Survey Collection to Create Email Distribution List

The Vermont National Guard Family Programs Office would like to gather your information in order to create an email distribution list for interested military-affiliated households. The gathered information will not be released to any entity outside of Family Programs and will only be used to educate on upcoming military appreciation events, youth camps and programming, and community partner opportunities (i.e. Military Kids Vermont).

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* 1. Service Member First Name

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* 2. Service Member Last Name

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* 3. Service Member Email Address

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* 4. Branch of Service:

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* 5. Significant Other's First Name

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* 6. Significant Other's Last Name

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* 7. Significant Other's Email Address

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* 8. Current Military Status:

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* 9. Which Distribution List Would You Like to Subscribe to?

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* 10. Additional comments/recommendations:

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