Military Information Form

Please complete the following form. Thank you!

Name*
First Last
Email*
Rate*
Pay Grade*
Duty Station*
Duty Station Phone
Projected Rotation Date (PRD)*
EAOS Date (Discharge Date)*
MM slash DD slash YYYY
If attached to Submarine Parent Squadron please name them*
For Students Only
Ultimate Duty Station Phone
Ultimate Duty Station
Email
This field is for validation purposes and should be left unchanged.