ROTC Interest Form

This form should only be used by prospective students. Current Fairfield students should contact the Office of the Dean of Students at dosoffice@fairfield.edu.

Birthdate

First Name (Given Name)

Preferred First Name (Nickname)

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Student E-Mail Address

Parent E-Mail Address

Mobile Phone
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Begin typing high school name and then select from the dropdown.

Search for your school then Click on it to Select*

School CEEB:

Student Type

Entry Term

I am interested in the following ROTC programs:

Air Force

Army

I wish to be contacted by:

The Fairfield University Office of Undergraduate Admission

ROTC Officers