Please provide your first name in the space provided. First Name Please provide your last name in the space provided. Last Name Date of Birth Please provide your address in the space provided. Address Phone Number Cell Number Please provide your email in the space provided. Email Classification Major GPA Are You Currently in High School? If you answered "Yes" to the previous question, then where? Marital Status: Please explain your physical shape Do you have any prior military service? Please describe any prior military service Additional Comments You're contact request has been submitted successfully! We appreciate your interest in the GSU ROTC Program, and you will be contacted regarding your request as soon as possible. Thank you for your feedback. You're contact request has not been submitted. Please contact us at armyrotc@gram.edu for further assistance, thank you. armyrotc@gram.edu formdefault@gram.edu Army ROTC Contact Form Army ROTC contact form submitted.