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* 1. Contact Information

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* 2. Are You Applying for the Spouse or Veteran Program?

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* 3. Date of Birth

Date

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* 4. Gender

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* 5. Race

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* 6. How did you hear about us?

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* 7. Social Media Handles

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* 8. Answer the following questions for yourself or if you are a spouse then for your spouse in the service
Branch of Service

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* 9. Status of Service

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* 10. Service Occupation 

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* 11. Rank

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* 12. Service Entry Date 

Date

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* 13. Transition Location

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* 14. Service Transition Date 

Date

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* 15. Service Connected Disable Veteran

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* 16. Disability Rating

0 % 50 % 100 %
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i We adjusted the number you entered based on the slider’s scale.

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* 17. Registered with Wounded Warrior 

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* 18. Registered with Warriors to Work?

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* 19. Answer the rest of the questions for yourself
Highest Level of Education

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* 20. College / University

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* 21. Degrees Awarded

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* 22. Certifications

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* 23. Currently Employed

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* 24. Company

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* 25. Position

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* 26. Annual Salary

0 50,000 150,000
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i We adjusted the number you entered based on the slider’s scale.

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* 27. Willing to relocate?

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* 28. Which class fits best with your schedule? (All classes are offered virtually)

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* 29. Willing to commit time to training classes? 

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* 30. Is your schedule flexible during normal business hours if applying for the Veteran program?

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* 31. Why should you be selected for this program?

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* 32. Resume

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* 33. DD214 (if applicable)

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