Military Widows Advocacy

Welcome to Patriotic Hearts
You have given so much to our country, and you do not have to navigate this next chapter alone. Please fill out this confidential form as completely as possible. Once submitted, our leadership will review your information and reach out to you personally to begin counseling and direct job advocacy.
Contact Information
Full Name

First NameLast Name
Email
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Job Preferences & Logistics
What type of employment are you currently looking for?
What is your preferred work environment?
What is your ideal work schedule?
Do you have reliable transportation to commute to an in-person job?
Do you have school-aged children or other dependents at home that affect your scheduling or childcare needs?
Skills, Experience & Goals
What kind of job or industry are you most interested in or feel most competent doing?
Briefly list 2 or 3 of your strongest personal skills.
Did you participate in or lead any military community groups, volunteer operations, Family Readiness Groups (FRG), or manage large-scale household relocations?
Computer & Technology Comfort: What computer programs or online tools do you feel comfortable using? (Check all that apply)

Other
Resume & Next Steps
Do you have a current or old resume?

If yes, please upload it below. (Don't worry if it is outdated or has employment gaps—we are going to completely rewrite and polish it for you!)
File Upload

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Is there anything else you would like us to know about your current situation, goals, or immediate needs before our call?
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Welcome to Patriotic Hearts

Contact Information

Job Preferences & Logistics

Skills, Experience & Goals

Resume & Next Steps

Do you have a current or old resume?