Veterans History Project
Biographical Data Form

To ensure inclusion in the Veterans History Project, this form must accompany each submission.
Please complete an additional sheet if service was in more than one war or conflict.

Veteran Civilian    
First Middle Last Maiden
Address:
City: State: Zip:  
Telephone: Email:
Place of Birth Birth Date (month/day/year)
Race/Ethnicity (Optional): Male Female  
Branch of Service or Wartime Activity:
Commissioned Enlisted Drafted  
Service Dates: to
 
Highest Rank:
Unit, Division, Battalion, Group, Ship, etc. (Do not abbreviate):
War, operation, or conflict served in:
Locations of military or civilian service:
Battles/Campaigns (please name):
Medals or special service awards. Please list and be as specific as possible:
Special duties/highlights/achievements:    
Was the veteran a prisoner of war? Yes No    
Did the veteran or civilian sustain combat or service-related injuries? Yes No