<p>NJROTC Personal Data Entry 2013-2014______(Last Name) :First Name:______MI. ___ </p><p>Gender: Male / Female Ethnicity:______Birth Month______Year______</p><p>Street:______Apartment:______</p><p>City: ______State: ___ Zip:______</p><p>Home Phone: (______Work Phone: (_____)______</p><p>Expected Graduation Date :______(Year)</p><p>Parent / Guardian Name: ______Relationship: ______</p><p>Street:______Apartment:______</p><p>City:______State: _____ Zip: ______</p><p>Parent / Guardian Name: ______Relationship: ______</p><p>Street:______Apartment:______</p><p>City:______State: _____ Zip: ______</p><p>You are a: (circle one) Freshman Sophomore Junior Senior Home Room Teacher: ______Room: ______</p><p>Class Schedule 1st Semester Period Subject Teacher Room Number</p><p>1 (0815) ______</p><p>2 (0907) ______</p><p>3 (0959) ______</p><p>4 (1056) ______</p><p>5 (1148) ______</p><p>6 (1324) ______</p><p>7 (1416) ______</p><p>8 (1508) ______</p><p>Lunch Circle One: A B C </p>