Military Form

This form can be filled out for/by any person who served in the US Military.

The Lowell Area Historical Museum is compiling a record of area service men and women to be shared with the Library of Congress’ Veterans History Project. Records for those who either served our country in peacetime or during the Civil War, World War I, World War II, the Korean War, Vietnam, Desert Storm and/or Operation Enduring Freedom are very much appreciated.

Please use a separate form for each service person.

Military Biographical Information Form

* Indicates required field

Name: *

First

Last

Birthdate: *

Address, if living *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number: *

Entry Date: *

Discharge Date: *

Select One: *

Branch of Service: *

Battalion, Regiment, Division, etc.: *

Tour of Duty: *

Locations of Service and Duties: *

Highest Rank: *

Was the veteran a POW? *

Combat/service-related injuries? *

Killed in action? *

Member of veterans organization? *

Post *

Medals or special awards: *

If Deceased, Date of Death: *

Place of Death: *

Place of Burial: *

Interesting & Informative Information: (i.e., Combat, Peacetime Experience, or other information that would benefit future generations: *

Location of Combat: *

Combat Duties: *

Are photographs included or available? *

Are manuscripts included or available? *

Does veteran have field maps? *

or war-related home movies? *

Submit

(Items can be copied or scanned and originals returned to person. Scanning or copying does not damage items.)

If you prefer to print and fill out a paper form.

Paper Form

admission

Members, Free
Adults, $3.00
Children, $1.50
Children under 5, Free
Families, $10.00 max.

Hours

Museum Hours:
Tuesday 1-4pm
Thursday 1-4pm
Saturday 1-4 pm

Contact Us

Lowell Area Historical Museum
325 W. Main Street ~ Lowell, MI 49331
ph: 616.897.7688
history@lowellmuseum.org