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? Yes No

School Year: Select one High School Senior High School Junior High School Sophomore Undergraduate Freshman Undergraduate Sophomore Undergraduate Junior Graduate Student Not currently a student

School currently attending:

University/college desiring to attend: Select one University of Richmond TC Williams Law School Virginia Commonwealth University VCU School of Nursing Longwood University Hampden-Sydney College Randolph-Macon College Virginia Union University

Although not necessary, do you have military experience? No Yes

If so, what?

Specific information requested: