Retirement/Transition Seminar
5-7 August | Camp Shields
Workshop Registration Form
Please plan to attend the entire workshop. Morning refreshments and lunch will be provided.
Name
*
First
Last
Personal Email
*
example@example.com
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.
Unit:
1-1st SFG (A)
MARSOC
AFSOC
Other
What is your MOS?
*
Approximate Separation/Retirement Date:
*
/
Month
/
Day
Year
Date
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 type of separation will you have?
*
Select One
ETS/REFRAD/UQR/Other
Medical Retirement
Standard Retirement (20+ Years)
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+
Do you have a LinkedIn Profile?
*
Yes
No
Spouses are encouraged to attend this event. Will your spouse attend?
*
Yes
No
Spouse's Name
*
First Name
Last Name
Spouse's Email
example@example.com
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.
Can't register without personal/non-official email
Go back up and fix it, then come back.
Submit
Should be Empty: