Be Recognized for Your Service

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All fields marked with an asterisk are mandatory and must be filled-in. If you have a photo that you would like attached to your profile, please email it to henchenm@harwood.org.

Your name as you wish to have it engraved (First name, Last name): *

Your name as recorded upon graduation diploma and permanent school records: *

This is required for verification purposes.

Your name as recorded in official service records: *

This is required for verification purposes.

Home Address *

Email Address

Phone Number *

Year of Graduation from Harwood Union High School: *

Which branch of the Uniformed Services did you serve in? *

If more than one, please indicate which branch should be engraved as space limited to one branch only

U.S. Army

U.S. Marine Corp

U.S. Navy

U.S. Air Force

U.S. Coast Guard

U.S. Public Health Service Commissioned Corps

National Oceanic and Atmospheric Administration Commissioned Corps

Required

For confirmation purposes, please indicate status in which you primarily served For confirmation purposes, please indicate status in which you primarily served: *

Space limited to one only

Active

Reserve

National Guard

Would you like to make a donation to the Uniformed Services Project?

Yes, please contact me

Maybe, please contact me

Maybe, but I will contact you when ready

No thank you

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