WP E-Signature by Approve Me - Sign Documents Using WordPress -

Test application

Full Legal Name (First, Middle, Last, Suffix if any):

Preferred Name (if different):

Date of Birth:

Social Security Number (required for background check):

Current Address:

Phone:

Phone Type:

Email Address (Personal or Business):

Are you legally authorized to work/volunteer in the United States:

Highest Level of Education:

Additional Certifications or Training (e.g. FOIA request handling, digital forensics):

Layout:

Branch of Service (more than one may be selected):

Enlistment/Commission Date (most recent):

Discharge Date (most recent):

Previous Service Dates:

Are you willing to supply copy of DD-214?:

Upload Your DD-214:

Skills Relative To This Position (check all that apply):

Describe/List additional skills pertinent to this position:

Why are you interested in investigating Stolen Valor for Verified Veterans LLC (max 500 words):

Layout:

Have you ever been convicted of a felony?:

Do you hold a valid driver's license or state photo ID:

Please explain:

State:

Driver's License or ID Number:

References (supply at least two):

Name:

Relationship:

Phone:

Email:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

July 28, 2025 8:56 pm PST

Test application Uploaded by Jerry Brantley - jerry.brantley@verifiedveterans.com IP 47.141.57.14