Survey - Officer Spotlight - Reserve Officers Association

*1.

Question - Required - Are you nominating yourself or somebody else?

2.

If somebody else, what is your name and email address?

If you have previously registered, please to prepopulate your information.

*

Name:

First Required	Last Required

*

Email: Required

Yes, I would like to receive e-mail from Reserve Officers Association

Yes, I would like to receive postal mail from Reserve Officers Association

Remember me. What's this?

Please enter a user name and password for logging in when you return. You can use this password to update your information or receive personalized content.

*	User Name: Required	5 to 60 characters
*	Password: Required	5 to 20 characters
*	Repeat Password: Required

*3.

Question - Required - Nominee's rank (pay grade)

*4.

Question - Required - Nominee's first name

*5.

Question - Required - Nominee's last name

*6.

Question - Required - Nominee's email address

*7.

Question - Required - Nominee's hometown

*8.

Question - Required - Nominee's home state

*9.

Question - Required - Nominee's Reserve or Guard Unit (no acronyms)--multiple lines as needed.

(Maximum response 255 chars, approx. 5 rows of text)

*10.

Question - Required - Nominee's military job title (no acronyms)

(Maximum response 255 chars, approx. 5 rows of text)

*11.

Question - Required - Nominee's profile: Describe briefly why this person should be spotlighted?

12.

Question - Not Required - If this Nominee has deployed, where and when?

(Maximum response 255 chars, approx. 5 rows of text)

*13.

Question - Required - What military awards does this Nominee have?

(Maximum response 255 chars, approx. 5 rows of text)

*14.

Question - Required - What is this Nominee's civilian job title? No acronyms please

(Maximum response 255 chars, approx. 5 rows of text)

15.

Question - Not Required - Name of Nominee's Civilian Employer

(Maximum response 255 chars, approx. 5 rows of text)

*16.

Question - Required - Can you provide a high resolution photo of nominee? If yes, please email to: dsmall@roa.org

17.

Question - Not Required - Is nominee on Facebook? If yes, please provide nominee's Facebook link.