Banner Program Application
Honoree Information
Name of Service Person (First & Last)___________________________________________________________________
Spelling of name will come directly from this application
Branch of Service__________________________________ Rank____________________________________________
Date of Birth ___________/___________/___________
Enlistment Term From _______________________ To___________________________________
Month, Day, Year Anticipated Month, Day, Year
Location of Service or of Active Duty ___________________________________________________
- - - - - Applicant Information - - - - -
Name of Applicant_____________________________________________________________________________________
Relationship to Serviceperson-Please Circle One: Spouse Child Parent Sibling Grandparent
Address_____________________________________
City _________________________________________
Zip Code_____________________________________
Phone _______________________________________
E-Mail_______________________________________________
In the event that an active-duty service person’s military status changes, due to any circumstances, it is the applicant’s responsibility to inform the Committee.
Signature _____________________________________________________________________
Additional Information about Service Person (this may be used for recognition purposes)
______________________________________________________________________________________________________
______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Required Attachments:
-
Proof of Honoree's Salinas Residency (ex. copy of Utility Bill or valid California ID
-
Official Service Picture
Please Submit Application, and Required Documents to:
Salinas Hometown Heroes Banner Committee
820 Park Row, #953
Salinas, CA 93901
(Send copies NOT originals
Protect your materials by marking them "DO NOT BEND")
Committee Use Only
Date Application Received _____________
Date Application Verified ______________
Estimated Installment Date _____________