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3.	In lieu of a signature, we require a unique identifier. What is the first letter of the high school you graduated from?

4.	What is your primary military branch/government agency or business? (select only one)

ARMED FORCES DEFENSE AGENCIES (cont.)

Department of the Army National Security Agency/Central Security Service-NSA/CSS

Department of the Navy (Incl. Marine Corp) Other Intelligence agencies (incl. CIA, etc)

Department of the Air Force Other Defense Agencies (incl. DECA, DCAA, DCMA, DFAS, DLSA, DLA)

Coast Guard DOD Field Activities (incl. American Forces Information Service, Defense POW/MP Office, DOD Education Activity, DOD Human Resources Activity, Office of Economic Adjustment, TRICARE Management Activity, Washington Headquarters Services)

Joint Chiefs of Staff, Joint Commands, and Other Armed Forces UNIFIED COMBATANT COMMANDS (incl. Central, European, Joint Forces, Pacific, Southern, Space, Special Operations, Strategic, Transportation)

FEDERAL EXECUTIVE Inspector General

Department of Homeland Security Other Defense Government Agency (please specify)

Department of Justice

Executive Office/Cabinet/White House Other Non-Defense Government Agency (please specify)

FEDERAL LEGISLATIVE

Congress/Legislative Agencies DEFENSE/GOVERNMENT CONTRACTOR

DEFENSE AGENCIES Systems Integration (incl. Network/Comm)

Ballistic Missile Defense Organization VAR (Value Added Reseller)

Defense Advanced Research Projects Agency-DARPA Systems/Software Development

Defense Information Systems Agency-DISA Distribution/Aggregation

Defense Intelligence Agency-DIA Aerospace/Defense Contractor

Defense Security Cooperation Agency-DSCA Professional/Engineering Services

Defense Security Service-DSS Other Government Contractor [Includes Consulting, Outsourcing (Business Process Management, Financial Services)]

Defense Threat Reduction Agency-DTRA Other (please specify)

National Geospatial-Intelligence Agency-NGA/NIMA

5.	What is your primary function? (select only one)

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Brig Gen - Rear Admiral (L) E-1 - E-9

Colonel - Captain Civilian Military Employee (please specify title)

Lieutenant Colonel - Commander

Major - Lieutenant Commander Other (please specify)

Captain-Lieutenant

7.	Which of the following products/applications/services do you recommend, specify, approve or participate in the selection and purchasing of in your job? (select all that apply)

MILITARY/DEFENSE MILITARY/DEFENSE (cont.)

Command and Control Systems/C4ISR UAV/UCAVs - Components/Systems

Communications/Radio/Telecomm/Voice/Data Systems Other military/defense systems (please specify)

Cybersecurity/Biometrics/Identification

Defense Electronics/Weapon Systems/Avionics CIVILIAN/PUBLIC SAFETY

Electronic/Information Warfare Systems Business/Support Systems

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Net-Centric Systems Intelligence/Information Management

Networking/Wireless Systems Other (please specify)

Sensors/Test & Evaluation/R&D

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