American Veterans for Equal Rights, Inc.

all information will be kept confidential unless you indicate that you would like to be listed on our website as a part of the LGBT Veterans Coming Out feature. If you would like your story included, but wish to remain anonymous in name, we will list your service and state of residence. For the Coming Out Day names list, we will list your name, service branch and dates, current state of residence, and any awards you received. If you would like to include a photo with your story, please make sure it is .gif or .jpg format, at least 150x150 pixels, no larger than 1MB, and tasteful. CURRENT service members who would like to have their stories about serving in silence listed on our site will be listed by their service and rank. Absolutely no current service member names or unit identification will appear in our Coming Out feature. For your own security, do not use a government computer to submit your stories. Please limit Coming Out stories to 700 words or less. We reserve the right to edit stories for length or spelling. Most word processing software and email clients have built in spell-checkers.

Personal Information
Title : Legal/Civil Name : Military Nickname:
Email :	an email address is required to complete this form for verification purposes.
Phone : Fax :
Address 1 :
Address 2 :
City : State : Zip :
Country :
How did you learn about AVER?
Date of Birth : Occupation :
How do you identify?

Service Background
Branch of Service Active/Reserve/NG/AGR/IRR now?
Enlist/Comm Date : Discharge Date : Highest Rank Held :
Please list additional service information including awards, honors, citations, letters of commendation and appreciation from your service career.

The Out Life
Did you know that you were [LGBT] while in service?
When did you come out for the first time? month year
Overall, has being out been positive (10) or negative (1)?

Please tell us about your experiences in service, in relation to your orientation/gender identity, and/or your coming out story and how being out has affected you.

Attach your photo if you wish to have it posted with your story on the AVER website. :
REMINDER! Folks who are serving RIGHT NOW will ONLY be identified on the website by their service and rank. All identifying information is kept STRICTLY confidential for current service members. If you are a veteran, please indicate here whether we may publish your name with your story, or if you are submitting your info just for us to keep count of our million veteran target.