INFO SHEET BLANK-MAY 10

INFO SHEET BLANK-MAY 10 - MCRC REGULAR OFFICER (ON/E)...

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MCRC REGULAR OFFICER (ON/E) APPLICATION AND PROGRAM INFORMATION SHEET LAST NAME, FIRST, MI MERCER, STEPHEN C. FULL SSN RANK/PMOS SGT/0311 EAS(YYMMDD) MARITAL STATUS RACE SEX MALE FEMALE DOB (YYMMDD) CITIZENSHIP HOME OF RECORD ADDRESS: (INCLUDE COUNTY) DATE OF PROGRAM ENTRY(I.E. NROTC SCHOLARSHIP) UNIT ADDRESS PROGRAM NROTC NAVY CIVILIAN NAVAL ACADEMY (CHECK NROTC MARINE ECP/RECP AIR FORCE ACAD. ALL THAT COLLEGE PROGRAM MECEP WEST POINT APPLY) SCHOLARSHIP MCP/MCP-R USCGA ACADEMIC MAJOR/EDUC LEVEL CUMGPA APT GPA GRAD DATE PROJ COMM DATE COLLEGE PFT SCORE FLEX/PU CR RUN HT(INCH)/WT BF% PFT DATE CFT SCORE CFT DATE SAT MATH CR COMBINED COMPOSITE ACT AFQT ASTB PROJ/COMP OCS EXTRACURRICULAR ACTIVITIES/BILLETS HELD RELATIVES WHO SERVED OR ARE SERVING IN THE ARMED FORCES RELATIONSHIP RANK BRANCH OF SERVICE STATUS YES NO 1. Have you ever applied or been a member of any other ROTC or officer candidate program? 2.
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