| I Have A Disability, Or Have A History/Record Of Having A Disability An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment. |
| No, I Don't Have A Disability, Or A History/Record Of Having A Disability |
| I Choose Not to Respond to Disability Status |
| Vietnam Era Veteran A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases. |
| Protected Disabled Veteran I qualify as a Disabled Veteran because I am - (a) a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or (b) a person who is discharged or released from active duty because of a serviceĀ connected disability. |
| Protected Active Duty Wartime or Campaign Badge Veteran I qualify as an active duty wartime or campaign badge veteran because I am a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. |
| Armed Forces Service Medal Veteran I qualify as an Armed Forces service medal veteran because I am a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985. |
| Protected Recently Separated Veteran I qualify as a recently separated veteran because I was discharged or released from active duty in the U.S. military, ground, naval, or air service within the last three years. |
| Separation Date Please note in MM/DD/YYY format |
| I Choose Not to Respond to Veteran Status |
| I am not a Protected Veteran |