Veteran Self-Interview Online Submission Please enable JavaScript in your browser to complete this form.PART I -- BASIC INFORMATIONFull NameToday's DateAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone LandlineCellphoneEmail AddressPART II -- SERVICE HISTORYBranch of ServiceDate EnteredPlace Entered ServiceDate DischargedService In (Check All Applicable)ActiveNational GuardReserveService In (Check All Applicable)ActiveNational GuardReserveHighest Rank HeldUnit/ship(s) assigned toWhat wars, theaters, campaigns, or locations were you in?What were your general duties, skills or rating?Did you receive any injuries, wounds, or illness? Were you captured?What was daily life like; did your equipment work well; how was it compared to the enemies?What was your unit/ ship like; how were your officers? Did you receive any decorations, medals or commendations?What was the most interesting or inspiring thing you experienced during your service?Did you have combat service? When were you first under fire? What were your feelings in combat?What person(s) do you remember best from your service and why? What experience(s) left the greatest impressions on you? Did you perform any unusual service or duties?PhoneSubmit Share this:TwitterFacebookLike this:Like Loading...
