Application & Certification

Application & Interview

Instructor Application Portal

Due to recent updates in medical requirements, please follow the steps below to bypass the system prompt for document uploads. Note: Height and weight standards must still be met.

1. Navigate to the Medical tab.
2. For Question 1, select “No”.
3. For Question 2, select “No”.
4. Under Physical Review, ensure all values are set to 1.

Upload Requirements

• Photograph: DA-style photo (can be taken with cell phone and uploaded as a PDF) in Army Service Uniform, 4″x6″, ¾ body, taken within 1 year. Include name, rank, and date.
• Last 3 consecutive official evaluation reports, academic included. Upload as separate files. If missing, include MFR.
• Most recent Records Brief, ORB/ERB/Soldier Talent Profile.
• Retirement Orders, Separation Orders, DD 214, Member 4 Copy. NOTE: Form 4187, approved memorandums, and/or retirement letter are not accepted.
• DA Form 5500, Male, or DA Form 5501, Female, Body Fat Worksheet, dated within 6 months. CAN BE COMPLETED AT ANY ARMY RECRUITING STATION, DOCTORS OFFICE, OR UNIT
• Official transcripts showing degree awarded, signed by registrar.
• PHYSICAL, Physical forms are no longer necessary for your application submission. To proceed, please upload a blank document to bypass the prompt.
• VA RATING, Due to recent updates in medical requirements, please follow the steps below to bypass the system prompt for document uploads. Note: Height and weight standards must still be met.
  1. Navigate to the Medical tab.
  2. For Question 1, select “No”.
  3. For Question 2, select “No”.
  4. Under Physical Review, ensure all values are set to 1.

ARNG & USAR, Actively Serving

• DA Form 5016, Chronological Statement of Retirement Points, CAC login required.
• NGB Form 23A, dated within 90 days.
• Letter of Recommendation from current Commander.

Online Training

• Certificate from Good Teacher Ethics Training Course: access.willinteractive.com

Interview Process

• Applicants must complete an interview conducted by a certified interviewer.
• Applicant must be in Army Service Uniform.

Last updated: 9/4/26

View list of certified interviewers

Background Checks & State Forms

Federal Requirements

• DODI 1402.5, Background Checks in DoD Child Care Services
• Army Directive 2014-23
• DoDI 1205.13

Applicability

All individuals who regularly interact with children under 18 in Army-sponsored programs must undergo initial background checks and periodic re-verifications. This includes JROTC instructors and others expected to have regular contact with minors.

Important Notices

• DO NOT download or submit any forms until you receive a notification letter from the Chief, Instructor Management Division.
• Current JROTC instructors are not considered “new hires” but still require checks. Transfers do not exempt them.

Tier 1 Investigation Questions

Email: usarmy.knox.usacc.mbx.hq-jrotc-bca@army.mil

Download Tier 1 with Childcare Investigation Packet

Required Forms

Do not download the Tier 1 with Childcare Investigation Packet until instructed to do so by a Background Check Administrator.

• Alabama, Application to Review Criminal History
• Arkansas, ASP122 State Record Check Form
• Colorado, Certification and Authorization Form
• Delaware, Criminal History Record Check of a Minor
• Illinois, Fingerprint Card Requests
• Indiana, State Form
• Iowa, Request Form
• Kentucky, Request Form
• Michigan, Fingerprint Background Check Request, RI-030
• Minnesota, Request Form
• Mississippi, Authorization Form
• New Hampshire, Request Form
• New Jersey, Criminal History Record Request, 212B
• New Mexico, Request Form
• New York, Identogo Cardscan Authorization
• Ohio, Request Form
• Rhode Island, Request Form
• South Dakota, Form 2015
• Tennessee, Fillable Request Form
• Texas, Request Form
• West Virginia, Request Forms
• West Virginia, WVSP 39
• West Virginia, Certification and Authorization