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City of Modesto Veterans’ Supplemental Application Name: Date: Address & Phone: Position Applied For: I am applying for Veterans’ Preference System points and meet the following criteria (check all that apply): I served in the armed forces during one of the qualifying periods as defined by California Government Code 18973. I served at least 181 consecutive days since January 31, 1955 (in assignments other than reserve or auxiliary units). I received other than a dishonorable discharge. A copy of my DD-214 is attached. Signature of Applicant Forms which are incomplete or submitted after the final filing date will not be accepted. For Veterans’ Service Office Use Only: Meets minimum guidelines Does not meet minimum guidelines (please specify): Service Representative: Date: