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Yosemite Veterans Education and Leadership Seminar Application
Submit your application to the 2024 Seminar (September 16 - 19)
Personal Information
What is your name?
First Name
Last Name
Contact Information:
Street Address
City
State
Zip Code
E-mail Address
Phone number with area code (xxx-xxx-xxxx)
Emergency Contact:
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone Number
Emergency Contact Email Address
What is your year of birth?
Year of Birth
Military Service
Active Military Service Branch Affiliation
Air Force
Air National Guard
Army
Army National Guard
Coast Guard
Marine Corps
Navy
Reserve Military Service Branch (with previous or subsequent service under an active military branch):
Air Force Reserve
Air National Guard
Army Reserve
Army National Guard
Coast Guard Reserve
Marine Corps Reserve
Navy Reserve
Most Recent Military Rank:
Military Occupation:
Enlistment and/or Commission Date:
Separation Date (If still on active duty, enter expected separation date):
Reason for Separation:
Admin Separation
End of Obligated Service
Enlisted Retention Board
High Year Tenure
Medical Separation
Perform to Serve
Retirement
Voluntary Separation
Other
If applicable, select war served:
Afghanistan (10/2001-12/2014)
Iraq (3/2003-12/2011)
Persian Gulf (8/1990-2/1991)
Vietnam (1/1959-4/1975)
Korea (6/1950-7/1953)
Balkan 10/1912-8/1913
Do you have any special or accessibility needs?
Do you have any dietary needs?
Highest level of education completed:
High School Graduate
GED
Some College
Graduated 2-year College (Associate's)
Graduated 4-year College (Bachelor's)
Graduate Degree (Master's)
Graduate Degree (Doctorate)
Vocational/Trade School
How did you learn about the UC Merced Veterans Seminar?
Postcard
Search Engine (Google, Bing, Yahoo, etc.)
Friend
Co-Worker
Past Participant
Other
Will you need parking at UC Merced?
All transportation will be provided by seminar producers during the duration of the seminar
Yes
No
Please leave any questions or additional information that you would like us to know in the space provided below.
Thank you for your interest in the UC Merced Veterans Education and Leadership Seminar.
The 2024 seminar participant cost of $2,000 will be covered entirely by scholarship.
Serving you and the other veterans applying for this seminar in an organized way is important to us.
Please be reasonably confident you can attend the full seminar during September 16-19 before you submit to avoid unnecessary cancellations at the last minute. This will help everyone plan their attendance with enough lead time.
Applications submitted by August 15, 2024 will have priority consideration.
I have confirmed I am available and will participate in the full seminar September 16-19, 2024.
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