How To Apply

Complete and submit the electronic application below. After you complete and submit the form, you will receive instructions to complete your application.

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Note: Fields with a * are required.
Position Preferences
Preferred Position Type*:  Hold control to select multiple preferences.
Preferred School*:  Hold control to select multiple preferences.
Preferred State*:  Hold control to select multiple preferences.
Are you flexible on locations you might agree to?*    Yes   No
Available Start Date*: 

Please provide the following information.
Contact Information
Last Name*: 
First Name*: 
Middle Initial:  
Street Address*: 
Zip Code*: 
Home Phone*: Format: (xxx) xxx-xxxx
Work Phone:  
Cell Phone:  
Military Background
Current Rank*: 
Branch (Officer): 
MOS (Enlisted): 
Current Status: 
Separation Date: 
Retirement Date: 
Reserve Oblig Term Date: 
Years of Service*: 
Highest Rank Held*: 
Highest Military Education*: 
Last Command Assignment*: 
Last 3 Military Positions*: 1. 
Have you had any ROTC instructor experience?
 Yes   No
Last APFT Score: (must be entirely numeric)
Last APFT Date:  
Do you currently have a favorably adjudicated NACLC?*
 Yes   No
Do you now or have you held a US security clearance in the past ten years?
 Yes   No
Civilian Background
Highest Education Completed*: 
Date Received:   
College GPA: 
Do you speak another language?
Have you ever been convicted of a felony or misdemeanor?*
 Yes   No
If so, explain:  
How did you learn about the ROTC Functional Support Contract?* 
If Other or Employee, please specify:  
We are proud of our diverse environment, EOE, M/F/D/V

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