ROTC Alumni Questionnaire

ROTC Alumni Questionnaire

First Name:                                               Last Name:
  

Where did you attend College?                                                Class Of:
  

 
Are you Actively Serving in the Military?                                      Duty Status:              Active     Reserve      National Guard                              
Yes: 
No:  
 
   
 
 

Rank: 

Branch: 

 
Duty Position: 

Duty Location:
 
Duty Phone:
 

 
If Reserve or National Guard:

Civilian Employment: 

 
All:
Combat/Deployment experience (please
list location & dates (explain if not obvious)):



 
 Please briefly describe any interesting
assignments, duty locations, or experiences:
 
 
  

Contact Information:
Please let us know how we can best reach you if necessary.

 
Mailing Address:
 

 
*Email Address:
 

 
Phone: