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| How long have you been in the National Guard? |
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| What is your approximate age? |
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| Indicate your marital status. |
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| * How many times have you been deployed? | | | | Please give the dates. | | |
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This question is about ACTIVE DUTY.
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Please indicate your approximate yearly household income before taxes AND WHEN YOU ARE ON ACTIVE DUTY. (Include total income of all adults living in your household.)
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This question is about NON-DEPLOYMENT.
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| Please indicate your approximate yearly household income before taxes AND WHEN YOU ARE NOT ON ACTIVE DUTY. (Include total income of all adults living in your household.) |
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What was the last grade you completed in school?
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What was the last grade your spouse completed in school?
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| Please indicate the number of children in your household under the age of 18. |
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| Age of Child 1 | | | | * Grade of Child 1 | | | | Age of Child 2 | | | | * Grade of Child 2 | | | | Age of Child 3 | | | | * Grade of Child 3 | | | | Age of Child 4 | | | | * Grade of Child 4 | | |
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| Child 1, 2001 | | | | Child 1, 2002 | | | | Child 1, 2003 | | | | Child 1, 2004 | | | | Child 2, 2001 | | | | Child 2, 2002 | | | | Child 2, 2003 | | | | Child 2, 2004 | | | | Child 3, 2001 | | | | Child 3, 2002 | | | | Child 3, 2003 | | | | Child 3, 2004 | | | | Child 4, 2001 | | | | Child 4, 2002 | | | | Child 4, 2003 | | | | Child 4, 2004 | | |
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| Please write in your ZIP Code. | | |
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| For your primary residence, do you: |
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