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LEADERSHIP EXCELLENCE -Tiger Battalion Prospect Worksheet
Are you interested in learning more about LSU Army ROTC, what it can do for you, and how to go about becoming a member? Then please fill out this Prospect Worksheet telling us about yourself, and we'll be in contact shortly.

Full Name:Sex: Male   Female

Local Address:

Local Phone:
Email:(Your email address will only be used for correspondence from LSU Army ROTC, and for no other purpose)

Age:Date of Birth:

Place of Birth:Are you a U.S. Citizen? Yes   No

Scholastic Information

Cumulative College Hours:Cumulative College GPA:

Expected College
Graduation Date:		College Major:

High School Graduation Date:High School GPA:

ACT Score:SAT Score:

Military Service

Basic Training:    AIT:   

MOS:USA/USAR/USNG Unit:

Prior Service:

Additional Information

Interested in paid summer camp?  
Athletic Experience:
Leadership Experience:
Referral Source:
Remarks:

LSU Army ROTC
Department of Military Science
106 Military Science Building
Louisiana State University
Baton Rouge, LA 70803
Phone: 225.578.2371
Fax: 225.578.3560
Internet 2 University Member		LTC Philip M. Pugh, Jr., Battalion Commander
MAJ Keith Robinson, Enrollment Officer
MAJ Keith Robinson Phone: 225.578.3566, 800.256.4578


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