Bengal Battalion Cadet Data Sheet
Last Name (Cadet):__________________First: __________________MI:____________
DOB: ___//___//____ Gender: (Circle ) Male / Female Student ID: #______________
Mo dd yyyy (look on your schedule)
Race: (Circle One) - African American, American Indian, Asian, Caucasian, Hispanic, Native Indian, Pacific Islander, Other
Number of Times/Semesters Successfully Completed JROTC #:__________
US Citizen: (Circle one) YES / NO
Cadet Home Address: Street:____________________________ Apartment #_______
City:____________________________, State:________ ___Zip:__________________
Home Phone:(___)______________Work:(___)____________Cell: (___) ____________
School Year (Graduation): 20_____ Enrolled: (New school year) _____//____//______
mo dd yyyy
(1) Parent/Guardian Name: ______________________________________________________________
Relationship: __________________________________________________________________________
Street:______________________________________________Apartment ________________________
City:_______________________________State:________________Zip:__________________________
Home Phone: ( ) _______________ Work: ( )_____________Cell: ( ) ___________________
US Citizen: (Circle one) YES / NO
(2) Parent/Guardian Name: ______________________________________________________________
Relationship: __________________________________________________________________________
Street:______________________________________________Apartment ________________________
City:_______________________________State:________________Zip:__________________________
Home Phone: ( ) _______________ Work: ( )_____________Cell: ( ) ___________________
US Citizen: (Circle one) YES / NO
-----------------------------------------------------------To Be filled Out by Instructors Only: -----------------------------------------------------
Let Level: __________ Company: ___________________
Platoon:_____________ Squad:_____________________