DA Form 3126 Application and Contract for Establishment of a Junior R

Application for Establishment or Amendment of a JROTC or NDCC Unit

DA Form 3126_Draft

OMB: 0702-0021

Document [pdf]
Download: pdf | pdf
DRAFT
APPLICATION AND CONTRACT
FOR ESTABLISHMENT OF A JUNIOR RESERVE OFFICERS' TRAINING CORPS UNIT
For use of this form, see AR 145-2; the proponent agency is DCS, G-1.

OMB Control No.: xxxx-xxxx
OMB Expiration: xx/xx/20xx

The public reporting burden for this collection of information, OMB Control Number xxxx-xxxx, is estimated to average 60 minutes per response, including
the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington
Headquarters Services, at [email protected]. Respondents should be aware that notwithstanding any other
provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB
Control Number.

APPLICATION
By direction of the governing official of
(Name of School System / District)

, an application is hereby submitted for the
(City, State, ZIP Code)

establishment of a unit of the Junior Army Reserve Officers' Training Corps under the provisions of Section 2031, Title 10, United States Code at
.
(Complete Name and Address of School)

CONTRACT
1. Contingent upon the acceptance of the above application and
conditioned upon the fulfillment of all promises enumerated in
paragraph 2 following, the Secretary of the Army agrees as follows:
a. To establish a Junior unit of the Army Reserve Officers' Training
Corps (JROTC) at the school named above.
b. To assign such military personnel as the Army may deem
necessary for the proper administration and conduct of the Junior
ROTC unit at this school and to pay the statutory compensation to
such personnel from Department of the Army appropriations.
c. To provide for use in the Junior ROTC unit such available
government property as may be authorized by law and applicable
tables of allowances;
2. Contingent upon the acceptance of this application by the Secretary of
the Army, and conditioned upon the fulfillment of the promises
enumerated in paragraph 1 above, the governing authorities of this
school agree as follows:
a. To provide appropriate academic credit applicable toward
graduation for a course of instruction as prescribed by the
Secretary of the Army, which will be
required, or
elective.
b. To conduct the following type of JROTC training:
(1) Academic track;
the unit as a

(2) Technical track; and

single unit, or

and to establish the unit as a 3 year

, or 4 year

to establish the unit as a Class High School (HS)
Institute (MI)

(3) To establish

a part of a multiple unit system;
program; and
or a Military

.

c. To make available for use by the Junior ROTC unit necessary and
adequate classrooms, administrative offices, office equipment,
storage space, drill area, and other required facilities, and to pay
the costs of utilities and maintenance thereof. To make available in
the Junior ROTC administrative office a telecommunications line
suitable for voice transfer, Internet connectivity, and data transfer
and to pay the costs of installation and maintenance thereof to
include phone calls (local and official long distance).
d. To employ certified instructors authorized and approved by the
Army to administer the Army approved courses, (a minimum of one
officer and one noncommissioned officer per unit). Contract
periods will be negotiated to permit year round management of the
program and control of government property. Instructor contracts
may be extended up to 21 days to allow instructors to attend JCLC
camp. These extensions will be approved on a case-by-case basis.
School authorities agree to pay retired Army JROTC instructors in
accordance with applicable federal law and regulations. Schools
are encouraged to reimburse the Junior ROTC instructors on a
comparable scale as other teachers employed at the school.
Schools will ensure that instructors are provided liability insurance
to the same extent and in a like manner as such insurance is
provided to other teachers and coaches through the school for
school sponsored activities or duties (including extra-curricular

DA FORM 3126, MAY 2022

activities, i.e., annual encampments, adventure training, drill
competitions, marksmanship competitions, etc). Schools will
provide Junior ROTC Cadets insurance to the same extent and in
like manner as provided other students (including extra-curricular
activities).
e. To request from CG, U.S. Army Cadet Command permission to
hire, by name and position, the individuals to be employed as the
Senior Army Instructor and Army Instructor.
f. To appoint a military property specialist (MPS) who is not on active
duty with the Army and who will be empowered to requisition,
stock, and account for government property issued to the school
and otherwise to transact matters pertaining thereto, for and in
behalf of the school. If this duty is assigned to a retired Army
individual who is also employed as a Junior ROTC instructor, that
person will be provided a minimum of one class period daily, in
addition to their planning period, to complete MPS requirements.
g. To notify the CG, U.S. Army Cadet Command of the name and
position of the individual designated as military property specialist.
h. To conform to the current laws and regulations relating to issue,
care, use, safekeeping, turn-in, and accounting for such
government property as may be issued to the school.
i. To comply with provisions of law, and the regulations of the
Secretary of the Army, pertaining to the furnishing of a bond and/or
insurance to cover the value of all government property issued to
the school, except expended articles, and supplies properly
expended in operations, maintenance, and instruction.
j. To maintain an enrollment in the institution of not less than 100
physically fit students (or 10% of the eligible student population,
whichever is less) who are in a grade above the 8th grade.
k. To adhere to a policy of nondiscrimination on the basis of race,
religion, color, gender, sex, marital status, political affiliation,
physical ability, nation origin, sexual orientation or status as
apparent, with respect to admission or subsequent treatment of
students and instructors.
l. To require instructors to wear Army uniforms to accomplish Junior
ROTC duties and maintain Army standards of physical fitness,
appearance, and height and weight. Any additional duties given to
instructors while in uniform will be appropriate and in no way
demean the individual, the uniform, or the U.S. Army.
m. To encourage and support the professional development of
Junior ROTC instructors and permit attendance at U.S. Army
sponsored orientation, refresher training, workshops, and
conferences.
n. To assist the Army in determining the quality of instruction by
evaluating the performance of instructors.
o. To conform to the regulations of the Secretary of the Army relating
to the conduct of the Junior ROTC.

APD AEM v1.00ES

Page 1 of 4

CONTRACT (continued)
3. It is mutually understood and agreed as follows:

(a) This contract will terminate at the end of one year from the
date the unit was placed on probation, unless the reason
for such probationary status has been removed to the
satisfaction of the Army prior to such expiration.
(b) For enrollment, if the JROTC unit is in at least its third year
of operation and does not satisfy the enrollment
requirements in 2j above, the unit will be immediately
placed on probation. If enrollment requirements are not met
within 30 days of the beginning of the next school year, the
contract will be terminated at the end of that school year.

a. That this contract shall become effective when the authorities of
this school have been notified officially that the Army has approved
the establishment of a Junior ROTC unit on the date specified.
b. That the Army shall have the right at any time to withdraw approval
and authorization of any personnel employed by the school
pursuant to paragraph 2d above. Such withdrawal of authorization
of any personnel employed by the school pursuant to paragraph
2d above will require the decertification of the individual from the
Junior ROTC program.
c. That this contract may be terminated in the following manner:

DRAFT

4. This contract supersedes all existing contracts between the
Department of the Army and the school pertaining to this matter.

(1) At any time, by mutual consent and agreement of both
parties.
(2) Upon the giving of one year’s notice of such intent to
terminate by either party.
(3) If the Junior ROTC unit is placed on probation pursuant to
regulations prescribed by the Army.

FOR THE SCHOOL
TYPE NAME AND TITLE

SIGNATURE

DATE

FOR THE SECRETARY OF THE ARMY
TYPE NAME AND TITLE

SIGNATURE

DATE

THE FOLLOWING AGREEMENT AND INFORMATION IS TO BE CONSIDERED AS PART OF THIS CONTRACT
AGREEMENT REGARDING FACILITIES TO BE PROVIDED FOR THE USE OF THEARMY RESERVE OFFICERS' TRAINING
CORPS PROGRAM, WITHOUT EXPENSE TO THE DEPARTMENT OF THE ARMY
The authorities of the above-named institution agree that the facilities specified below shall be furnished for the use of the Army JROTC program, without
expense to the Department of the Army (phrases such as “as needed”, “as required”, etc., will not be used in describing the following):
1. OFFICES
NO. OF
ROOMS

2. STORAGE ROOMS
SIZE

BUILDING IN WHICH LOCATED

EXCLUSIVE OR JOINT USE

NO. OF
ROOMS

EXCLUSIVE OR JOINT USE

NOTE: Storage rooms, particularly for clothing and small articles of equipment, must be adequately lighted and ventilated and provided with shelving, cabinets, and locked arms racks.
Windows must be securely barred and doors reinforced and fitted with cylinder locks.

3. CLASSROOMS
NO. OF ROOMS AND BUILDING

SEATING CAPACITY

EXCLUSIVE OR JOINT USE

NOTE: Classrooms must be adequately lighted and ventilated and provided with standard equipment. If joint use is specified, rooms must be available for Army JROTC classes when
scheduled.

4. ASSEMBLY HALL
SEATING CAPACITY

PROJECTION EQUIPMENT IF PROVIDED FOR

DA FORM 3126, MAY 2022

WILL BE AVAILABLE FOR ARMY ROTC CLASSES AS FOLLOWS

APD AEM v1.00ES

Page 2 of 4

5. GYMNASIUM
a. SIZE OF GYM OR OTHER
INDOOR DRILL AREA

b. WILL BE AVAILABLE FOR ARMY JROTC CLASSES AS FOLLOWS:

DRAFT

6. OUTDOOR DRILL AREA
a. SIZE

b. WILL BE AVAILABLE FOR ARMY JROTC CLASSES AS FOLLOWS:

7. TARGET RANGE
INDOOR
a. NO. OF FIRING POINTS

OUTDOOR

b. WILL BE UNDER JURISDICTION OF

8. REMARKS

COMMANDER
2ND BDE, USACC
ATTN: ATCC-BBJ (JROTC)
5212 Maryland Ave
Fort Dix, NJ 08640
• Connecticut
• Maine
• Massachusetts
• New Hampshire
• New Jersey
• New York
• Pennsylvania
• Rhode Island
• Vermont
• Germany
• Italy

COMMANDER
3RD BDE, USACC
ATTN: ATCC-CCJ (JROTC)
2730 Sampson Street
Bldg 73, Naval Station
Great Lakes, IL 60088
• Iowa
• Illinois
• Kansas
• Michigan (UP)
• Minnesota
• Missouri
• Nebraska
• North Dakota
• South Dakota
• Wisconsin

COMMANDER
4th BDE, USACC
ATTN: ATCC-DDJ (JROTC)
2175 Reilly Road
Stop A
Fort Bragg, NC 28310
• District of Columbia
• Delaware
• Maryland
• North Carolina
• South Carolina
• Virginia
• West Virginia

COMMANDER
6th BDE, USACC
ATTN: ATCC-FFJ (JROTC)
246 Blanton Road
Building 1031
Hunter Army Airfield, GA 31409
• Alabama
• Florida
• Georgia
• Louisiana
• Mississippi
• Puerto Rico
• Virgin Islands

COMMANDER
7TH BDE, USACC
ATTN: ATCC-GGJ (JROTC)
1468, 328
3RD Avenue
Fort Knox, KY 40121
• Indiana
• Kentucky
• Michigan
• Ohio
• Tennessee

COMMANDER
8TH BDE, USACC
ATTN: ATCC-HHJ (JROTC)
Box 339500
Mail Stop MS 83
Joint Base Lewis-McCord, WA 98433
• Montana
• Alaska
• Nevada
• American Samoa
• Oregon
• California
• Washington
• Guam
• Japan
• Hawaii
• Korea
• Idaho
• Mariana Islands

DA FORM 3126, MAY 2022

COMMANDER
5th BDE, USACC
ATTN: ATCC-EJR (JROTC)
1265 Buck Road
2nd Floor
Fort Sam Houston, TX 78234
• Arkansas
• Arizona
• Colorado
• North Mexico
• Oklahoma
• Texas
• Utah
• Wyoming

APD AEM v1.00ES

Page 3 of 4

DRAFT

9. DATA PERTAINING TO SCHOOL
a. NAME OF SCHOOL (No Abbreviations)

b. SCHOOL’S COMPLETE MAILING ADDRESS (Include ZIP code) (If you are
using a P.O. Box, you must also provide a street address for shipping purposes.)

c. TYPE OF SCHOOL (Check appropriate box)
MUNICIPAL

STATE

DENOMINATIONAL (Specify)

d. PRINCIPAL’S NAME

e. TELEPHONE NUMBER

f. FAX NUMBER

g. E-MAIL ADDRESS

10. PERTAINING TO DISTRICT
a. NAME OF DISTRICT (No Abbreviations)

b. DISTRICT’S COMPLETE MAILING ADDRESS (Include ZIP code)

c. SUPERINTENDENT’S NAME

d. TELEPHONE NUMBER

e. FAX NUMBER

f. E-MAIL ADDRESS

11. PERTAINING TO ACCREDITING AGENCY
a. LIST ACCREDITING AGENCY

b. REGIONAL

c. STATE

12. TOTAL ENROLLMENT OF SCHOOL

d. OTHER

13. ESTIMATED NO. OF QUALIFIED STUDENTS WHO WILL ENROLL IN THE
JROTC PROGRAM

14. LIST TECHNICAL COURSES OFFERED AT SCHOOL

15. WILL STUDENTS BE GIVEN A MEDICAL EXAMINATION?

16. BAND

a. THE BAND:

WILL

b. THE BAND WILL BE A:

DA FORM 3126, MAY 2022

WILL NOT BE AVAILABLE FOR JUNIOR ROTC CEREMONIES?
SCHOOL BAND

JUNIOR ROTC BAND
APD AEM v1.00ES

Page 4 of 4


File Typeapplication/pdf
File TitleEVALUATION WORKSHEET POTENTIAL ARMY JUNIOR ROTC PROGRAM
SubjectDA FORM 3126, MAY 2022
AuthorAPD
File Modified2022-06-01
File Created2022-03-28

© 2024 OMB.report | Privacy Policy