About YouYour information is used to coordinate your first step—a brief 15-minute introduction. We’ll use your contact details to follow up and get you scheduled.Your Name(Required) First Last Military / Work Email Personal Email(Required) We strongly recommend using a personal email, as .mil addresses often block or filter external communication. This will also be your primary contact for scheduling and course access.Mobile Phone(Required)We’ll use your phone and email to coordinate your 15-minute introduction and next steps.Your Service BackgroundMilitary Service(Required) Air Force Army Navy Marine Corps Space Force Coast Guard Other Component Active Duty National Guard Reserve Veteran Other Anticipated Separation or Retirement Date MM slash DD slash YYYY This helps us align you with the right cohort timing and ensure you’re getting support at the appropriate stage of your transition. If you've already separated or retired, please enter that date. Placement PathwayHow are you currently connected to a cohort?(Required) My base or installation National Guard / Reserve unit Pararescue Foundation Colorado Veterans Project Clemson University Referred by a TAP office Referred by a PreVeteran alumni or partner I'm not currently affiliated with a funding partner (seeking placement) Other This helps us route you to the right cohort and confirm your placement pathway.If referred, who sent you? (Optional)Additional Context (Optional)Anything else we should know? Δ
