Request Information on UR ROTC

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

Name:

Address:

Street Address
Address (cont.)
City
State/Province Zip/Postal Code
Country

Email Address:

Phone Number:

Are you a US citizen?:

Date of Birth:

-- mm/dd/yy

School Year:

School currently attending:

University/college desiring to attend:

Although not necessary, do you have Military Experience?:

If so, what?

Specific information requested: