Information Request Form

Personal Information

First Name

Last Name

Birthdate

Citizenship*

*You must be a US Citizen to fully participate and commission in ROTC

Contact Information

Contact information is only used to help us get materials to the right place! Thank you for providing the best way to reach you.

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Mobile Phone

Opt-in for texting? (for application and event updates - Highly Recommended)

Academic Information

We want to tailor information so you're only getting what directly pertains to you. This section helps us know more about you.

I am a:

Program of Interest:

Entry Term

Current High School/College Information

Search for the school you most recently attended by name and select from the list in the field below.

Most Recently Attended School

Information Request Form - ROTC