Application for Membership
UNITED STATES VOLUNTEERS-JOINT SERVICES COMMAND
Recruited by:
Unit Preference:
Date submitted:
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Month
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Day
Year
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Name:
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First Name
Middle Name
Last Name
Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
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Area Code
Phone Number
E-mail:
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Legal status:
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U.S. Citizen
Legal Resident
N/A
Are you 18 or older?
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Yes
No
Have you ever been convicted of a felony?
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Yes
No
Have you served in the U.S. Military?
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Yes
No
Enter your highest Rank, Branch of Service, and Discharge Date. For all previous service members, please provide your DD214. Otherwise, enter N/A.
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DD214 and Supporting Documents
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Civilian Employment - Name and address of employer:
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Title of your employment position:
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Enter your highest education degree and name of the school you attended:
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Person to contact in case of emergency: Name, Address, Phone Number:
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I understand that I am applying for a membership with the USV-JSC, and that I will pay my annual dues required by USV-JSC. I certify that the information provided above is true and correct, and that my full name I enter on the right serves as my signature:
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