Contact Us - CSULB ROTC Application

Thank you for your interest in becoming an Army Officer through CSULB Army ROTC. Our program works with dozens of applicants at any given time. Answer the questions below so we can determine your potential eligibility to join our program and to compete for a scholarship.  We will give you immediate feedback on your potential eligibility or refer you to other commissioning sources.

If you would like to visit us in person, please visit the CSULB Recruiting Office at Room 215 in the ET Building.
For phone call inquiries, call our office line: (562) 985-5766
For e-mail inquiries, e-mail us at: army@csulbrotc.org

First Name:

Last Name:

Email Address:

Phone Number:

Gender:
Male
Female

Are you a U.S. Citizen?
Yes
No

When is your birthday?

MM/DD/YYYY

How tall are you? (inches)

How much do you weigh? (pounds)

Where do you attend college or high school?

What is your GPA?

What is your grade level in college? (e.g. Freshmen, Sophomore, Junior, Senior)

What is your major?

Are you a full-time student?
Yes
No

Are you single or married?
Single
Married

Do you have children?
Yes
No

If yes, how many?

Do you have medical conditions such as asthma or other medical conditions that can hinder your participation in a college physical training regimen like Army ROTC?

Do you have any law violations?
Yes
No

If Yes, are those law violations closed?

Do you have prior military service?
Yes
No

Have you been court-martialed or received disciplinary action under the Uniform Code of Military Justice?
Yes
No

Why do you desire to become an Army Officer?

What are your Scholarly, Athletic, and Leadership achievements?

Where did you hear about us?