Access Application Version: VHF New Guardian Online Application

By filling out this Application you are applying to be a Guardian with Villages Honor Flight, Inc. All Guardians fly on a first-come, first-served basis and your priority is based on when we receive your Application.

You will be personally contacted by our Guardian Coordinator team to discuss your Application and our current schedule of Flights. Being contacted does not mean acceptance as a Guardian since passing the mandatory Preflight meeting screening is required.

Special Notes:

Assignment of Guardians: Villages Honor Flight will make all Veteran/Guardian assignments. No Veteran specific Guardian requests will be considered.

Guardian Age: For DC Missions the age range is from 18-75 years for a first time Guardian. For flightless Missions, the Guardian must be at least 18 years and there is no maximum as long as healthy and fit enough to push a Vet in a wheelchair and assist in getting in and out of wheelchair.

I am applying to be a Guardian on: *

A Flight to DC Mission (typical flight day is approximately 20 hours long) A Flightless Mission (held in The Villages; flight day is approximately 5 hours long) Both

Requesting consideration for a specific Mission (add group name if relevant).

Nickname (How you prefer to be addressed). *

Name as it appears on photo ID (for TSA purposes) *

First Name Middle Name Last Name Suffix

Address *

Street Address

Street Address Line 2

City State

Zip Code Country

Are you a full time resident of The Villages or the surrounding area? *

Yes No

Villages Area Arrival Month: *

Select Month

Villages Area Departure Month: *

Select Month

Out of Villages Area Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Cell Phone Number *

Don't forget Area Code

Land Line Phone Number

Include Area Code

Email Address *

example@example.com

Date of Birth: *

MM/DD/YYYY

Height *

Weight *

(lbs)

Gender *

VHF Shirt Style: *

Shirt Size: *

Small Medium Large X Large XX Large

If you're a Veteran, please select Branch of Service:

(Thank you for your Service!

If you have a medical background, please list any licenses or certifications (current or previously held.)

If CPR certified, when does your CPR card expire?

Date: mm/dd/yyyy

Emergency Contact Name *

First Name Last Name

Relationship to you:

Emergency Contact Phone Number *

(Cell number preferred)

Emergency Contact Address Same as Mine. *

Yes No

Emergency Contact Address *

Street Address

Street Address Line 2

City State

Zip Code Country

As a Guardian, if you are being sponsored by a specific company, employer, or special group, please list the organization and contact name below:

Organization & Contact Name

All Guardians MUST be Registered Members of Villages Honor Flight's Club. Please click NO and you will be presented with the Membership materials. If you are already a Registered Member of Villages Honor Flight Club click YES to skip the material. *

Yes No

There are several volunteer opportunities. Please select all areas of interest to you. Visit Volunteer Opportunities to read descriptions of the opportunities.

THANK YOU FOR YOUR SUPPORT.

Administrative Support

Computer Skills & Information Technology Finance & Law

Marketing, Media & Communication

Event Planning / Fundraising Info Booth Public Speaking Photography / Videography Letter Collection Media / Public Relations Contact Schools & Organizations Contact Vets

Assistance at Events, Flights and Meetings

Red Hats Wheelchair Support Transportation Support Greeter & Table Staffing Serve Tables at a lunch.

Medical

Doctor, Nurse, EMT or Other First Responder

Any questions or comments you have:

Typing your name below constitutes your digital signature when sending via email.

Signature *

Today's Date *

Date

PRINT FORM if you desire.

After submitting this form you will receive an autoresponse. However, if you have any questions or do not hear personally back from VHF within 21 days, please contact our Guardian Team by sending an email to: VHFguardians@gmail.com

New Guardian Application

Emergency Contact Information