JANUS 101
September 9 & 10 | Aberdeen | 9-4
Retirement & Transition Seminar
Registration Form
Name
*
First
Last
Personal Email
*
example@example.com
Are you registering as the spouse of a servicemember?
Yes
No
Servicemember's Name
*
First
Last
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.
Unit:
*
Not interested in state secrets, just tell us where you're coming from
What is your MOS?
*
Approximate Separation/Retirement Date:
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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 type of separation will you have?
*
Select One
ETS/REFRAD/UQR/Other
Standard Retirement (20+ years)
Medical Retirement
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
Do you have a LinkedIn Profile?
*
Yes
No
What are your main questions & concerns about transition that you want answered at this workshop?
By submitting this form, you are acknowledging that you will make every effort to attend the entire day's session, and provide maximum advanced notice in the event that you can no longer attend. We order lunch each day, and no-shows ends up wasting both slots and food.
Referral Code
Spouses are Encouraged to Attend!
If your spouse is going to attend, please have them register separately!
Can't register without personal/non-official email
Go back up and fix it, then come back.
Secret
Submit
Should be Empty: