Last Name
First Name
MI
Sex
M
F
Service Branch
Pay Grade
Status
MOS/AFSC
Job Title (do not abbreviate)
Years of Service
Home Unit
Home Post/Base or City if no base
State/Country
Your Email Address
1st Relative FIRST and LAST Name(s)
Relationship to You
Street Address
City
State
Zip Code
2nd Relative FIRST and LAST Name(s)
3rd Relative FIRST and LAST Name(s)
4th Relative FIRST and LAST Name(s)
Spouse name must be filled when selecting an INLAW
in the above blocks. Spouse's Name (First and Last Name)
The blocks here are optional (not required) for National Guard and Reserve members
Current Residence City
Civilian Employer or Co. Name
Your Civilian Job Title or Position
Received a:
Diploma
G.E.D.
N/A
Name of High School or GED Institution
Grad Year
1st College Degree
1st College Name (fill only if awarded degree)
2nd College Degree
2nd College Name (fill only if awarded degree)
Event Date
Phone#
PAO E-mail Address
Comments. Use only if necessary to help process the news release form (150 character limit. No punctuation or special characters allowed)
If attaching a file to this form, check this box:
PAO Code
KILL
BATCH
STORY
UniqueID:
JOINT HOMETOWN NEWS SERVICE NEWS RELEASE INFORMATION
STEP 1: MEMBER INFORMATION
STEP 2: RELATIVE INFORMATION
YOUR LIVING PARENTS, INLAWS, STEPPARENTS, GUARDIANS, GRANDPARENTS OR ADULT CHILDREN
STEP 3: EDUCATION INFORMATION
(FOR ANY BLOCK THAT DOES NOT APPLY, LEAVE IT BLANK)
For college information, fill ONLY IF AWARDED A DEGREE
STEP 4: RELEASE INFORMATION
Event (100 char limit): Promotion to(rank), arrival for duty(where), award(type), deployment in support of, redeployment, etc...
Hometown News Use Only
STEP 5: PHOTOS AND OTHER ATTACHMENTS, and SUBMIT FORM
Note: If you open attachment window, click FINISH to return to form.
then,
By choosing to submit this form electronically, I certify and agree that I have read and understand the Privacy Act and release consent information and that I bind and legally obligate myself to the same extent as I would by signing my name on a printed paper version of this form (DD2266).
DD2266 MAY2010 V2