Bishop's Battle Buddies Veterans Assistance Application

1. Applicant Information

Name

First NameLast Name

Date of birth

Date

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Preferred context method

Best time to reach you

2. Veteran Status & Service Details

Are you the veteran?

If no, your relationship to veteran and veteran's name

Branch of Service

3. What You Need Help With

a. Check all that apply

Are you working with any of the following organizations below?

Is there anything else you would like for us to know?

Confidentiality
All information shared is confidential and will only be seen by Foundation board members and a limited number of volunteers involved in administrative duties.

Communication Consent
I understand the Foundation may contact me by email and/or text to coordinate assistance.

Acknowledgements
By submitting this application, I acknowledge:

1. The Foundation is a donation-based organization, and services are not always guaranteed.

2. Submitting an application does not guarantee assistance. Support depends on donations, volunteer capacity, scheduling, and available resources.

3. Information provided is accurate to the best of my knowledge.

Signature

Date

Please verify that you are human