EmailMe Form - Enlisted Assignment Interest Form

Please complete and submit the form below.

Full Name *

Rank *

Street Address *

Address (cont.)

City *

State *

Zip / Postal Code *

Home Phone *

E-mail *

Current Duty Station *

Current Unit *

Current Duty Title

Current Duty Phone

PMOS *

SMOS *

Date Available

Position Desired

Department of Interest

Remarks

Attacch ERB *

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