Nominee Information
You will be required to submit the following: Nominee Information, Nominator Information, Home & Roof Information, Essay Section, and Photos.
Nominee Full Name
*
First Name
Last Name
E-mail (if known)
example@example.com
Nominee Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Service Category
*
U.S. military veteran
Active-duty service member
First Responder
Other
Branch of Service or Agency
*
Years of Service
*
Would you like to keep it a surprise for your nominee?
*
Yes
No
Are you nominating yourself?
*
Yes
No
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Nominator Information
Person Submitting the Nomination
Your Full Name:
*
Phone Number
*
E-mail
*
example@example.com
Home Phone Number
Home & Roof Information
If known, it helps us with the screening process.
Approximate age of the roof:
Any known issues?
Does the nominee own a home?
*
Please Select
Yes
No
Unsure
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Share Your Story
Please explain why this veteran or first responder deserves to receive a free roof.
Tell us about their service, how they’ve impacted others, why they deserve this gift, and why a new roof would make a meaningful difference in their life right now. If there’s anything special about their story we should know, we’d love to hear it.
*
Attach photo of your hero and/or photos of the home (if available):
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