Cadet Information
Sheet
Full Name
Gender (Circle One) Male female
Race
Date of Birth / / (dd,mm,yyyy)
School
Are you a U.S. resident? (Circle One) Yes No
Street Address
P.O. Box
Parent(s)/ Guardian(s) Names
Parent(s)/ Guardian(s) Phone Numbers
Parent(s)/ Guardian(s) Cell Phone Numbers
Parent(s)/ Guardian(s) Addresses (If addresses are same as above address, leave blank)
E-mail Address
Parent(s)/ Guardian(s) E-mail
Enrollment Year
Expected Graduation Year
Course Year Naval Science I Naval Science II
Naval Science III Naval Science IV
Class Period
Circle Interest in these teams:
Academics Air Rifle Athletics Color Guard Drill (IDR)
Drill (Exhibition) Orienteering
Why did you sign up for NJROTC?
If someone persuaded you to join, who?