Clark Veteran Application In the Hometown Pride Veteran Banner Program Clark, New Jersey Submitter InfoName of Submitter (if not the Veteran)Email of submitterIn case we have any questions Enter Email Confirm Email Veteran InfoVeterans Name?*(EXACTLY as it should appear on banner; do not include rank here) First Last RankVeteran's Rank as it should appear in printBranch of Service*USMCUS ArmyUS NavyUS Air ForceUS Coast GuardYears of Service*Please list either years served or name of conflict. (Example: 1940-1944 or World War II. A war or conflict should be listed only if the individual served in a combat zone. If the individual is currently on active duty, it is sufficient to list "active duty" on the form.) Was this Vet killed in action?* No Yes Veteran Photo*Accepted file types: jpg, pdf, png.Please upload a JPG file of Veteran's image. (Photo should be Veteran in military uniform; best results if photo is high resolution as possible). If this form is not accepting the photo, it likely means that the file is too large or too small. You can check your file size to ensure you're providing a good photo. It should NOT be smaller than 1 MB. If it is, it still may print but image quality will be compromised. dd214 I will email a copy or photo of the Veteran's DD Form 214 (Certificate of Release of Discharge from Active Duty) or other documentation of the individual's service to clarkveterans@gmail.com.consent* I approve and authorize the use of my image or my family member's image and name on a Hometown Heroes banner to be put up on display in town and online. I confirm that I, or my family member, meet eligibility requirements.*CAPTCHA Veteran Application: Clark Spring 2021 Please complete this form to apply to enroll in the Clark Hometown Pride Veteran program. Submitter InfoName of Submitter (if not the Veteran)Email of submitterIn case we have any questions Enter Email Confirm Email Veteran InfoVeterans Name?*(EXACTLY as it should appear on banner; do not include rank here) First Last RankVeteran's Rank as it should appear in printBranch of Service*USMCUS ArmyUS NavyUS Air ForceUS Coast GuardYears of Service*Please list either years served or name of conflict. (Example: 1940-1944 or World War II. A war or conflict should be listed only if the individual served in a combat zone. If the individual is currently on active duty, it is sufficient to list "active duty" on the form.) Was this Vet killed in action?* No Yes Veteran Photo*Accepted file types: jpg, pdf, png.Please upload a JPG file of Veteran's image. (Photo should be Veteran in military uniform; best results if photo is high resolution as possible). If this form is not accepting the photo, it likely means that the file is too large or too small. You can check your file size to ensure you're providing a good photo. It should NOT be smaller than 1 MB. If it is, it still may print but image quality will be compromised. dd214 I will email a copy or photo of the Veteran's DD Form 214 (Certificate of Release of Discharge from Active Duty) or other documentation of the individual's service to clarkveterans@gmail.com.consent* I approve and authorize the use of my image or my family member's image and name on a Hometown Heroes banner to be put up on display in town and online. I confirm that I, or my family member, meet eligibility requirements.*CAPTCHA
