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Home
About Us
Board of Directors
Tax ID Number
Financials
Contact Us
In Kind Sponsors
Case For Support
Media
Events
Upcoming Events
Field of Honor
Programs
Comfort and Care Package Program
Overview
Sign Up for a Care package
Products Needed
Holiday Stocking Program
Card and Letter Guidelines
Veterans Assistance Program
Leap of Faith
G.I. Yoga
Ways to Give
Donate
MONTHLY GIVING
Branded Apparel Shop
DONATE YOUR VEHICLE
Planned Giving
Monthly Donations
Get Involved
How Can You Help
Membership and Volunteer Information
Organize a Collection Drive
Weekly Newsletter
Drop-Off Locations
Additional Resources
Veteran’s Assistance Program Form
Please note: You must read the Veterans Assistance Program Guide which can be found under the How To Apply For Assistance section of the website prior to applying for assistance. Per our guidelines, we only consider grants for rent/mortgage, utilities, house service systems, or auto repair. Only apply if you are requesting assistance in these areas. Any requests that are not within these areas will not be considered as they fall outside our guidelines.
*
I have read and understand the above information.
To be eligible for assistance you must have received an Honorable Discharge or a General Discharge under honorable conditions.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
What county do you live in?
*
How do you describe your gender?
Male
Female
Non-Binary / Third Gender
Prefer not to say
Are you Hispanic or Latino?
Yes
No
How would you describe your race? Select all that apply.
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Phone
*
Is this your home or mobile phone?
*
Home
Mobile
Email
*
Branch of Service
*
Upload a PDF or JPEG of your DD214, NGB 22 report, DARP FM 249-2E, NRPC 1070-124, AF 526, NAVMC 798, or CG 4175. (PLEASE NOTE: blackout your social security number and birthdate from documents prior to uploading.)
*
Accepted file types: pdf, jpeg, png, Max. file size: 50 MB.
Upload a typed letter (250-500 words) explaining how this grant will improve your life and how the improvement will be sustainable after receiving the grant.
*
Max. file size: 50 MB.
Upload proof of hardship: Two of your most recent pay stubs, social security checks, and disability check. Also please include a picture of current credit score.
*
Accepted file types: pdf, Max. file size: 50 MB.
Upload additional information here. (Details on additional information can be found in the Veterans Assistance Program Guide.) If you are applying for housing assistance, you must upload your lease and W-9 or mortgage statement. If you are applying for assistance under the category of House Service Systems or Auto Repairs you must include a current price quote (within three weeks). If applying for utility assistance please include most current utility bill.
*
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 50 MB.
Military Date of Entry
*
MM slash DD slash YYYY
Military Date of Release
*
MM slash DD slash YYYY
Please explain why you are applying for assistance
*
2,000 character maximum.
Amount of grant assistance requested
*
Have you received assistance from any other agencies? If so, please list them below.
*
Do you have a payment plan in place for utilities?
*
Yes
No
How did you hear about our Veterans Assistance Program?
*
Please Confirm that you have read and understand the only areas of coverage that will be considered for a grant include rent/mortgage, utilities, house service systems, or auto repair. Only apply if you are requesting assistance in these areas. Any requests that are not within these areas will not be considered as they fall outside our guidelines.
*
I have read the guidelines document in it's entirety and understand only areas within the guidelines will be considered for a grant.
To be eligible for assistance you must have received an Honorable Discharge or a General Discharge under honorable conditions.
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