CSUF ROTC Online Application

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

CSUF CWID
Projected College Graduation Date

Personal Information

Last Name
First Name
Date of Birth	YYYY/MM/DD
Gender	MaleFemale
Race/Ethnicity
Primary Email
Local Address: Street
City
State
Zip Code
Is this your Permanent Address	YesNo
Primary Phone	(xxx) xxx-xxxx
JROTC Experience
City You Were Born
State You Were Born
Country You Were Born
Are You a US Citizen	YesNo
Marital Status
Number of Children
Academic Status	Select one... Freshman Sophomore Junior Senior Graduate
Are You a CA Resident	YesNo
Academic Major/Minor
SAT/ACT/GPA Scores
Age

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	YesNo
Do you have prior military service	YesNo
Are you currently serving in the military	YesNo
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	YesNo
Do you have asthma or taking any medications
Do you have any permanent injuries or illnesses
After ROTC how do you want to serve	Select one... Active Duty Reserves National Guard
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.