Transitioning Service Member Inquiry

Please complete this brief inquiry form and a member of our team will follow up with you.

Name *

First Last

Phone Number *

Email *

example@example.com

Branch of Service: *

Component *

Rank *

Current Military Occupational Code *

Unit *

Current Duty Station *

If outside AZ, what state/country?

Dates & location of deployments (if any):

Will you be a military retiree: *

Yes No

Have you began your service connected disability claim? *

Yes No

What is your desired occupation? (EX: Program Management, Medical Technician, Cyber Analyst, Electrician) *

Date entered the military: *

Date

What is your anticipated separation date? *

Date

Have you attended a transition assistance program? *

Yes No

Is your family member interested in career navigation resources? *

Yes No Unsure

Please share your family members email so we can send them the career navigation form: *

example@example.com

Is your spouse/partner interested in career navigation resources? *

Yes No Unsure

Please share your spouses/partners email so we can send them the career navigation form: *

example@example.com

After attending our orientation and career readiness training, you can upload your resume for our team members' review.

The orientation & career readiness training occurs on Tuesday from 10:15 am to 1:30 pm MST (Arizona Time) with a half-hour break in the middle from 11:30 am - 12 pm on a Zoom video conference. You will be provided the details of this conference in an email after you submit this application.

Will you be attending our orientation? *

Yes No

If not, please let us know why: *

Who were you referred by? *

If other, who were you referred by? *

Are you interested in doing an internship as you transition out of the military?

Yes No

Thank you for your interest in the DoD Career Skills Program:

SkillBridge is a Department of Defense authorized program for active duty service members separating from the military. With command approval, you may gain civilian work experience before leaving the military.

Has your commanding officer approved you for the SkillBridge program? *

Yes No In process Unsure

Where would you like to do your SkillBridge? (County) *

I consent to the following: *

I understand that I cannot conduct a DoD Skillbridge opportunity while on transitional leave. As soon as I am aware, I will disclose my intent to use or sell transitional leave. I will keep the Arizona Coalition for Military Families up to date with any changes to my timeline and transitional leave dates so that this can be communicated to potential employers.

I consent to the following: *

The Be Connected Career Program can make career connections and advocate on my behalf to employers.

Thank you and we look forward to working with you on your career navigation goals!