Request Information on UR ROTC

Please complete the following to request more information on ROTC with the Spider Battalion:

Name:    

Date of Birth:   (mm/dd/yy)

Street:    

City:      

State/Province:    

Zip/Postal Code: 

Country:    

Email Address:    

Phone Number:  

Are you a US citizen?   

School Year:    

School currently attending:    

University/college desiring to attend:   

Although not necessary, do you have military experience?   

If so, what?

Specific information requested: