New Member Application

Please input all information on the New Member Application

Member Prefix

This is Default

Mr
Dr
Rev

This is a required question

Member Last Name

This is a required question

Member First Name

This is a required question

Member Middle Name

This is a required question

Name Suffix

This is a required question

Street Address

Please list the Complete Address

This is a required question

City

This is a required question

State

This is a required question

Postal Code

This is a required question

Home Phone #

Include Area Code

This is a required question

Work Phone #

Include Area Code

This is a required question

Fax Phone #

Include Area Code

This is a required question

Pager Phone #

Include Area Code

This is a required question

Mobile Phone #

Include Area Code

This is a required question

Email Address

This is a required question

Camp Name

This is a required question

Camp Number

This is a required question

Brigade

Brigade that the Camp is in

This is a required question

Camp Office

This is a required question

Division Office

Division Adjutant use only

This is a required question

National Office

Division Adjutant use only

This is a required question

Division Status

Division Adjutant use only

This is a required question

National Status

Division Adjutant use only

This is a required question

Camp Status

Division Adjutant use only

This is a required question

Member Birthdate

Recommended

SCV member name who recommended new applicant

This is a required question

Comments

Division Adjutant use only

This is a required question

Guardian

Division Adjutant use only

This is a required question

Guardian Date

Division Adjutant use only

This is a required question

Ancestor Prefix

If known

This is a required question

Ancestor First Name

This is a required question

Ancestor Middle Name

This is a required question

Ancestor Last Name

This is a required question

Ancestor Suffix

Optional

This is a required question

Relationship to Ancestor

If known

This is a required question

Branch

Branch of Military - Army, Navy, Marines

This is a required question

Regiment

This is a required question

Company

This is a required question

Rank

This is a required question

Served Until Date

This is a required question

Ancestor Birth Date

This is a required question

Ancestor Death Date

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Buried at

List the name of the Cemetery

This is a required question

Ancestor Comments

Any other information

This is a required question