Military Information Submission Form

Salem High School Alumni Association is proud of the rich military experience of our alumni.

Please consider sharing you or a family member's background with others by completing this form.

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



Submitter Information (this will not be published)
SUBMITTER NAME
  EMAIL
PHONE
OLD CONTACT INFORMATION
SECURITY QUESTION
  ANSWER

Military Alumnus Information
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.