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Staff Group 4C Personal Data Sheet

Name (Last, First, MI): Nickname (What youd like to be called in class): Spouses Name: Your DOB (month/day): Childrens names and ages:

AY 2005-2006

Spouses DOB (month/day):

Local Address: Email address: Service: Rank: Military Schools Attended: Phone: Branch/Specialty: Yrs Comm Svc: Yrs Enl Svc:

Civilian Schools Attended/Degrees/Majors:

Last 3 Assignments:

Deployments:
URGENT FURY JUST CAUSE SOMALIA HAITI KOSOVO ENDURING FREEDOM DESERT SHIELD / STORM JOINT ENDEAVOR IRAQI FREEDOM PROVIDE COMFORT BOSNIA OTHERS:

Hobbies: