields28
Avg. time to fill out5 min
EditionNOV 2023
Proponent agencyDCS, G-1 (AR 601-210)
Who signsThe applicant and the unit commander
Other namesDA Form 4824, DA 4824, DA4824, ROTC SMP addendum, Addendum to Certificate and Acknowledgement of Service Requirements
Official sourceDA Form 4824 (Rev NOV 2023), U.S. Army