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Outward Bound Veteran Program

Please feel free to call us directly at 866-467-7651

Select the course number

Student Information Fields marked with an asterisk (*) are required items.

FIRST NAME *
 LAST NAME *
ADDRESS 1 *
 ADDRESS 2
CITY *
 STATE *
ZIP CODE *
 HOME PHONE *
ALTERNATE PHONE
 EMAIL ADDRESS *
HEIGHT *
 WEIGHT *
GENDER *
   Female   Male  		ARE YOU AN OUTWARD BOUND ALUMNUS? *
   Yes   No 
CURRENT MILITARY STATUS *
 DID YOU DEPLOY IN SUPPORT OF COMBAT OPERATIONS IN OEF OR OIF? *
IF SO, WHERE WERE YOU DEPLOYED?
 AND FOR HOW LONG?
MILITARY JOB DESCRIPTION *
IN YOUR MOST RECENT DEPLOYMENT, WERE YOU: *
On active duty status
A member of a National Guard or Reserve unit
Other (Please Describe)
 DECORATION *
Have you been awarded a ribbon or badge for direct combat action (including combat infantrymen badge, purple heart, combat action ribbon, or other similar award)?    Yes   No 
SPECIFIC OVERSEAS AREA OF OPERATIONS * (Country/Province)
 RANK * (What was your highest rank during your most recent deployment?)