Personal Questionnaire

Name ____________________________

Brooke Rank/Rate __________ Years _____________

LIFE AFTER BROOKE: Duty Stations

(1)

Unit/Station ________________________________________________________________________

Physical Location ___________________________________________ Years Assigned ____________

Personal Accomplishments/Awards ______________________________________________________

_________________________________________________________________________________

(2)

Unit/Station ________________________________________________________________________

Physical Location ___________________________________________ Years Assigned ____________

Personal Accomplishments/Awards ______________________________________________________

_________________________________________________________________________________

(3)

Unit/Station ________________________________________________________________________

Physical Location ___________________________________________ Years Assigned ____________

Personal Accomplishments/Awards ______________________________________________________

_________________________________________________________________________________

(4)

Unit/Station ________________________________________________________________________

Physical Location ___________________________________________ Years Assigned ____________

Personal Accomplishments/Awards ______________________________________________________

_________________________________________________________________________________

(5)

Unit/Station ________________________________________________________________________

Physical Location ___________________________________________ Years Assigned ____________

Personal Accomplishments/Awards ______________________________________________________

_________________________________________________________________________________

Need additional space Old Timer? Use reverse of this form.....

LIFE AFTER THE NAVY:

(1) Civilian Occupation _______________________________________________________________

Brief Job Description ________________________________________________________________

________________________________________________________________________________

(2) 2nd Civilian Occupation _______________________________________________________________

Brief Job Description ________________________________________________________________

________________________________________________________________________________

(3) 3rd Civilian Occupation _______________________________________________________________

Brief Job Description ________________________________________________________________

________________________________________________________________________________

MARITAL STATUS: (Optional)

Give Brief Description (eg. 1st wife, 2nd wife, etc.) __________________________________________

_________________________________________________________________________________

Children: _________________________________________________________________________

________________________________________________________________________________

Hobbies/Items of Interest _____________________________________________________________

_________________________________________________________________________________

 

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