Sign Up to enroll into the Pathfinder Program
Contact Information
First Name
Last Name
Email
Phone Number
Gender
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Man
Woman
Transgender Male
Transgender Female
Non-Binary
Date of Birth
What is race/ethnicity?
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Black or African American
Latinx or Hispanic
Asian American
Pacific Islander
White or Caucasian
Biracial, Multi, or Multiethnic
Do you identify as a person with a disabilty?
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Yes
No
Current Address or Zip Code
Military Information
Branch of Service
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U.S. Army
U.S. Navy
U.S. Air Force
U.S. Marine Corps
U.S. Coast Guard
U.S. Army National Guard
U.S. Air Force Reserves
U.S. Army Reserves
Discharge Type
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Honorable
General Under Honorable
Other than Honorable
Bad Conduct Discharge
Dishonorable
Medically Retired
Entrance Date
Separation Date
Pay Grade at time of discharge
Needs Request
Areas of Assistance Needed
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Employment
Volunteer Opportunities
Housing
Healthcare System Navigation
Nutrition
Mental Health
Physical Health
Education
Transportation
What is your primary goal that you need assistance with?
Is there anything else you would like for us to know about you or your special situation that will help us connect you with a Pathfinder?
Contact Information