PERSONAL RECORD

LAST NAME

FIRST NAME

MIDDLE OR MAIDEN NAME

SOCIAL SECURITY
NUMBER

DATE

ADDRESS

STREET NO.

STREET

APT. NO.

CITY

STATE

ZIP

AREA CODE

PHONE

RELATIVE WHO IS A 35^TH INFANTRY REGIMENT ASSOCIATION MEMBER

NAME

RELATIONSHIP

ADDRESS

HIGH SCHOOL ATTENDANCE INFORMATION

YEARS ATTENDED

FROM
MO - YR

TO
MO - YR

GRADUATION DATE

MM

DD

YY

ENCLOSURES

• Two letters of reference

• 500 word essay describing career interests and goals

• Summary of awards, activities, honors, and employment

• Current copy of transcript to include GPA, class rank, recent SAT or ACT scores

DELIVERY

Mr. Wiley Dodd
Executive VP, 35th Infantry Regiment Association
19410 Wedgewood
Riverview, MI 48192