Registrar’s Office
303-273-3200

Military Request for Student Recruiting Information

Requestor Information

Recruiter __________________________________________________________________________
Address ___________________________________________________________________________
City ______________________________________________________________________________
State _________________________ Zip _________________________________________________
Phone Number ______________________________________________________________________
E-Mail Address _____________________________________________________________________
DOD Component ____________________________________________________________________

This form is used to request a list containing student recruiting information for students enrolled at CSM
for at least one credit during the semester and year listed below. In 1996, Congress passed a series of laws
that address Military Recruiting and Reserve Officer Training Corps (ROTC) Program Access to Students
of Higher Education (commonly referred to as the “Solomon Amendment”) in order to help military
recruiters meet congressionally-mandated recruitment numbers. Under these laws, colleges must give
recruiters access to their campuses and provide them with lists containing “student recruiting
information.” Some of this information may be prohibited for release to anyone if it is not designated by
your institution as directory information under FERPA. However, since the Solomon Amendment
overrides FERPA, it gives the military the right to receive data designated as “student recruiting
information.” If an institution or its sub-element does not comply, the entire institution risks losing certain
federal funds.

“Student recruiting information” is defined as a current student’s name, address, telephone number, age
(or date of birth), level of education (e.g. freshman, sophomore, graduate student, or recent graduate
including degree awarded), academic major, place of birth, most recent educational institution attended
and degrees received. Colleges need not provide other information, or any of this information it does not
collect or maintain. If a current roster is not available, please provide information on the most recent
previous or future term that is available.

DATA REQUESTED

Semester/Year: ________________________________________________________

Recruiters: Please identify the data elements you would like to receive and how you would like them
sorted, keeping in mind that the more fields you complete below that require sorting, the more selective
the list. Please select from the options below:

I would like to receive all categories of student recruiting information on your currently
enrolled students, unsorted. (You may stop here.)
I would like to receive all categories of student recruiting information on your currently
enrolled students, sorted by the category I have indicated below. (Select one category for
sorting below.)
I would like to receive only the categories of student recruiting information on your currently
enrolled students as indicated, and sorted by the category I have indicated below.

(Indicate preferences below by checking each box.)

Category Check
to
receive
Filter this information
Check to sort by…
information in this
by…
category
NAME

n/a
this category
ADDRESS

permanent/home
this category, by zip
address
code
local/school address
TELEPHONE LISTING

permanent/home listing
this category, by area
local/school listing
code
DATE OF BIRTH,

Specify range (i.e. 17 to
this category
AGE or AGE GROUP
21); if no range is
identified, institution is
asked to provide all:

______ to ______
CLASS LEVEL

Select all that apply:
this category
Freshman
Sophomore
Junior
Senior
Graduate
ACADEMIC MAJOR/S

List all that apply:
this category
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________



The signature below serves as my understanding that the information is to be used for military recruiting
purposes only. I also understand that the information I am requesting is confidential and cannot be
released to anyone outside my organization. I understand that under FERPA, I must destroy the student
list once it has been used. Please note that Department of Defense components (Army, Navy, Marine
Corps, Air Force, and Coast Guard, as well as Reserve and ROTC components of each) are entitled to
receive student recruiting information once every semester or term.


Recruiter Signature __________________________________________ Date ______________

Please send the information in the following format:
Printed copy by mail to address above
E-mail attachment (provided in MS Excel format)
OFFICE USE: Request Received __________ Request Processed __________

Recruiter Contacted __________ Report Sent ______________
Revised 9/28/10