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Date of Birth:	RadDatePicker RadDatePicker Open the calendar popup. Calendar Title and navigation Title and navigation << < June 2026 > << June 2026   S M T W T F S 23 31 1 2 3 4 5 6 24 7 8 9 10 11 12 13 25 14 15 16 17 18 19 20 26 21 22 23 24 25 26 27 27 28 29 30 1 2 3 4 28 5 6 7 8 9 10 11
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Referred By:	- Select Referred By - Social Media Sea Cadets website eNewsletter/Sea Cadets email Individual Other
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Post Secondary Education/Employment:	- Select Post Secondary - Civilian College Civilian College - ROTC Civilian Workforce Enlisted Military Maritime Academy Service Academy Trade School Other
Service Academy:	- Select Service Academy - U.S. Naval Academy U.S. Coast Guard Academy U.S. Air Force Academy U.S. Merchant Marine Academy U.S. Military Academy
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Prior Cadet:	YesNo	Last Cadet Rank:  Year Left Program:  - Select Prior Cadet Rank - E1/SR E2/SA E3/SN E4/PO3 E5/PO2 E6/PO1 E7/CPO - Select Year - 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026
Prior Adult Volunteer:	YesNo	Year Left Program:  - Select Year - 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026

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Military/Maritime Affiliation:    (click if affiliated)

Military/Maritime Branch:  - Select Military Branch - U.S. Marine Corps U.S. Army U.S. Navy U.S. Air Force U.S. Coast Guard U.S. Space Force Merchant Marine Military/Maritime Pay Grade:  - Select Pay Grade - GO/FO O-6 O-5 O-4 O-3 O-2 O-1 W-5 W-4 W-3 W-2 W-1 E-9 E-8 E-7 E-6 E-5 E-4 E-3 E-2 E-1 Merchant Captain Chief Mate 2nd Mate 3rd Mate Able Body Seaman Ordinary Seaman Years of Service:  - Select Years - 1 years 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years 31 years 32 years 33 years 34 years 35 years 36 years 37 years 38 years 39 years 40 years Military Status:  - Select Military Status - Active Reserve Retired

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What unit/s were you a member of: