Application Form
Form can be completed online, printed and mailed to
SCOE "Operation Recognition"
Attn: Judy Leitz
1100 H Street, Modesto, CA 95354

Please provide the following information:

Name 
Street Address
Address (cont.)
City
State
Zip/Postal Code
Home Phone
E-mail
Name of person applying for award (if not same as above)

Name of the high school attended and its location prior to military services or internment.

High School Name
City/State
Dates of Attendance
Received GED? Yes     No

Year you would have graduated 

VETERANS - Please check appropriate box below:
In what period did you serve in the U.S. Armed Forces?

World War II Veteran                                   Korean War Veteran
      Served 9/16/40 - 12/31/46                                  Served 6/25/50 - 1/31/1955  
         
 Vietnam War Veteran
      Served 2/28/61 - 5/7/75
 
Please provide verification of military service and Honorable Discharge.  If you need assistance, please contact Carolyn Hebenstreich at the Stanislaus County Veterans Service Office, 121 Downey Ave., Suite 102, Modesto, CA 95354, (209) 558-7380.

Japanese American Citizens -  Please check appropriate box.
        Recipient was interned in a relocation camp during the period September 16, 1940 - December 31, 1946:
       Yes    No  If yes, indicate name and location of camp below:



Please provide evidence of Internment in a relocation camp during the period specified.

Are you requesting that a diploma be awarded posthumously?  Yes     No

If yes, please list the name of the person you are applying for

What is your relationship to the deceased?
RETURN COMPLETED FORM AND REQUIRED SUPPLEMENTARY MATERIALS TO:
SCOE Operation Recognition
 Attn: Judy Leitz
1100 H Street
Modesto, CA 95354