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Military Connected Student Form
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* Indicates required question
Student Name:
*
Your answer
Definitions of Military Connected:
United States Active Component
: Includes Army, Navy, Air Force, Marine Corps, Coast Guard, Space Force, the Commissioned Corps of the National Oceanic and Atmospheric Administration, or the Commission Corps of the U.S. Public Health Services.
United States Reserve Component
: Includes Army, Navy, Air Force, Marine Corps, or Coast Guard.
National Guard
: Includes active or reserve duty.
Veteran
: If you served in any of the above.
For the purpose of data collection, please mark all that apply:
*
Parent is a member of the United States Active Component.
Parent is a member of a United States Reserve Component.
Parent is a member of the National Guard.
Parent is a Veteran.
Required
What Branch of the United States Military?
*
Army
Navy
Air Force
Marine Corps
Coast Guard
Space Force
Commissioned Corps fo the National Oceanic and Atmospheric Administration
Commission Corps of the U.S. Public Health Services
Required
If parent is a Veteran, what was their Separation Date?
MM
/
DD
/
YYYY
Parent/Guardian Name:
*
Your answer
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