TXARNG OCS Symposium Registration - Texas Military Department

First Name

Full Middle Name

Last Name

Grade/Rank

DoD ID: (Numbers only)

Civilian Email

Military Email

Contact Phone Number

Component?

Current Battalion/ Wing?

MSC

Current UIC? (W8XXXX)

HOR (Home of Record) w/ zip code.

Commanding Officer Rank & Name:

Commander's Email:

Commander Phone Number:

RNCO Rank and Name:

RNCO Email:

RNCO Phone number:

Current MOS/AFSC?

Current ETS Date: (Month Year Only)

Are you a 09R or 09S?

Military Status

Current Age?

Security Clearance Status?

Commissioning Physical Status

Citizenship Status

Education Status/College Hours Completed

GT Score

GOV Travel Card Status

Are you attending Pre OCS Phase Zero?

Which location will you be attending for the roadshow?