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CADET ENROLLMENT RECORD |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Last Name
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | SSN
PART VII - SCHOLARSHIP ELIGIBILITY CHECKLIST
ALL SCHOLARSHIP CADETS MUST MEET THE FOLLOWING CRITERIA TO CONTRACT:
Enrollment Eligibility Officer:  Verify the criteria below and sign the certification on page 5. Scholarship students must also meet scholarship eligibility requirements.  NOTE: Green to Gold scholarship applicants must meet additional
criteria in order to apply. Refer to the current Green to Gold application for details.
67.  PREVIOUS CRITERIA |  |  |  |  |  |  | Eligible:  (a) Four-year and three-year scholarship winners must meet criteria 55-61 on the Advanced Course Eligibility Checklist (Part VI).  (b) Two-year scholarship winners must meet
 |  |  |  |  |  |  | criteria 55-62 on the Advanced Course Eligibility Checklist (Part VI). (NOTE: Alternate Entry Option students are ineligible for scholarship).
 |  |  |  |  |  |  | Ineligible:  Ineligible for contracting unless student is fully qualified.
68.  MEDICAL |  |  |  |  |  |  | Eligible:  Student is fully medically qualified by [NAME].
 |  |  |  |  |  |  | Waiver Required:  Student is medically disqualified by [NAME]. |  |  |  |  |  |  |  |  |  |  |  |  |  | [NAME]):             Date
 |  |  |  |  |  |  | Ineligible (Waiver denied or nonwaiverable).
69.  MAJOR |  |  |  |  |  |  | Eligible:  Student is majoring in one of the majors listed in CC Reg 145-1.
 |  |  |  |  |  |  | Waiver Required:  Student is not majoring in one of the majors listed in CC Reg 145-1. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | [NAME]):             Date
 |  |  |  |  |  |  | Ineligible (Waiver denied).
70.  AGE |  |  |  |  |  |  | Eligible:  Student must be 17 years of age within the first semester following award of the scholarship (cannot contract until reaches age 17) and be under 31 years of age on 31 December
 |  |  |  |  |  |  |  | of the calendar year of commissioning.
 |  |  |  |  |  |  | Ineligible (Statutory-Nonwaiverable):  Student exceeds the statutory maximum age requirement [NAME] 145-1.
71.  [NAME] |  |  |  |  |  |  | Eligible:  Student must meet ALL THREE of the following criteria:  (a) Academically aligned. (b) Cumulative college GPA of 2.5 on a 4.0 scale, OR student has no college GPA yet, but
 |  |  |  |  |  |  |  | has a cumulative high school GPA of 2.5 on a 4.0 scale.  (c) Full time student (in accordance with university policy - usually 12 or more credit hours).
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  | HS GPA |  |  |  |  | OR |  |  | College GPA
 |  |  |  |  |  |  | Waiver Required:  (a) Student has a cumulative college GPA of less than 2.5 on a 4.0 scale. Rounding is not permitted.  (b) Student has no cumulative college GPA yet, but has a cumulative
 |  |  |  |  |  |  |  | high school GPA of less than 2.5 on a 4.0 scale.  (c) Graduate student who is enrolled less than full time.
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | [NAME]):             Date
 |  |  |  |  |  |  | Ineligible (Waiver denied or nonwaiverable).
72.  ACT/SAT |  |  |  |  |  |  | Eligible:  (a) Two-year scholarship recipient:  no requirement (except two-year MJC).  (b) Two-year MJC, three-year or four-year scholarship recipient with composite ACT score of 19 or
 |  |  |  |  |  |  |  | greater OR composite SAT score of 920 or greater.
SCORE:  SAT Verbal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | SAT Math |  |  |  |  |  | ACT Composite
 |  |  |  |  |  |  | Waiver Required:  Two-year MJC, three-year or four-year scholarship recipient with composite ACT score of less than 19 OR composite SAT score of less than 920.
SCORE:  SAT Verbal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | SAT Math |  |  |  |  |  | ACT Composite
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | [NAME]):             Date
 |  |  |  |  |  |  | Ineligible (Waiver denied or nonwaiverable):  Two-year MJC, three-year or four-year scholarship applicant who has not taken the ACT or SAT.
73.  ACADEMIC CREDITS |  |  |  |  |  |  | Eligible:  At the time the scholarship begins,  (a) Two-year scholarship recipients must have at least 4 semester/6 quarters remaining.  (b) 2 1/2-year scholarship recipients must have at
 |  |  |  |  |  |  |  | least 5 semester/7-8 quarters remaining.  (c) Three-year scholarship recipients must have 6 semesters/9 quarters remaining, or (d) 3 1/2-year scholarship recipients must have
 |  |  |  |  |  |  |  | 7 semesters/10-11 quarters remaining.
 |  |  |  |  |  |  | Waiver Required:  If the student does not meet the criteria above. |  |  |  |  |  |  |  |  |  |  |  |  |  | [NAME]):             Date
 |  |  |  |  |  |  | Ineligible (Waiver denied).
74.  PHYSICAL FITNESS |  |  |  |  |  |  | Eligible:  Score of 180 with 60 points in each event on a single APFT. NOTE: All scholarship applicants must be given a physical assessment (APFT or PFT) during the face-to-face
 |  |  |  |  |  |  |  | interview for assessment of physical ability.  The APFT must be passed NLT 15 Dec (or NLT 1 May for mid-term entries) at the 60/60/60 - 180 standard prior to contracting.
 |  |  |  |  |  |  | Ineligible (Nonwaiverable): Failure to meet eligibility criteria.
PART VIII - ENROLLMENT OFFICER CERTIFICATION
Certify by signature as many as applicable:
 |  | BASIC COURSE:  Student is eligible (fully or by waiver) for entry into the Basic Course.
 |  | Name/Rank: |  |  |  |  |  |  |  |  |  |  |  |  | Signature: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date:
 |  | NONSCHOLARSHIP:  Student is eligible (fully or by waiver) to contract as a nonscholarship.
 |  | Name/Rank: |  |  |  |  |  |  |  |  |  |  |  |  | Signature: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date:
 |  | SCHOLARSHIP:  Student is eligible (fully or by waiver) to contract as a scholarship recipient.
 |  | Name/Rank: |  |  |  |  |  |  |  |  |  |  |  |  | Signature: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date:
CC Form 139-R, DEC 2007 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Page 5 of 6