Rent or Own? If rented list the landlord’s name, complete address, and telephone number. Name(s) of other persons residing with you: Mailing Address: City: Zip Rent or Own? If rented list the landlord’s name, complete address, and telephone number. Name(s) of other persons residing with you: MILITARY SERVICE □ □ Have you been or are you a member of the Military Service? Yes No If the answer is please go on to the next section. “No”, If the answer is please attach your Form DD214 with this application. “Yes,” Military Branch: Years of service: Title: Type of Discharge: List one military reference below: Military Reference Name: Title: Relationship: Address: Have you maintained contact with this person? EDUCATION AND TRAINING Check the highest grade completed: □ □ □ □ □ □ GED High School Associate Bachelors Masters PhD Name and address of High School(s) attended: Month and Year that High School Diploma or G.E.D. was granted (Be prepared to provide a copy of your Diploma, G.E.D. or Transcripts) If post High School education; list years attended and if any degree earned. Include college/university, technical college, trade schools, and military training. Be prepared to provide transcripts and diplomas when requested. Name/Location Dates of Attendance Dates of Credits Degree/Subject Completion Attendance From Earned Month/Year To Attach additional sheets if necessary ADDITIONAL EDUCATION AND TRAINING
Rent or Own? If rented list the landlord’s name, complete address, and telephone number. Name(s) of other persons residing with you: Mailing Address: City: Zip Rent or Own? If rented list the landlord’s name, complete address, and telephone number. Name(s) of other persons residing with you: MILITARY SERVICE Have you been or are you a member of the Military Service? □ Yes □ No If the answer is “No”, please go on to the next section. If the answer is “Yes,” please attach your Form DD214 with this application. Military Branch: Years of service: Title: Type of Discharge: List one military reference below: Military Reference Name: Title: Relationship: Address: Have you maintained contact with this person? EDUCATION AND TRAINING Check the highest grade completed: □ GED □ High School □ Associate □ Bachelors □ Masters □ PhD Name and address of High School(s) attended: Month and Year that High School Diploma or G.E.D. was granted (Be prepared to provide a copy of your Diploma, G.E.D. or Transcripts) If post High School education; list years attended and if any degree earned. Include college/university, technical college, trade schools, and military training. Be prepared to provide transcripts and diplomas when requested. Name/Location Dates of Attendance From Dates of Attendance To Credits Earned Degree/Subject Completion Month/Year Attach additional sheets if necessary ADDITIONAL EDUCATION AND TRAINING
App-SO4-1500655.docx