Affiliate Chapter Application (PHASE 1)

Affiliate Chapter Application (PHASE 1)

This application is for individuals seeking the opportunity to run and operate an Operation Charlie Bravo in their area in order to help provide a workshop for Veterans suffering from PTSD and/or TBI and/or depression. This workshop would need to include trained individuals skilled in various areas of Motorcycle fabrication, restoration, customization, and all sorts of DIY problem solving in any veteran crisis to help teach / mentor Veterans and direct them to the right resources. Once any project is completed by the Veteran, it is theirs to keep free of charge.
NOTE on what to expect...

ONCE THE APPLICATION IS APPROVED THE INDIVIDUAL WANTING TO START THE EXPANSION MUST TRAVEL TO OUR SHOP IN CROWN POINT, INDIANA TO PARTICIPATE IN AT LEAST ONE THURSDAY NIGHT LIMA CHARLIE GROUP THERAPY, FRIDAY AND SATURDAY FOR ADMIN TRAINING, AND A SUNDAY SHOP DAY IN ORDER TO EXPERIENCE THE FULL ATMOSPHERE OF WHAT SERVICES WE PROVIDE AND HOW WE DO IT. YOUR OCB CHAPTER MUST START IN THE POTENTIAL CHAPTER PRESIDENTS GARAGEAND CANNOT BE LOCATED IN A BUSINESS. AFTER ONE SUCCEEFUL YEAR OF OPERATION YOU MAY MOVE INTO YOUR OWN FACILITY IF YOUR FUNDS GIVE YOU THE ABILITY TO DO SO.
YesNo
Your Leadership

Your Chapter would need to appoint a President (garage owner).This individual would be responsible / in charge of operations and staffing the new Chapter. He or She must be an Honorable Discharge Veteran of the United States Military. The individual holding the position of President would report to the National Executive Director and Founder Jason Zaideman. If the Chapter President cannot maintain a Vice President, Secretary, and a Treasurer (minimum 4 members - no max) that are fulfilling their assigned volunteer duties, running the chapter, providing services to Veterans, sticking to the mission, then it is our duty to dissolve (close) your Affiliate Chapter revoking the use of our name. It is the Chapter Presidents duty to build a solid team and keep them mission focused and on task and accountable for completing tasks assigned. The President is looking for follow through from people that volunteer to help make your location the best resource possible for Veterans entering your programs. If someone on your team that volunteered to hold a position cannot accomplish their assigned duty, then it is your job as Chapter President to respectfully remove them and find someone that can help move your Chapter in the right direction. At least 3 out of the 4 of your executive team must be honorable discharge Veterans. You cannot do this alone. Teamwork Makes The Dream Work.
HIPAA Compliant

Your information is protected and is not shared outside our organization.
Potential Chapter President Info
President (your name)*

PrefixFirst NameLast NameSuffix
Chapter President Driver's License*
Date of Birth

MonthDayYear
Date
President last 4 of social
President Phone Number*

Area CodePhone Number
President Email*
example@example.com
Your OCB Chapter's Garage Address (Chapter Presidents Address)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your TEAM

You must have at least 3 other team members (Your Board Officers)
Vice President Name*

PrefixFirst NameLast NameSuffix
Secretary Name*

PrefixFirst NameLast NameSuffix
Treasurer Name*

PrefixFirst NameLast NameSuffix
VeteranCombat VeteranDisabled VeteranOther
Are you willing to host at least a minimum of 2 fundraisers a year to raise funding to operate your location? No funding will be offered to your chapter from National unless we receive a blanket grant that helps with other chapters. You must be able to sustain on your own and gain the support of your local grant funding within your state and local agencies. We will always help you in these areas to find these resources.*

YesNo
YesNo
Approximate skill level of your team - "0" being little to none & "10" being a master
YesNo
YesNo
What major shop tools do you already have in order to start shop day as of now? The funds you raise each year will help you purchase new tools for your shop. We would just like to know what you already have to start with.*
Upload 2 Photos of your garage

Browse Files

Cancelof
Upload a copy of your DD-214

Browse Files

Cancelof
If you or someone on your team has a felony on their record.If you are a Civilian applying. Out of your mandatory 4 team members, 75% of your team must consist of all Honorable discharge Veterans. Sunday Shop Days are 100% Veteran atmosphere and must be maintained. If you are a civilian on the team helping run OCB this does not give you access to therapy sessions. The President must be an honorable discharge Veteran.
Approval Timeline
Phase 1
Phase 2
Phase 3
Phase
AUTHORIZATION FOR BACKGROUND CHECK
I, First Name* Last Name* , hereby authorize Operation Charlie Bravo to conduct a criminal background check. I understand that Operation Charlie Bravo, Inc. will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my OCB Chapter application will not be processed further.
Signature

Clear
How happy are you knowing that you are signing up to actually make an impact and personally lower the suicide and homeless rate by providing a therapeutic workshop for Veterans suffering from PTSD / TBI / and/or depression?
Please verify that you are human*
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Affiliate Chapter Application (PHASE 1)

NOTE on what to expect...

Your Leadership

HIPAA Compliant

Potential Chapter President Info

Your TEAM

Approval Timeline

AUTHORIZATION FOR BACKGROUND CHECK