Veteran Affinity Group Information Form

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Contact Information
Full Name:*

First NameMiddle NameLast Name
Relationship to York Technical College: (select all that apply)*

Faculty/StaffAlumniCurrent Student
Preferred Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred E-mail*
Preferred Phone Number*

Area CodePhone Number

Military Service
Branch of Service*

ArmyAir ForceCoast GuardMarine CorpsNavy
Total Years of Service

For York Technical College Faculty/Staff Only
Division and Department
Current Position

For Alumni and/or Current York Tech Students
York Technical College Credential Earned: (if applicable)
Program of Study or Current Program: (if applicable)
Graduation Year or Anticipated Grad Year:

Thank you for your service and for being a part of the York Tech family. Together, we look forward to creating a dynamic and supportive Veteran Affinity Group that spans across all facets of our College Community.

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