Request for Assistance – Supporting Americas Reservists

you Guard of

Name

First

Last

Are you currently serving, and in good standing with a Reserve or Guard Component of any Branch of the U.S. Military?

Paygrade

Phone Number

Personal Email

Email

Confirm Email

Branch / Component (if Guard include state)

Years In Service

Selected Value: 0

Current Unit of Assignment

Are you currently pending, or have ever received a Bad Conduct or Dishonorable Discharge for any period of Service?

Give a brief overview of your situation, and the type of aid or referral required.