Prior Service Recruits

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Prior Service

Please complete this form if you have ever been or currently are in the Army, Navy, Air Force, Marines or Coast Guard. To better serve you, we require the information requested below. We never give out your information to anyone other than the National Guard.

You can also call 1-800-GO-GUARD

Full Name

Zip Code

Age

Phone Number

Highest Education Level

Prior Branch

Highest Rank

Years of Service

RE-Code

Character of Service

Medical History / ER Visits: (include ALL surgeries, broken bones, fractures, wisdom teeth, gall bladder, etc):

Legal: (All law infractions, tickets, misdemeanors, etc):

Tattoos: (description and location):