NMMI ARMY ROTC ECP ENROLLMENT FORM

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Physical Address:

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Pay Information - Required in order to pay you for LTC and your monthly ROTC stipend

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Medical - Only ailments that you have been diagnosed by a licensed physician, do not self diagnose

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Student/Athlete/Leader - Please mark all that apply
GPA>3.0 & SAT/ACT > 1100/21
Top 10% of class & SAT/ACT >1100/21
Honors/Advanced Placement Program Graduate
Membership in National Honors Society
Valedictorian/Salutatorian
Varsity Letter
Member city/regional/competitive league
Member organized team/individual sport
Elected Member of student organization
Captain of Athletic Team
Eagle Scout/Gold Star
Position of responsibility in club/organization