CSUF ROTC Online Application

All fields are required. (N/A if not applicable)

Projected College Graduation Date 

Personal Information

Last Name 
First Name 
Date of Birth  YYYY/MM/DD
Primary Email    
Local Address: Street 
Zip Code 
Is this your Permanent Address    
Primary Phone  (xxx) xxx-xxxx
JROTC Experience 
City You Were Born 
State You Were Born 
Country You Were Born 
Are You a US Citizen 
Marital Status 
Number of Children 
Academic Status  
Are You a CA Resident 
Academic Major/Minor 

Additional Information Requirements

Height and Weight 
What school are you attending next semester 
HS Students, what colleges are you applying to 
How many college units have you completed 
What is your current major or degree plan 
Are you a full time student 
Do you have prior military service 
Are you currently serving in the military 
How many years of active duty or reserve 
Do you have any military disciplinary actions 
Are you military honorable discharge 
Do you have any unpaid tickets or law violations 
Do you have asthma or taking any medications 
Do you have any permanent injuries or illnesses 
After ROTC how do you want to serve 
How did you hear about ROTC 
Any issues or concerns at this time 

Answer Following Questions In Your Own Words

Why do you desire to become an Army Officer? 

What are your Scholarly, Athletic, and Leadership achievements? 

What contributions do you add to any given team you join? 

How did you hear about us? 


Note: Your information is subject to the Privacy Act and will not be forwarded to anyone outside CSUF Army ROTC.