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USU AFROTC
Det. 860
9590 Old Main Hill Logan, UT
84322-9590

Ph: (435) 797-8723

Fax: (435) 797-8733

E-mail: afrotc.det860@usu.edu

 

Contact Info

 

Please include as much information as possible.

Name:

Address:

City: State: ZIP Code:

Phone (include area code):

Best time to contact you by phone:

E-mail: Date of Birth:

Current School: GPA:

Grade/Year in School: Sex:

Reason Interested in AFROTC:

Comments/Information Requested/Questions:

PLEASE READ BEFORE SUBMITTING YOUR INFORMATION:

PRIVACY ACT STATEMENT AUTHORITY: 10 U.S.C. 2101 and 8013, Secretary of the Air Force; powers and duties delegation by. PRINCIPAL PURPOSE(S): To provide contact information of potential recruits for Air Force Reserve Officer Training Corps (AFROTC). This contact information will be used to provide information on AFROTC programs for the purpose of recruiting. ROUTINE USES: Information may be disclosed to recruiting agencies for the Department of Defense, Reserve Components, National Guard, and other federal agencies. There is no disclosure outside the federal government. MANDATORY OR VOLUNTARY DISCLOSURE AND EFFECT ON INDIVIDUAL PROVIDING INFORMATION: Disclosure is voluntary, however, if not provided we will be unable to contact you to provide information on AFROTC programs.

 

 

 
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Copyright 2002 Utah State University Air Force Detachment 860.