AFROTC Detachment 890
Checklist for Incoming Cadets
(Privacy Act of 1974 applies)
Full Name (Last, First, Middle )
Date of Birth (mm/dd/yyyy )
Gender (circle one )
Male / Female
Do you plan to attend AF101?
University (circle one )
UVa / LU / JMU / PVCC
Cell Phone Number
Yes / No
Permanent Mailing Address
Personal E-mail Address
University E-mail Address (if known )
Height (inches )
Weight
Do you have tatoos, brands, and/or body piercings?
If yes, please describe:
Answer the following questions
1. Are you a U.S. Citizen?
(If a naturalized citizen, or born outside the U.S. to American parents, please submit proof of citizenship)
2.
3.
4.
5.
6.
Do you have dual citizenship and/or a foreign passport?
Are you now, or have you ever been, married?
Do you have dependents? If yes, how many? _______________
Have you ever had a physical for entry into the U.S. Armed Forces?
Have you registered with the Selective Service System (males only)?
(if no, please go to http://www.sss.gov and register)
What is your Selective Service Number? ____________________________
7. Have you previously attended college and received college credit?
(if yes, please provide us a photocopy of all college transcripts)
8. Do you already have a college degree?
9. Have you ever been enlisted or a warrant officer in the U.S. Armed Forces?
(if yes, please provide us a photocopy of your DD Form 214)
10. Have you ever been denied enlistment into the US Armed Forces?
11. Have you ever been enrolled in an officer training program?
(If yes, please provide us a photocopy of your DD Form 785)
12. Are you an Eagle Scout or a Girl Scout Gold Award winner?
(If yes, please provide us a photocopy of your certificate)
13. Did you participate in JROTC? How many years? _____________
14. Did you participte in Civil Air Patrol?
(If yes, did you receive the Mitchell, Earhart, or Spaatz Award? Please provide us a photocopy of your
award(s) certificate)
15. Have either of your parents (or guardian) served in the US Armed Forces?
Branch ______________ Years of Service _______ Highest Grade ___________
If yes, are either still on Active Duty?
16. Do you have access to your original birth certificate?
(You need to bring the original, and a photocopy, to the Detachment)
17. Do you have access to your original Social Security Card?
(You need to bring the original, and a photocopy, to the Detachment)
Please bring a photocopy of your SAT and/or ACT scores.
Yes / No
Yes
No