New Member Application
Please input all information on the New Member Application
Member Prefix
This is Default
Member Last Name *
Member First Name *
Member Middle Name *
Name Suffix
Street Address *
Please list the Complete Address
City *
State *
Postal Code *
Home Phone #
Include Area Code
Work Phone #
Include Area Code
Fax Phone #
Include Area Code
Pager Phone #
Include Area Code
Mobile Phone #
Include Area Code
Email Address
Camp Name *
Camp Number *
Brigade *
Brigade that the Camp is in
Camp Office
Division Office
Division Adjutant use only
National Office
Division Adjutant use only
Division Status
Division Adjutant use only
National Status
Division Adjutant use only
Camp Status
Division Adjutant use only
Member Birthdate
MM
/
DD
/
YYYY
Recommended
SCV member name who recommended new applicant
Comments
Division Adjutant use only
Guardian
Division Adjutant use only
Guardian Date
Division Adjutant use only
Ancestor Prefix
If known
Ancestor First Name
Ancestor Middle Name
Ancestor Last Name
Ancestor Suffix
Optional
Relationship to Ancestor
If known
Branch
Branch of Military - Army, Navy, Marines
Regiment
Company
Rank
Served Until Date
Ancestor Birth Date
Ancestor Death Date
Buried at
List the name of the Cemetery
Ancestor Comments
Any other information
Submit
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