Retirement & Transition Seminar
Coffee & Lunch Included
Workshop Registration
November 3 & 4 | 9-4 Each Day
Name
*
First
Last
Personal Email
*
example@example.com
Are you registering as the spouse of a servicemember?
Yes
No
Servicemember's Name
*
First
Last
Ispouse
No Military Emails! Personal please!
The firewalls don't allow our .org domain...we have a hard enough time reaching folks
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Branch of Service
*
Please Select
Army
Navy
Marines
Air Force
Unit Assigned
*
1st SFG (A)
160th SOAR (A)
2/75
AFSOC
SWCS
Other
What is your paygrade?
*
Select One
E-01 through E-5
E-6
E-7
E-8
E-9
WO1
CW2
CW3
CW4
CW5
O-1
O-2
O-3
O-4
O-5
O-6
What is your current time in service?
*
Select One
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30+
What is your MOS?
*
Approximate Separation/Retirement Date:
*
/
Month
/
Day
Year
Date
What type of separation will you have?
*
Select One
ETS/REFRAD/UQR/Other
Standard Retirement (20+ years)
Medical Retirement
Do you have a LinkedIn Profile?
*
Yes
No
Will your spouse be attending? (Spouses Encouraged to attend!)
*
Yes
No
Spouse's Name
*
First Name
Last Name
Spouse's Email
*
example@example.com
Will you require childcare (spouses are welcome to attend!)
*
Yes
No
What are your main questions & concerns about transition that you want answered at this workshop?
Spouses are welcome to attend, but they must register separately!
This way we know how much food to order. No strap hangers!
Submit
Source
Can't register without personal/non-official email
Go back up and fix it, then come back.
Should be Empty: