I Select 3 Preferred Assignments

1 #assign#                                                 Date of Submittal: #thisdate#

2 #assign#                                               New Submission (first time submittal)

3 #assign#                                                               Re-Submission (update your resume)

II

First Name		Rank/ Grade	None Aide Chaplain Fl/Lt Lt 1/Lt Lt/C Cdr D/Lt P/C P/Lt/C D/Aide D/Chaplain D/Fl/Lt D/1/Lt D/Lt/C D/C P/D/C P/D/Lt/C N/Aide N/Chaplain N/Fl/Lt Stf/C R/C V/C C/C P/N/Fl/Lt P/Stf/C P/R/C P/V/C P/C/C -- S P AP JN N FC
Middle I		Squadron	#sqdname#
Last Name		District	#distname#
Certificate #		Current USPS Position:	- - Squad Chair Sec Treas AO XO SEO Cdr Dist Chair D/Treas D/Sec DAO DXO DEO DCdr Stf/C R/C V/C C/C
Date of Birth		Years of USPS Membership:
Spouse First Name		# Merit Marks earned to date:
Address 1		Address 2
City/Zip		City/Zip
State	#state_name#	State	#state_name#
H. Phone		H. Phone
B. Phone		B. Phone
Fax		Fax
email addr.		email addr.

III

Retired? (If curently employed, complete the following)	Serious Health Problem (If yes, briefly describe)
Employer	You have 128 characters
Title/Position
Occupation

 

	Select
Have Typing skills?	#skill#
Have access to a computer equipment?	#skill#
Have access to e-mail and the Internet?	#skill#

Hours/week available for USPS tasks?

# of USPS National Meetings attend last 5 years?

Elected Positions Held (check all that apply)

	Cdr	ExO	SEO	AO	Sec	Treas	Asst/SEO	Asst/Sec	Asst/Trea	Other
Sqd
	D/C	ExO	DEO	AO	Sec	Treas	Asst/DEO	Asst/Sec	Asst/Trea	Other
Dist
	C/C	V/C	N/Fl/Lt	ComNom	ComRules	AuditCom	FinCom	LawCom	PlanCom	Marketing Com
Nat'l
R/C (name Committee)						Stf/C (name Committee)