Navy Option/marine Option Nrotc Program Application Form Page 16

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NROTC APPLICANT FITNESS ASSESSMENT
Applicant’s Name (Last, First, MN):
___________________________________________________
Applicant’s weight: __________
Applicants height (inches): _____________
READ TO APPLICANT:
"You are about to take the Naval ROTC Applicant Fitness Assessment. The results of this test will be
used in the NROTC scholarship application process by demonstrating your level of physical fitness. You
may cease work when you have scored the maximum for any individual event. Otherwise, do your best on
each event. You have 25 minutes to complete the entire test. After you complete each event, the scorer
will record your score and the time the event was tested. If at any time you cannot continue to meet the
timed requirements, the test will be terminated."
Start Time: _______
Number of Crunches completed in 2 minutes:
_________
Number of Push-ups completed in 2 minutes:
_________
1 Mile Run Time:
_________minutes _________seconds
End Time: _______
Evaluator’s Signature: ______________________________________________________
Evaluator’s Printed Name: ___________________________________________________
Evaluator’s Title/Position: ___________________________________________________
Date: ___________________________
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