Military Information Submission Form:


Salem High School Alumni Association is proud of the rich military experience of our alumni. Please consider sharing your background with others by completing this form.

Please only include information that you wish to be available to other alumni and the public.


SUBMITTER NAME: SUBMITTER CONTACT INFORMATION AND COMMENTS:
(Please provide email or phone number. This will not be published):

SELECT A SECURITY QUESTION: ANSWER?

CLASS YEAR FIRST NAME MIDDLE NAME LAST NAME MAIDEN NAME (High School)

BRANCH OF SERVICE: ARMY MARINE CORPS US PUBLIC HEALTH SERVICES (PHSCC)
NAVY COAST GUARD NATIONAL OCEANIC AND ATMOSPHERIC (NOAA CORPS)
AIR FORCE MERCHANT MARINE OTHER:

SERVICE COMPONENT: ACTIVE DUTY RESERVE NATIONAL GUARD

YEAR OF COMMISSION/ ENLISTMENT:   SERVICE ACADEMY OFFICER/CANDIDATE TRAINING SCHOOL
ENLISTED DRAFTED ROTC

DUTY/SKILL/SPECIALTY:

CURRENT STATUS: ACTIVE DUTY ACTIVE RESERVE ACTIVE GUARD
RETIRED - YEAR:   or   DISCHARGED - YEAR:

HIGHEST RANK:

BIOGRAPHY: Please include education/training, dates/assignments/locations, and major awards/decorations. Provide only non-classified information that you feel comfortable sharing and understand that this information will be available to the public.

Education/PME/Training (include graduation/completion year, school/university, degree, most recent first): Duty History (include dates, assignments, locations, most recent first): Major Awards/Decorations (include awards/decorations, in order of precedence, highest to lowest):

Please Check this Box: The above information is correct.