Thank you for your interest in SOUTHWEST FOUNDATION FOR BIOMEDICAL RESEARCH (SFBR)

PLEASE READ BEFORE FILLING OUT THE APPLICATION

YOU MUST BE 18 YEARS OLD OR OLDER TO WORK OR VOLUNTEER AT SFBR

PLEASE COMPLY WITH THE FOLLOWING INSTRUCTIONS
 Complete each block to include the last ten years of work history. Please DO NOT WRITE “SEE
RESUME”. You may attach a copy of your resume to the application.

 A minimum salary indication is necessary in order for us to determine if a particular position meets your
requirements. Do not leave this space blank and do not write “open” or “negotiable.”

 It is necessary to complete the “position or kind of work desired” block in order for us to determine the
position you are applying for. (Please see our brief outline of various SFBR positions on the next page.)
Be specific. An answer of “Open” or “Anything” is not acceptable.

 Please complete all blocks on the application. It is important that we have names and telephone numbers
of former and present supervisor(s) and the reason for leaving or wanting to leave a position. WE DO
CHECK REFERENCES before offering a position.

 Some clerical positions at Southwest Foundation require testing. Your application will be reviewed, and
you will be scheduled for testing, if applicable. (Testing is conducted for certain specified positions
only and is not intended as a measure of intelligence, but as a prediction of ability to perform a job.)
Passing a required test is not a guarantee of an interview. The testing is a part of the screening
process.

 Some positions may require an employee to drive a motor vehicle on SFBR business. You must have a
VALID driver’s license and write your driver’s license number on your application.

 Some of our positions may require a Bachelor’s Degree, or higher. If applicable, you will be asked to
supply an expendable copy of your official college transcript(s). The transcript(s) should show the seal of
the school and the registrar’s signature. We will NOT accept internet/website transcripts.

 Beginning April 1, 2007, all new employees will be paid by direct deposit.

 Applicants for non-doctoral positions whose highest level of education (i.e., high school diploma, college
degree, etc.) is from a non-U.S. educational institution must provide educational equivalency
determination documents.

SUGGESTED CREDENTIALING COMPANIES

CEI Education Specialists The Knowledge Company

10 Legend Lane, Houston, Texas 77024-6003 13022 Monroe Manor Drive, First Floor
P.O. Box 19756, Houston, Texas 77224-9756 Herndon, Virginia 20171
Phone: 713-952-6753 Fax: 713-467-2474 Phone: 571-203-8620 Fax: 571-203-8622
www.ceiespecs.com www.knowledgecompany.com
Foreign Credentials Service of America
1910 Justin Lane, Austin, Texas 78757-2411
Phone: 512-459-8428 Fax: 512-459-4565
www.fcsa.biz

We do NOT contact applicants once we have received the completed application unless we need further
information or wish to interview you. Your application will remain active for 1 year. During this time, your
application will be considered for any positions for which you qualify and which meet your salary requirements.
You may reactivate your application at the end of the 1 year by returning to this office and completing a new
application.

SFBR Form 39 (rev. 04/09/2009)

 Internet: www.sfbr.org

SOUTHWEST FOUNDATION FOR BIOMEDICAL RESEARCH

Southwest Foundation for Biomedical Research was founded in 1941 as a nonprofit scientific institution and is
devoted to basic biomedical research. Our research includes studies in heart and respiratory diseases, cancer,
infectious diseases such as AIDS and hepatitis, and studies in genetics.

Our recruitment efforts for Doctoral Level Staff Scientists target individuals with a Ph.D., M.D., or D.V.M. in such
areas as the biological sciences, behavioral sciences, chemistry, and veterinary medicine. Applicants with a
doctorate generally are considered only for positions requiring a doctoral degree.

Other positions that we normally recruit for are listed below.

 Scientific Support Staff Positions - Research Assistant, Senior Research Assistant, etc. A
Bachelor’s or Master’s degree is required with a major in a biological science, chemistry, or
medical technology (MT/ASCP). Since a copy of your college transcript will be required, it would
be helpful to include it with your application.

 Technicians, technical assistants, & laboratory assistants (medical/research laboratory or

veterinary). An Associate’s degree, or certification as a Medical Laboratory Technician (MLT),
veterinary technician/technical assistant (AALAS), or another medical auxiliary specialty may be
required.

 Clerical/Administrative Support Positions:

Secretarial or Word Processing - at least one year of secretarial, word processing or closely-related
experience. Required typing speed will be determined by the position.

 Accounting Clerk - One year of bookkeeping or accounting-related experience and 10,000 net
keystrokes per hour in numeric data entry with an 85% accuracy rate is required.

 Records Clerk - 6 months data entry or record-keeping experience and 6000 net keystrokes per
hour in alpha/numeric data entry with an 85% accuracy rate is required.

 Animal caretakers (cage cleaning & animal feeding). Generally, no experience required at entry
level, but previous experience preferred in a setting such as a zoo, animal hospital/vet clinic, pet
store, or farm.

 Maintenance technicians (equipment & repair). Certification, licensing, journeyman, etc. may be
required. (Electrician, plumber, carpenter, painter, welder/solderer)

 Computer operators; computer technicians; computer programmers and system analysts which
require a bachelor’s degree in computer science or a related discipline; and accountants which
require a bachelor’s degree in accounting.

TYPING, SPELLING, LETTER COMPOSITION, AND DATA ENTRY TESTS ARE GIVEN ONLY WHEN
THERE IS A POSITION OPEN.

When you have completed the application, go to www.sfbr.org and find the listing for the job you seek. Select
the option “APPLY ONLINE NOW” and upload your completed application, resume, and cover letter.

SFBR Form 39 (rev. 04/09/2009)

 For Office Use Only
SOUTHWEST FOUNDATION FOR BIOMEDICAL RESEARCH Log Number RECEIVED
P.O. Box 760549 (W. Loop 410 at Military Drive)
San Antonio, Texas 78245-0549 ACK-JOB# LTR# DATE

APPLICATION FOR EMPLOYMENT

(Please complete using Adobe Acrobat Reader or
print out and complete in own handwriting with ink)
Name Last First Middle Initial Other Name(s) Used with Schools, References or Employers
Brooks Ashley M      

Present Number & Street City State Zip

Address 10713 Sexton Dr McKinney TX 75070
Permanent Number & Street City State Zip
Address (if                        
different from
above)
Telephone(s) where you can be reached: 2103948615 Social Security Number: 489949267
Are you licensed to drive a motor vehicle? [X] Yes In what state? TX Drivers License Number: 20660341
[ ] No
Are you a U.S. Citizen or Permanent Resident of [X] Yes If not, do you have a legal right to [ ] Yes If yes,      
U.S.? [ ] work in the U.S.?       [ ] No explain:
Are you 18 years of age or older? [X] Yes If not, what is your date of birth?      
[ ] No
Are you now awaiting trial for or have you ever [ ] Yes If yes, give date and nature.      
plead guilty or no contest to, or been convicted [X] No
of any crime other than a minor traffic violation?
Position or kind of work desired: Full-time Animal Caretaker Any other kind of work desired? Part-time Research Assistant
Are you seeking: Full time work [X] Part time work [ ] Temporary or summer work [ ] When can you start work? December 2009 or January
2010

If you are seeking part time work, list days and times you are available to work: Any time that I would not be working as the animal caretaker
$10 but
Pay expected (we must have a general idea of your requirements): Have you worked here before? [ ] Yes [X] No
negotiable
Who referred you to us? I found you on the internet Have you applied here before? [ ] Yes [X] No

Do you have relatives or friends working here? [ ] Yes [X] If so, give name(s):
No      
List references we may contact. We prefer business associates, past supervisors, or faculty. No relatives, please.
Name Mailing Address – Street, City, Zip Daytime Telephone Occupation or Title
210 Nagle Hall
2258 TAMU Professor and Head of the
College Station, TX 77843- Wildlife and Fisheries Sciences
Dr. Thomas Lacher 2258 979-845-5777 Department
3430 Skyview Dr Owner and President of In-Sync
Mrs. Vicky Keahey Wylie, TX 75098-5776 (972) 442-6888 Exotics
Technical Lab Coordinator for
the Texas A&M Pathobiology
Dr. Ken Turner ktuner@cvm.tamu.edu 979-204-3149 Department
EDUCATION
Are you a high school graduate? [X] Yes [ ] No If no, do you have a GED equivalency: [ ] Yes [ ] No If no, please indicate highest grade completed:
High school last attended and calendar year last attended:
Degree Field or Diploma, Degree Did You Academic Credit
Type of
Name and Location of Institution Major Course or Certification Graduate?/ Last Earned (If no degree)
School
of Study Received Year Attended # of semester hrs
Colleges or Texas A&M University Biomedical Bachelor of Yes/ May
Universities
Science Science 2009      
San Antonio College No Major Non-Degree No/August
Study Seeking 2007      
Palo Alto College No Major Non-Degree No/ May      

SFBR Form 39 (rev. 04/09/2009)

 Study Seeking 2005
                             
                             
Business,
tech., trade                              
or formal
job related                              
military
schools                              
EMPLOYMENT HISTORY - Start with your present or last position and work back. If additional spaces are needed to list employment record,
use the continuation sheet that follows this page. Include military service as a period of employment.

Current or Last Employer From To Final or present salary No. hrs worked
In-Sync Exotics – Unpaid Internship Month Year Month Year per week:
Street Address
3430 Skyview Dr 09 2009 12 2009 $0 per       >40
City, State, and Zip Telephone Title Fall Intern
Wylie, TX 75098-5776 972-442-6888
Name and title of immediate supervisor Job I clean and maintain the enclosures, prepare the food, feed the animals, work
Mrs. Vicky Keahey, Owner duties with the enrichment program, work on the construction of 3 new habitats,
Reason for leaving/wanting to leave if presently lead educational tours, work in the animal training program, assist in medical
employed care/treatment of the cats, observe daily behavior and record keeping, and
My internship will be complete.
complete research on three of the cats.

Name of firm or organization From To Final or present salary No. hrs worked
Camp Ozark Month Year Month Year per week:
Street Address
155 Camp Ozark Drive 05 2009 07 2009 $ 199 per week 168
City, State, and Zip Telephone Title Camp Counselor
Mt. Ida, AR 71957 870-867-4131
Name and title of immediate supervisor Job I worked as a cabin counselor. I ran the cheerleading/gymnastics program,
Sam and Susan Torn, Camp Owner duties lead worship for middle school girls and ran daily activities.
Reason for leaving
That was all that the summer employment lasted.

Name of firm or organization From To Final or present salary No. hrs worked
Texas A&M University Pathobiology Department Month Year Month Year per week:
Street Address
4467 TAMU 01 2008 05 2009 $ 10 per hr 6
City, State, and Zip Telephone Title Biomedical Microbiology Laboratory Teaching Assistant
College Station, TX 979-845-5941
77843-4467
Name and title of immediate supervisor Job I taught the laboratory for the Biomedical Microbiology class of college
Dr. Scanlan and Dr. Omran, Professor duties students twice a week.
Reason for leaving
I graduated from Texas A&M University.

Name of firm or organization From To Final or present salary No. hrs worked
Wellborn Road Veterinary Medical Hospital Month Year Month Year per week:
Street Address
2851 Rock Prairie W 01 2008 12 2008 $ 6.50 per hr 595 total
City, State, and Zip Telephone Title Veterinary Room Technician. Kennel Technician, Receptionist
College Station, TX 77845 979-693-7806
Name and title of immediate supervisor Job I worked X-raying animals, running blood work, filling prescriptions,
Dr. Johan Nieuwoudt, Owner and Veterinarian duties working in the exam room, setting up IV fluids, work on other treatments,
Reason for leaving restraint, drawing blood, monitoring hospitalized patients, and all kennel
I wished to concentrate on my last semester of school work.
work.

We may contact the above employers. Please indicate      

any you do not want us to contact and reason:
Were you ever discharged or asked to resign from a position? [ ] Yes If yes,      
[X] No explain:
Please indicate any special skills or qualifications you have which are not shown above such as licenses, technical certifications, etc. If applicable,

SFBR Form 39 (rev. 04/09/2009)

attach transcripts, letters of recommendation, licenses or certificates which will assist in establishing your qualifications for employment. Material
attached to this application cannot be returned so the use of photocopies is suggested.
     

EQUAL OPPORTUNITY EMPLOYER, M/F

SFBR Form 39 (rev. 04/09/2009)

Applicants will receive consideration without discrimination because of race, color, religion, sex, age, national origin or disability.EMPLOYMENT HISTORY -
Continuation Sheet. Use ONLY if you have not already accounted for the most current 10 years of your employment.
Name of firm or organization From To Final or present salary No. hrs worked
Texas A&M University Pathobiology Department Month Year Month Year per week:
Street Address
4467 TAMU 08 2007 11 2007 $ 10 per hr 55 total
City, State, and Zip Telephone Title Laboratory Technician
College Station, TX 979-845-5941
77843-4467
Name and title of immediate supervisor Job I worked in a laboratory in the Pathobiology department in the Texas A&M
Dr. Robert Taylor, Scientist duties Veterinary School. I analyzed animal samples that were sent to see how
Reason for leaving metals affect the reproductive process and how they affect neuroendocine
The lab lost funding and was shut down. function, and we do comparative trace metal evaluations between domestic
and arctic mammals in reference to animal and human health.” I helped run
the retch-mill, took volume and weights, worked with acids, analyzed
samples, and I proposed and set up experiments. The animals that I worked
with were all deceased.
Name of firm or organization From To Final or present salary No. hrs worked
Camp Mystic Month Year Month Year per week:
Street Address
2689 Hwy 39 08 2007 08 2007 $ 500 per 2weeks 168
City, State, and Zip Telephone Title Camp Counselor
Hunt, TX, 78024-3412 830-238-4660
Name and title of immediate supervisor Job I was a counselor for girls from the age of 8 to 18. I was a cabin counselor,
Dick and Tweety Eastland, Owner duties and I was in charge of the cheerleading program. I organized and ran the
Reason for leaving tumbling and cheerleading classes for two weeks.
That was the length of the summer camp session
Name of firm or organization From To Final or present salary No. hrs worked
Animal Hospital of San Antonio Month Year Month Year per week:
Street Address
2210 N.W. Loop 410 03 2005 08 2005 $ 6.50 per hr 154 total
City, State, and Zip Telephone Title Receptionist, Kennel Technician, Room Technician
San Antonio, TX, 78258 210-344-9741
Name and title of immediate supervisor Job I had experience with restraint, monitoring hospitalized patients, drawing
Dr. Rachel Smith, Veterinarian duties blood, completing some simple treatments, taking vitals, all caretaker duties,
Reason for leaving and working in an office of a veterinary clinic.
I started college in a different city.

Name of firm or organization From To Final or present salary No. hrs worked
      Month Year Month Year per week:
Street Address
                              $       per            
City, State, and Zip Telephone Title      
     
Name and title of immediate supervisor Job      
      duties
Reason for leaving
     
Name of firm or organization From To Final or present salary No. hrs worked
      Month Year Month Year per week:
Street Address
                              $       per            
City, State, and Zip Telephone Title      
     
Name and title of immediate supervisor Job      
      duties
Reason for leaving
     
Name of firm or organization From To Final or present salary No. hrs worked
      Month Year Month Year per week:
Street Address
                              $       per            
City, State, and Zip Telephone Title      
     
Name and title of immediate supervisor Job      
      duties

SFBR Form 39 (rev. 04/09/2009)

Reason for leaving
     

Date: 11/07/2009 Signature of Applicant: Ashley Marie Brooks

SFBR Form 39 (rev. 04/09/2009)

 SOUTHWEST FOUNDATION FOR BIOMEDICAL RESEARCH
AUTHORIZATION FOR RELEASE OF INFORMATION

PLEASE REVIEW AND SIGN WHERE INDICATED

APPLICANT PROCESS

• Southwest Foundation may not interview all applicants for vacant positions. Those applicants to be interviewed will be
contacted by SFBR. Applicants will be considered for up to 1 year following receipt of application materials. Those applicants
who wish to be considered after that period must submit a new application to SFBR.
APPLICATION VERIFICATION
• I verify that all information provided on this application, exhibits and resumes submitted to SFBR is true, correct and
complete. I have not withheld any information requested by SFBR. I have accounted for all my training, work experience and
other information requested on this application. I understand that any false, misleading, incomplete, or omitted information on this
application, exhibits or resumes will result in rejection of my application or termination of my employment, whenever discovered.

• Permission is hereby granted to SFBR and its agents to investigate the information set out on this application, exhibits and
resumes, and to investigate my suitability for employment. I agree to furnish additional information if requested by SFBR or its
agents. I release SFBR, its agents and all other persons or organizations conducting the investigation or furnishing information
about me from claims, liabilities and damages.

• Permission is hereby granted to inquire about and obtain academic records from educational institutions, to inquire of
references, to inquire about employment with previous employers named herein, to obtain my driving records, verify
licensure/certifications, and to use a copy of this authorization for release as necessary.

• If I am employed by SFBR, I agree to submit to testing for drugs, a physical examination, and medical monitoring and
inoculation programs as may be required by my work at no expense to me. I also agree to execute an agreement concerning patent
assignments, releases of confidential business information and a publicity authorization. I understand that employment is at will
unless altered in writing.

• I understand that employment requires that I provide documents satisfactory to SFBR to establish my personal identity and
authority for my employment in the United States as provided by the Immigration Reform and Control Act of 1986.

• I understand that this application is not intended as a job offer or an employment contract for any time period. Any
employment can be terminated at any time by SFBR or me without notice or requirement of cause. I understand that the position
being applied for requires reliable attendance and dependable performance, and that I may be required to work various shifts and
schedules as directed by my supervisor. If employed, I understand I must comply with SFBR policies, rules and procedures as
modified from time to time.
RELEASE
I hereby authorize any prior employers to provide such information concerning my employment with them as may be requested by
SFBR, and also authorize the Registrar/Placement Office of all educational institutions attended to release an official copy of my
transcripts and, if available, faculty appraisals. I also authorize any appropriate licensing board to release complete information
concerning my licensure status and licensure history.

Print Name (Full Name) Ashley Marie Brooks

Signature of Applicant (Full

Name) Ashley Marie Brooks

Date of Birth (month/day/year) 01/06/1987

SFBR Form 39 (rev. 04/09/2009)

Social Security Number 489949267

Date Applied
11/07/2009

SFBR Form 39 (rev. 04/09/2009)

 Southwest Foundation for Biomedical Research
Equal Employment Opportunity Information Request

As a government contractor, Southwest Foundation for Biomedical Research is subject to Executive Order 11246, as amended; Section 402 of the Vietnam
Era Veterans Readjustment Assistance Act of 1974; Section 503 of the Rehabilitation Act of 1973 and Section 1215 of the Veterans Employment
Opportunities Act of 1998. All of these require government contractors to take affirmative action to employ and advance in employment qualified disabled
individuals, qualified special disabled veterans, veterans of the Vietnam Era and other eligible veterans.

We request your voluntary completion of the following questionnaire to be used ONLY for the purpose of monitoring the success of our Affirmative Action
Plan. This information will not be used to discriminate against or to show preference for any applicant in the hiring decision and is not a part of your
application for employment. Your immediate attention is requested.

NAME: Ashley Brooks SEX: Female

BIRTHDATE: 01/06/1987 SOCIAL SECURITY NUMBER: 489949267
(Month, day, year)
CITIZENSHIP: U.S. [X] Yes [ ] No OTHER (SPECIFY COUNTRY):      

RACE/ETHNIC DATA: (Check One)

1 [ ] American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North America
and South America (including Central America), and who maintains tribal affiliation or community attachment.
2 [ ] Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian
Subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and
Vietnam.
3 [ ] Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa.
4 [ ] Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam,
Samoa, or other Pacific Islands.
5 [X] White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
6 [ ] Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin
regardless of race.
7 [ ] Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races.

VETERANS DATA: (Check Yes or No for each of the following questions)

Any veteran of the armed services who served on active duty for at least 181 days, any part of which occurred between August 5, 1964, and May 7, 1975, and
was discharged honorably or released sooner because of a service related disability is considered to be a Vietnam Era Veteran.

Do you qualify as a Vietnam Era Veteran? [ ] Yes [X] No

Any person entitled to compensation by the Veterans Administration for a disability rated at 30 percent or more, or who was discharged or released from
active duty by reason of service connected disability is considered a disabled veteran by the U.S. Veterans Administration.

Are you a qualified disabled veteran? [ ] Yes [X] No

Other eligible veterans includes two veterans groups. First, those who served in a “War”. Since World War II was the last declared war veterans with active
duty service between December 7, 1941 and April 28, 1952 are considered World War II veterans and are included in the other eligible veterans category.
The second group of other eligible veterans includes those veterans who were awarded the Armed Forces Expeditionary Medal and/or who served in a
campaign or on an expedition for which a campaign badge, a service medal, or an expeditionary medal has been awarded. These military engagements are
listed on the following pages. Please mark which engagement(s), qualify you for inclusion in the other eligible veterans category.

Do you qualify as an other eligible veteran? [ ] Yes [X] No

Newly separated veterans include “any veteran during the one year period beginning on the date of such veteran’s discharge or release from active duty”.
Therefore, you are considered newly separated if it has been one-year or less since you left active duty.

Do you qualify as an newly separated veteran? [ ] Yes [X] No

DISABILITY DATA:
Any person who has a physical or mental impairment which substantially limits one or more major life activities may be considered an individual with a
disability under our affirmative action plan. If you are an individual with a disability, we would like to include you under our affirmative action compliance
program.

Do you wish to be considered as mentally or physically disabled under our affirmative action plan? [ ] Yes [X] No

Date: 11/07/2009 Signature of Applicant: Ashley Marie Brooks

SFBR Form 39 (rev. 04/09/2009)

 Campaigns and Expeditions
Campaign or Expedition Inclusive dates
Armed Forces Expeditionary Medal (AFEM) A veteran's
DD Form 214 showing the award of any Armed Forces
Expeditionary Medal is acceptable proof. The DD form 214
does not have to show the name of the theater or country of
service for which that medal was awarded.
Afghanistan (Operations Enduring Freedom (OEF) and Iraqi
OEF September 11, 2001 to present; OIF March 19, 2003 to present
Freedom (OIF))
Berlin August 14, 1961 to June 1, 1963
Bosnia November 20, 1995 to December 20, 1996; December 20, 1996 to June
(Operations Joint Endeavor, Joint Guard, and Joint Forge) ) 20, 1998; June 21, 1998 to present
Cambodia March 29, 1973 to August 15, 1973
Cambodia Evacuation
April 11 - 13, 1975
(Operation Eagle Pull)
July 14, 1960 to September 1, 1962;
Congo
November 23 - 27, 1964
Cuba October 24, 1962 to June 1, 1963
Dominican Republic April 28, 1965 to September 21, 1966
El Salvador January 1, 1981 to February 1, 1992
Global War on Terrorism September 11, 2001 to present
Grenada
October 23, 1983 to November 21, 1983
(Operation Urgent Fury)
Haiti
September 16, 1994 to March 31, 1995
Operation Uphold Democracy)
Iraq January 1, 1997 to present;
(Operations Northern Watch, Desert Spring, Enduring December 31, 1998 to December 31, 2002 (projected);
Freedom (OEF), and Iraqi Freedom (OIF)) OEF September 11, 2001 to present; OIF March 19, 2003 to present
Korea October 1, 1966 to June 30, 1974
Kosovo March 24, 1999 to present
Laos April 19, 1961 to October 7, 1962
July 1, 1958 to November 1, 1958
Lebanon
and June 1, 1983 to December 1, 1987
Mayaguez Operation May 15, 1975 to May 15, 1975
Operations in the Libyan Area
April 12, 1986 to April 17, 1986
(Operation Eldorado Canyon)
Panama
December 20, 1989 to January 31, 1990
(Operation Just Cause)
Persian Gulf Operation
July 24, 1987 to August 1, 1990
(Operation Earnest Will)
Persian Gulf Operation
December 1, 1995 to present
(Operation Southern Watch)
Persian Gulf Operation
December 1, 1995 to February 1, 1997
(Operation Vigilant Sentinel)

SFBR Form 39 (rev. 04/09/2009)

Persian Gulf Operation
November 11, 1998 to December 22, 1998
(Operation Desert Thunder)
Persian Gulf Operation
December 16, 1998 to December 22, 1998
(Operation Desert Fox)
Persian Gulf Intercept Operation December 1, 1995 to present
Quemoy and Matsu Islands August 23, 1958 to June 1, 1963
Somalia
December 5, 1992 to March 31, 1995
(Operations Restore Hope and United Shield)
Taiwan Straits August 23, 1958 to January 1, 1959
Thailand May 16, 1962 to August 10, 1962
Vietnam Evacuation
April 29, 1975 to April 30, 1975
(Operation Frequent Wind)
Vietnam (including Thailand) July 1, 1958 to July 3, 1965

Note: Section 572 of Subtitle G of the Defense Authorization Act of Fiscal Year 1998 (Public Law 105-85), signed into law on
November 18, 1997, allows the Secretary of the military department concerned to determine whether individual members who
participated in Operation Joint Endeavor or Operation Joint Guard in the Republic of Bosnia and Herzegovina and in such other areas
in the region as the Secretary of Defense considers appropriate, meet the individual service requirements for award of the Armed
Forces Expeditionary Medal (AFEM). Generally, service members will be considered eligible if they:

• deployed to Bosnia and Herzegovina (or other area that the Secretary of Defense considers appropriate) in direct support of
one or both of the operations;
• served on board a ship in the Adriatic in direct support of one or both of the operations; or
• operated in airspace above Bosnia, Herzegovina (or other area that the Secretary of Defense considers appropriate) while the
operations were in effect.

Navy expeditionary Medal and Marine Corps Medal for these Operations:
Campaign or Expedition Inclusive dates
Cuba January 3, 1961 to October 23, 1962
Indian Ocean/Iran November 21, 1979 to October 20, 1981
Iranian/Yemen/Indian Ocean December 8, 1978 to June 6, 1979
Lebanon August 20, 1982 to May 31, 1983
Liberia
August 5, 1990 to February 21, 1991
(Operation Sharp Edge)
Libyan Area January 20, 1986 to June 27, 1986
April 1, 1980 to December 19, 1986 and
Panama
February 1, 1990 to June 13, 1990
Persian Gulf February 1, 1987 to July 23, 1987
Rwanda
April 7 - 18, 1994
(Operation Distant runner)
Thailand May 16 - August 10, 1962

SFBR Form 39 (rev. 04/09/2009)

Other Campaign and Service Medals Qualifying for Preference:
Campaign or Expedition Inclusive dates
Army Occupation of Austria May 9, 1945 to July 27, 1955
Army Occupation of Berlin May 9, 1945 to October 2, 1990
Army Occupation of Germany
May 9, 1945 to May 5, 1955
(exclusive of Berlin)
Army Occupation of Japan September 3, 1945 to April 27, 1952
Chinese Service Medal (Extended) September 2, 1945 to April 1, 1957
Korea Defense Service Medal July 28, 1954 to (date to be determined)
Korean Service June 27, 1950 to July 27, 1954
Kosovo Campaign Medal (KCM)
March 24, 1999 to June 10, 1999
Operation Allied Force
Kosovo Campaign Medal (KCM)
June 11, 1999 to (date to be determined)
Operation Joint Guardian
Kosovo Campaign Medal (KCM)
April 4, 1999 to September 1, 1999
Operation Allied Harbor
Kosovo Campaign Medal (KCM)
April 4, 1999 to July 10, 1999
Operation Sustain Hope/Shining Hope
Kosovo Campaign Medal (KCM)
March 24, 1999 to July 20, 1999
Operation Noble Anvil
Kosovo Campaign Medal (KCM)
April 5, 1999 to June 24, 1999
Task Force Hawk
Kosovo Campaign Medal (KCM)
March 31, 1999 to July 8, 1999
Task Force Saber
Kosovo Campaign Medal (KCM)
June 11, 1999 to (date to be determined)
Task Force Falcon
Kosovo Campaign Medal (KCM)
April 1, 1999 to November 1, 1999
Task Force Hunter
Navy Occupation of Austria May 8, 1945 to October 25, 1954
Navy Occupation of Trieste May 8, 1945 to October 25, 1954
Southwest Asia Service Medal (SWASM)
August 2, 1990 to November 30, 1995
(Operations Desert Shield and Desert Storm)
Units of the Sixth Fleet (Navy) May 9, 1945 to October 25, 1955
Vietnam Service Medal (VSM) July 4, 1965 to March 28, 1973
Rwanda
April 7 - 18, 1994
(Operation Distant Runner)
Thailand May 16 - August 10, 1962

SFBR Form 39 (rev. 04/09/2009)