Have you served in the Armed Forces? Yes No . If yes, complete the following: Active Duty Date Branch of Occupational Discharge Date Type of Reason for Rank (MM/DD/Year) Service Specialty (MM/DD/Year) Discharge Discharge Are you/have you been a member of the U.S. Reserve Forces, National Guard or State Guard Organization? Yes No . If yes, complete the following: Service Date Branch of Rank Occupational Discharge Date Type of Reason for (MM/DD/Year) Service Specialty (MM/DD/Year) Discharge Discharge Status: Reserve Obligation(s): Active Standby Inactive Discharged While in the Military, were you ever: Reduced in Rank? Yes No Arrested for any offenses? Yes No Court Martialed, tried on charges, or subject of a Summary Court, Deck Court, or any other Captain’s Mast, Company Punishment, type of disciplinary action/Article 15/Non-Judicial Punishment? Yes No If you to any of the questions, provide a detailed explanation below to include date of offense, UCMJ initial/final answered “Yes” charges, disposition: Applicant Initials Page 11 of 22 Word Doc - Revised February 2019 7. RESIDENCE
Have you served in the Armed Forces? Yes No . If yes, complete the following: Active Duty Date (MM/DD/Year) Branch of Service Rank Occupational Specialty Discharge Date (MM/DD/Year) Type of Discharge Reason for Discharge Are you/have you been a member of the U.S. Reserve Forces, National Guard or State Guard Organization? Yes No . If yes, complete the following: Service Date (MM/DD/Year) Branch of Service Rank Occupational Specialty Discharge Date (MM/DD/Year) Type of Discharge Reason for Discharge Status: Active Standby Inactive Discharged Reserve Obligation(s): While in the Military, were you ever: Reduced in Rank? Yes No Arrested for any offenses? Yes No Court Martialed, tried on charges, or subject of a Summary Court, Deck Court, Captain’s Mast, Company Punishment, or any other type of disciplinary action/Article 15/Non-Judicial Punishment? Yes No If you answered “Yes” to any of the questions, provide a detailed explanation below to include date of offense, UCMJ initial/final charges, disposition: Applicant Initials Page 11 of 22 Word Doc - Revised February 2019 7. RESIDENCE
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