Prospect Data Form: All information submitted is voluntary and confidential.  The information you provide here (under no obligation) can help us better assess your appropriate enrollment options and determine specifically what information that we may need to provide to you. 
At a minimum, please leave your name and email or telephone number...  Thanks

Last Name: First Name:
Email Address: (ex: armyROTC@ba.ttu.edu) 
Address: City:
State: Zip Code:
Phone Number:  

 

Social Security Number:  Gender:  MaleFemale
Birthday:   Place of Birth:  U.S. Citizen     YesNo
Texas Resident: Yes No

Visiting TTU?:

 Yes No When:
Height:  Weight: 

Marital Status:

 SingleMarriedDivorced # Children: 

Medical Conditions:

Military Experience

Prior Military Service:    Active Duty    Reserves    National Guard      JROTC
Rank:                   Service:  Attended Basic: Yes No     AIT:  Yes No
Current/Last Unit Assigned:  Location: 

High School Information

High School Name:                  GPA: 
High School Graduation Date: ACT Score:
College Hours Earned in High School.: SAT Score:

College Information

College/University Attending:       GPA:
Projected College Graduation Date:  Academic Classification: 
Academic Major:  Credit Hours Earned: 
Projected TTU Enrollment/Return Date:  Hours Currently Enrolled: 

Planning to Attend - Top Three Schools

Extra-Curricular Activities:  (list leadership positions held)

Interested in the following (check all that apply)

ROTC SCHOLARSHIPS ACTIVE DUTY COMMISSION
TWO YEAR PROGRAM RESERVE DUTY COMMISSION
THREE YEAR PROGRAM RESERVE/NATIONAL GUARD BENEFITS
FOUR YEAR PROGRAM SIMULTANEOUS MEMBERSHIP PROGRAMS
LEADER'S TRAINING COURSE  (Sophomores) ARMY NURSING
ADVENTURE TRAINING  (Airborne, Air Aslt., etc.) ROTC EXTRA-CURRICULAR ORGANIZATIONS

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