SENTINEL GuardianWatch Emergency Fund Application

GuardianWatch Emergency Fund - Application

Please complete this detailed application to be considered for assistance from the Sentinel Six GuardianWatch Emergency Fund. Funds are limited to availability. Ensure all sections are filled out accurately and completely. Incomplete applications may not be reviewed.
Applicant Full Name*

First NameMiddle NameLast Name
Mailing Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Preferred Contact Method*

EmailPhoneBoth
Eligibility for Assistance (Check all that apply)

United States Military - Active DutyUnited States Military - VeteranFirst ResponderDependent
Upload Eligibility Proof (DD-214, Agency ID, or Letter)*

Cancelof
Crisis Description (150 - 300 words) *
Amount Requested (USD)*
Is this an IMMEDIATE need?

YesNo
Do You attest that this request is true and that the funds will be used for the stated purpose?

YesNo
Mission Reminder: At Sentinel Six, we believe no hero should walk alone. Sharing your story helps us inspire others, thank our donors, and strengthen programs that serve veterans, first responders, and their families. By granting consent on this portion of the form, you allow Sentinel Six to use your story, photographs, video, or quotations in reference and marketing materials, including but not limited to; Foundation reports and newsletters, Grant applications and donor updates, Website and social media posts, Event presentations and recognition ceremonies.
Consent

Yes, I consent to the use of my story with my full name.Yes, I consent to the use of my story with my first name only.Yes, I consent to the use of my story anonymously (no identifying details)No, I do not consent to the use of my story for marketing purposes.
By digitally signing below I acknowledge that I have read and understand this form. Based on my selection above, I give (or withhold) my consent for Sentinel Six, Inc to use my story and likeness as indicated above.

I also certify that all information provided in this applicaiton is tru and accurate.
Applicant Certification and Signature*

First NameLast Name
Date of Certification*

Hour Minutes

AM/PM Option
Should be Empty:

GuardianWatch Emergency Fund - Application