Stealth Werks Veteran Nomination Form

Stealth Werks Veteran Nomination Form
Welcome

Do you know a veteran who may benefit from a Stealth Werks racing simulator?

If so, we'd love to hear from you.

This nomination form allows you to recommend a veteran you believe could benefit from receiving a complete home sim racing setup through Stealth Werks.

Submitting a nomination is not an application and does not guarantee that the veteran will be contacted or selected. If we believe the veteran may be a good fit, Stealth Werks will contact them directly and invite them to complete an official application.

Please complete this form as accurately as possible. If you do not know the answer to a question, simply leave it blank or select "Unsure" where available.

Estimated completion time:
3 to 5 minutes
Required

About You

Who is making this nomination?
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Your relationship to the veteran

About the Veteran
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
City and State (if knokwn)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Branch of Service (if known)
To the best of your knowledge, does the veteran have a service-connected disability?

Tell Us About the Veteran
Please tell us why you believe this veteran would be a good candidate to receive a Stealth Werks racing simulator.
How do you believe a Stealth Werks simulator could positively impact this veteran's life?
Has the veteran been told you are submitting this nomination?
Do you believe the veteran would be willing to speak with Stealth Werks if contacted?
If we contact the veteran, may we let them know that you submitted this nomination?
Is there anything else you would like Stealth Werks to know about this veteran?

Final Acknowledgment
Required
Required
Should be Empty: