APPLICATION FOR THE WILLIS HIGH SCHOOL  AIR FORCE JUNIOR ROTC PROGRAM
The Willis Independent School District Board of Trustees has designated Willis High School as the Air Force Junior ROTC  school for all students residing in the Willis school district.  This entitles any qualified 9th through 12th grade student in the WISD to apply for the AFJROTC program, but does not guarantee acceptance. Each prospective cadet must be physically fit and have no physical or medical limitations that would prevent him/her from participating fully, and performing equally, with all other cadets in the Corps.  Before acceptance, each prospective cadet must be approved by the Aerospace Science Department Chair.  All prospective cadets must complete this application and meet AFJROTC and Willis High School enrollment requirements to be accepted into the program.

PLEASE COMPLETE THE FOLLOWING INFORMATION:

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Email *
CONFIDENTIAL (When completed)
Date of Application *
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STUDENT PERSONAL DATA
Student's Name *
Last, First MI.
Address *
Address__________________City___________________State_____Zip______
Phone: *
Date of Birth *
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Current Age *
Current Grade *
Gender *
U.S. Citizen *
CUSTODIAL PARENTS OR LEGAL GUARDIANS
Your son/daughter has made application to enroll in the Air Force Junior ROTC program at Willis High School.  If you approve, please complete the following information and sign this application: (NOTE: Application does not ensure acceptance)

Father’s or Guardian’s Name *
Last, First MI.
Mother’s or Guardian’s Name *
Last, First MI.
PARENT/GUARDIAN APPROVAL
Parent/Guardian Name *
I approve of my son’s/daughter’s decision to apply for enrollment in the AFJROTC program at Willis  High School and will accept responsibility for ensuring his/her full cooperation and compliance with all AFJROTC regulations, rules, policies and procedures.  I will ensure he/she meets the academic, disciplinary and performance standards of the AFJROTC program.  I understand that disciplinary problems and failure to meet standards are grounds for denial or immediate dismissal. *
MEDICAL ASSESSMENT
Each cadet is expected to participate fully and equally in all AFJROTC physical activities.
If you answer YES to any question below, please explain fully in the comments below.
NOTE:  AFJROTC will not be responsible for administering any medications and cannot attend to any special needs.

Do you have:
Any chronic illnesses? (Asthma/bronchitis, etc) *
 Physical limitations/disabilities? (Knees/joints, etc) *
Medical and medicinal limitations/disabilities? *
Special needs/requirements? (Hearing, vision) *
DISCIPLINARY ASSESSMENT
Have You Ever Been:
 Expelled or suspended from school? *
Assigned to In-School suspension? *
Habitually tardy or truant? *
Assigned to an alternative school? *
Arrested for or convicted of any offense? *
A user of alcohol, drugs or tobacco? *
Substance use or abuse of any kind? *
 Possession of weapons or contraband? *
Gang affiliation or activities? *
Possession or sale of drugs? *
Disciplined for any of the following reasons:
Behavioral problems in school? *
School truancy or tardiness? *
 Indifference or disrespect for authority? *
 Disrespect for peers or subordinates? *
If you answered YES to any  of the medical or disciplinary questions, explain fully – When?, Where?, Why?, etc. (Use Comments Section Below).
 Habitual and/or serious behavioral and disciplinary problems may be causes for denial.

NOTE: Student’s disciplinary records will be checked to verify the accuracy of the above information. Intentional omissions or false responses to any of the above questions constitute fraud. This automatically nullifies your application and admittance will be denied.

COMMENTS/NOTES (please use this space to explain yes answers on medical/disciplinary questions)
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