AFROTC Det 550 New Student Orientation Program

Registration Form

NSOP registration fee is $20 (non-refundable) and includes Gym Bag, Polo, T-shirt, Water Bottle, and Lunch.

Please send your check payable to “Cadet Fund.”

q  I will attend NSOP (24 August 2016)
q  I will not attend NSOP – Reason:

Name (Last, First, MI): Gender: Male Female

Home address: Home Phone:

Cell Phone:

Email:

Date of Birth: Age as of 20 August, 2015:

College you will attend: Major:

Projected Graduation Date (Month & Year)

Previous Active Duty Service? No Yes (If yes, must present DD214) Branch: Years:

Previous Commissioning Program? No Yes (If yes, must present DD785)

Previous JROTC and/or CAP experience? No Yes (must bring all completion, awards, etc. documentation)

RPI Students Only

Campus address: SO Session: RIN:

(If known)

q  I am/will be on a varsity sports team. Sport(s):
q  I have religious obligations during NCOP. Please provide details:
q  I have special dietary needs. Please provide details:
q  I have a bee allergy: (Please circle one) Yes No

Privacy Act of 1974 as amended applies: This document may contain information which must be protected IAW DoD 5400.11R and is For Official Use Only (FOUO)