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 *	(invalid 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.