KU Army ROTC

August 28, 2008 82ºF/28ºC clear

University of Kansas
Army ROTC Department
Military Science Bldg
1520 Summerfield Hall Drive
Lawrence, KS 66045-2524
(785) 864-3311
FAX (785) 864-4395
goldbar@ku.edu

Alumni Directory Request Form

Please fill out the information below in order to request that your name be added or updated on the alumni directory.

Is this a "New" entry or are you "Updating Information?
First Name:
Last Name:
Middle Initial:
Email Address:
I give consent to have my email address posted on the KU ROTC Alumni website.	Agree Disagree
College Information
College Attended:
Year Graduated:
Year Commissioned
Degree Field:
Military Information
Branch:	If other:
Highest Rank Earned:
Component:
Contact Information (optional)
Street:
City:
State:
Zip Code:
Phone (home):
Phone (cell):
Additional Comments

Information in this form will be sent to the University of Kansas Army ROTC at goldbar@ku.edu