Name
*
First Name
Last Name
Date of birth:
*
What is your gender?
Male
Female
Cell Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
Street Address
County
City
State
Zip Code
Are you a U.S. citizen?
*
Yes
No
Green Card Holder
What is your race/ethnicity?
Caucasian
African American
Hispanic/Latino
Asian/Pacific Islander
Native American/Indian
Other
Major/Minor
Projected Graduation
*
SAT (math and reading), ACT (composite), ASVAB or LSAT score
*
*
I agree to enter into this hold harmless release from liability agreement. The intent of this agreement is to preclude any and all claims against the United States and the United States Marine Corps from any claims, actions, fees and judgements arising related to participation in any and all events official or unofficial.
Submit
Should be Empty: