If you would like to submit information to the MIT Army ROTC Alumni Database, please fill out the form below. Thank you.

My e-mail address is (valid address required):

Please check if this is your first contact with us, or an update:
first-time update

My full name is:

My mailing address is:
Address:

City: State: Zipcode:

Duty Location (if different than address):

Country (if overseas):

Phone Number: Rank: Retired (Yes/No):

Permission concerning the release of your personal information:

1. Release my name, year of graduation, city and state on the Army ROTC Alumni Association web page

2. Additionally, please link my e-mail address to the above listing

3. ONLY release my name, address and e-mail address if any of my Army ROTC classmates are looking for people from their class

4. I DO NOT want you to release any of my information at any time, in any way

I graduated from :
(Please make a selection.) Massachusetts Institute of Technology Harvard University Wellesley College Tufts University Salem State College Endicott College Gordon College Other-please explain below.
Major:
Year:

Other information (including BRANCH):