| Department of Military Science Request Form |
Full Name: |
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| Phone: |
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| E-mail: |
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| Have you served in the military? |
Yes
No
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| Are you currently serving in the military? |
Yes
No
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| What academic year are you? |
High School
Freshman
Sophomore
Junior
Other
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| Anticipated ROTC Start Date:
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| Which university do you / are you planning to attend?
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| Current / Projected Major:
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| Have you applied for an Army ROTC National Scholarship?: |
Yes
No
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| Comments/Questions |
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