College Indiana State UniversityRose-Hulman Institute of TechnologyDePauw UniversityIvy Tech Community College (You attend or plan to attend) Last name First name Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Phone Number Email Street Address City State Zip Code Prior Military Service Yes No High School Graduation Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year High School High School GPA ACT Composite Score SAT Mathematics SAT Critical Reading If attending/attended college, please select current or highest class year completed FreshmanSophomoreJuniorSeniorGraduateNo College Completed College GPA Major Have you taken the Air Force Officer Qualifying Test (AFOQT)? Yes No Any other important information Leave this field blank
