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Get Illinois Patriot 2016-2024

Balcer Chair Joseph Bazil Co-Chair Illinois Patriot Information Form To all veterans and civilians who have served our country during times of war and of peace please complete this form and share your remembrances on the back or on a separate sheet of paper. Please print clearly Patriot s Name Civilian Birthplace BirthdateDeceased Length of Time Patriot resided in Illinois Male Female Branch of Service or Wartime Activity Battalion Regiment Division Unit Ship etc. Highest Rank Enlisted Drafted Academy Service Dates War s in which individual served Location of Military or Civilian Service Was the veteran a Prisoner of War Did the veteran sustain combat or service-related injuries Medals or Special Service Awards Your Name Address City/State/ZIP Telephone Email Relationship to Patriot being honored Release statement I understand I do not give up any copyright I may hold. Illinois Print Reset Veterans History Project P Veterans Illinois Secretary of State Veterans Advisory Council Jesse White Secretary of State James A. As State Archivist and State Librarian Secretary of State Jesse White will ensure that these firsthand accounts will be commemorated archived in Springfield and shared nationwide and throughout the world. You will receive an official Certificate of Appreciation for your participation in this important Illinois initiative. For information on recording an oral interview please call 1-800-665-5576 ext. 6 or 217-785-1537 and ask for Veterans Project Coordinator. By submitting this form I give the Veterans History Project of the Illinois State Archives the right to permanently Hold this material in the Illinois State Archives collections. Use this material for research scholarly and educational purposes. Permit the use of this material by any office or agency of Illinois state government for exhibition publication and presentation* Have the document placed in the Illinois Digital Archives www. idaillinois. org. Please return this form to Secretary of State Jesse White Illinois Veterans History Project Illinois State Archives Norton Building Springfield IL 62756 To participate in the National Veterans Oral History Project at the Library of Congress please contact 101 Independence Ave. SE Washington D*C* 20540-4615 www. loc*gov/vets/ Patriotic Partners Printed by authority of the State of Illinois. As State Archivist and State Librarian Secretary of State Jesse White will ensure that these firsthand accounts will be commemorated archived in Springfield and shared nationwide and throughout the world. You will receive an official Certificate of Appreciation for your participation in this important Illinois initiative. You will receive an official Certificate of Appreciation for your participation in this important Illinois initiative. For information on recording an oral interview please call 1-800-665-5576 ext. 6 or 217-785-1537 and ask for Veterans Project Coordinator. By submitting this form I give the Veterans History Project of the Illinois State Archives the right to permanently Hold this material in the Illinois State Archives collections. Use this material for research scholarly and educational purposes. Permit the use of this material by any office or agency of Illinois state government for exhibition publication and presentation* Have the document placed in the Illinois Digital Archives www. .

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