Request Information

Learn about the Army

I understand that by filling out this form a recruiter may call to discuss education and career opportunities from the Army.

First Name

Last Name

E-mail Address

Cellphone Number

Mailing Address

City

State

Zipcode

Student's Gender

GPA Range (If Known)

Date of Birth

I am a ...

High School Graduation Year

Current or Planned Area of Study or Career Interest

Name of College, if Attending

College Type

Optional Social Media Usernames (WhatsApp / Twitter / Fb)

Do / Did Either of Your Parents Serve in the U.S. Armed Forces?

I understand that an Army Recruiter may call to help answer any questions I may have about the Army.