Application

First and Last Name

Address

Phone Number

Date of Birth (mm/dd/yy)

Gender

Military Branch

Rank

Military Occupational Specialty

Service Dates (yyyy-yyyy)

Discharge Type

Combat Deployments (Units, Locations, Dates)

Disability Rating (0%-100%)

Service Connected Injuries (if applicable)

Current Health Issues (if applicable)

Additional Comments / How did you learn about us?

After submitting your application please email a copy of your DD-214 and VA Disability Rating Letter (if applicable) to info@warriorhike.org

Warrior Expeditions