DEPARTMENT OF THE ARMY
US ARMY ROTC INSTRUCTORS GROUP SENIOR DIVISION
XAVIER UNIVERSITY
3904 WINDING WAY
CINCINNATI, OHIO 45229-1999
COMMANDING OFFICER
MEMORANDUM FOR: US ARMY PROPERTY BOOK OFFICER, XAVIER UNIVERSITY
SUBJECT: UNIFORMS ISSUE AND CADET RESPONSIBILITY
1. Request the Issue of U.S. Government Property (Clothing & Equipment) to the following Cadet:
NAME:
SSAN:
UNIVERSITY
ADDRESS:
PHONE#
PERMANENT (HOME)
ADDRESS:
PHONE#
UNIVERSITY STUDENT ID NUMBER: ________________________________________________
E-MAIL ADDRESS:
SMP: YES or NO
If YES Unit:
2. The following statement must be read and understood by each Cadet.
CADET STATEMENT OF UNDERSTANDING
I understand that upon RELEASE or WITHDRAWAL from the ROTC program through nonenrollment in the upper division courses, commissioning, medical reasons, or for other reasons;
IT IS MY RESPONSIBILITY TO IMMEDIATELY RETURN ALL CLOTHING AND EQUIPMENT
within five days, to the Xavier University ROTC Supply Center.
I further understand that if I FAIL to return any U.S. Government Property for which I am responsible,
I will be CHARGED the current cost for replacement of all Clothing and Equipment not returned. I,
also, understand that a FINANCIAL HOLD will be placed upon my University Records until the
obligation is paid in full. I also consent to the notification of the debt to my parent or guardian.
___________________
______________________________________________________________
CADET
SIGNATURE
DATE
The Cadet listed hereon is enrolled in Xavier University ARMY ROTC Program with the following STATUS:
Contracted:
NON-Contracted:
Scholarship: _____________
______________________________________________________
INSTRUCTOR’S
SIGNATURE