Corps Quick Connect Contact Form

Please complete using your full legal name as it appears on your birth certificate or passport.

* Indicates a required field or an issue in the form.

Last Name/Family Name*

First Name/Given Name*

Birthdate*

Term of Entry*

School Name

Term of Entry*

Cell (Preferred) Phone Number

Personal E-mail NOT school email if possible*

ReEnter Personal E-mail for VERIFICATION

Sex*

Female

Male

ROTC for Academic Interest:

Are you interested in joining the Fightin' Texas Aggie Band? *

Yes

No

Referred By: Name of Recruiter, Event and/or Organization*