Please note that only name and graduation year will be included on the plaques. Other items provided are for informational purposes only.
To maintain the integrity of this display, please attach a copy of your Department of Defense Form 214 (DD-214). (Please remove your SS# before submitting.) If currently serving, please provide current unit's point of contact information.
Email address *
Name (as you would like it to appear on the plaque) *
Graduation year *
Military branch served? *
Where were you stationed? *
Were you deployed? If so, to where? *
How long did you serve? *
Please attach your DD-214 here (SS# removed)
Any additional information you would like to share:
Never submit passwords through Google Forms.
This form was created inside of Glenbard High School District #87. - Terms of Service