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Badger Corps Membership Form
Badger Corps
Badger Corps Membership Form
Preferred name
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First
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Last
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Birthdate
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Preferred email
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Phone
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French Part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Address
Street Address
Address Line 2
City
State / Province
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Undergraduate year (if applicable)
Postgraduate year(s) (if applicable)
UW–Madison student affiliation
*
Check all that apply.
Air Force ROTC
Army ROTC
Navy ROTC
I received a commission through ROTC at UW–Madison
Student Veterans Association (all student veterans)
Scabbard and Blade
Arnold Air Society
ROTC Crosstown or Partner School, i.e., not enrolled at UW–Madison but part of an associated ROTC unit
None listed
Other
Other
*
Please describe below. i.e 'ROTC at other college/university, Scabbard & Blade, Arnold Air Society, etc.'
UW–Madison faculty/staff affiliation
*
Check all that apply.
ROTC Cadre
Officer Education Program
University Veterans Services
Faculty/staff supporting a military-connected mission, i.e., Defense Research-related
Other faculty/staff, e.g., WFAA
None listed
Other
Other
*
Military-connected status
Check all that apply.
Veteran - Retired
Veteran - Separated
Currently Serving
Military Spouse
Military Child
Parent of current or former UW–Madison military-connected student
None of the above
Other
Other
Military branch affiliation(s)
Check all that apply. Include spouse's/parent's affiliation(s) if a Military Spouse and/or Military Child.
Air Force
Space Force
Army
Navy
Marine Corps
Coast Guard
Military component affiliation
Check all that apply for your current service or when you served (include spouse's/parent's affiliation if a Military Spouse and/or Military Child).
Active Duty
National Guard
Reserves
Military-connected Government Civilian
Other
Other
Inclusive years of military service
Include your years as a spouse/child if a Military Spouse and/or Military Child; state "20XX-present" if still serving.
Final or current military pay grade
(Or military-connected Government Civilian GS equivalent). Leave blank if Military Spouse or Military Child.
Final or current branch-specific rank
Select rank
Admiral
Airman
Airman Basic
Airman First Class
Brigadier General
Captain
Chief Master Sergeant
Chief Master Sergeant of the Air Force
Chief Master Sergeant of the Space Force
Chief Petty Officer
Chief Warrant Officer 2
Chief Warrant Officer 3
Chief Warrant Officer 4
Chief Warrant Officer 5
Colonel
Command Master Chief Petty Officer
Command Sergeant Major
Commander
Corporal
Ensign
First Lieutenant
First Sergeant
Fleet Admiral
General
General of the Air Force
General of the Army
Gunnery Sergeant
Lance Corporal
Lieutenant
Lieutenant Commander
Lieutenant General
Lieutenant Junior Grade
Lieutenant Colonel
Major
Major General
Master Chief Petty Officer
Master Chief Petty Officer of the Coast Guard
Master Chief Petty Officer of the Navy
Master Gunnery Sergeant
Master Sergeant
Petty Officer First Class
Petty Officer Second Class
Petty Officer Third Class
Private
Private First Class
Rear Admiral (Lower Half)
Rear Admiral (Upper Half)
Seaman
Seaman Apprentice
Seaman Recruit
Second Lieutenant
Senior Airman
Senior Chief Petty Officer
Senior Enlisted Advisor to the Chairman of the Joint Chiefs of Staff
Senior Enlisted Advisor to the Chief of the National Guard Bureau
Senior Master Sergeant
Sergeant
Sergeant First Class
Sergeant Major
Sergeant Major of the Army
Sergeant Major of the Marine Corps
Specialist 1
Specialist 2
Specialist 3
Specialist 4
Staff Sergeant
Technical Sergeant
Vice Admiral
Warrant Officer 1
How would you like to be involved as a Badger Corps member?
*
Check all that apply.
Receive emails on activities, opportunities, announcements.
Connect to social media (coming soon).
Attend Badger Corps hosted, supported, and shared activities.
Seek potential opportunities to serve on a committee or the Board of Directors to support the Badger Corps mission: "Serving Military-Connected Badgers".
Seek potential opportunities to make a financial contribution to an existing UW-Madison military-connected funds and/or start a new one.
Other
Other
*
How did you hear about Badger Corps?
*
Check all that apply.
Friend or family
Social Media
Email
Mail
Badger Corps website/internet search
UW/WFAA-related communications, e.g., WFAA website, On Wisconsin article, WFAA personal contact
Other
Other
*
Please share any additional details of your military career and/or UW–Madison story.
Do you have any questions or comments?
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