Hero Application Submit Application as PDF Available dogs

Our program's main focus is to aid and facilitate the inward healing of Veterans by offering them the companionship of a man's best friend. This is a non-profit organization, and , as such, we must make a conscious effort to carefully screen and qualify all applicants accordingly. For this reason, we will require the completion of this form, together with your signature, photos, and biography. (Please see more detailed instruction for each section in order to provide you with some guidelines and specific requirements respectively.)


All information herein will be held in the strictest of confidence and shared only with those parties with a vested interest in the program or relevant activity. Should you qualify, by signing this form, you also hereby authorize and hold harmless, A Hero's Hero and its affiliates. Further, by signing this form, you are authorizing the use of this information, likeness, stories, and/or photos, as related to and deemed appropriate to the activity and furtherance of A Hero's Hero, and its general support in honor of your service to our nation.


We value and salute you, our nation's heroes, and consider it an esteemed privilege to give back to you, in honor of your service and sacrifice.


* Please see specific instructions regarding the types of photos and specific information requested for the biography, OPSEC guidelines, and notable awards. *

Once our A Hero's Hero staff has received your application, you will be added to our database for administrative purposes, and to complete the application process. By submitting your application, you will also be automatically added to our contact list to receive emails and newsletter regarding A Hero's Hero upcoming events, progress, and requests for support.


For more information please see the Additional Documents section or click here to download a .PDF file of the form.



Register a Hero Form

Personal Information


Name:

Address:

City:

State:

Zip Code:

Email:

Home Phone:

Cell Phone:

Date of Birth

Spouse's Name (If Applicable):

Children (If Applicable):



Military Background

Branch:

Rank:

Status:

Date of Discharge

By checking the following box, you acknowledge completion and understanding of each step and process by which A Hero's Hero shall operate.



By checking the following box, you agree to use your E-signature in place of a physical signature, and that your E-signature will stand as your legal signature in any and all respects of the law.* I agree to use my E-signature



Supporting Files (s)


By signing below I agree to waive The Independence Fund of all liability pertaining to the mobility device that I have selected. I agree that in the event that I no longer have a need for the equipment provided to me by The Independence Fund, I will contact The Independence Fund to return it so that another veteran may benefit from it. I WILL NOT SELL THE DEVICE UNDER ANY CIRCUMSTANCE and hereby WILL the device that I received from The Independence Fund back to The Independence Fund once I am no longer capable of using it. I understand the provisions and have receipt of this waiver.


E-Signature:

Date
December 11, 2017
Security Answer:



Additional Documents



Biography



Your personal biography is perhaps the most important part of the application. The purpose of this biography is to aid A Hero's heroin their application consideration, and further, to simply tell people about your service to honor you! We will do so by publishing all or parts of your biography on our website and other promotional materials in order to raise awareness and support.


There is no specific order, however, we are providing some guidelines to help you convey your personal experiences in the military and as a family. The more "personal" your story, the better, as we can then provide people with the true "face of a veteran," and not merely a list of facts or statistics. In essence, we want others to see the person, not just the words or numbers put before them.


Please use first-person when telling your story. (i.e.: My name is...I served in the Marine Corps...etc.) The following is a list of questions to answer when writing your bio. Please answer in complete sentences and feel free to add your own flare, other relevant information, etc. to personalize your story. It does not have to follow this format, though we would like to see these questions included in your bio.


Please feel free to refer to examples on our website for ideas to create an interesting and compelling biography.



Very Important OPSEC Guidelines



When creating your biography, please remember to ensure the safety of others overseas and/or still in combat. This is stating the obvious, however, please do not give details concerning the camp where you were stationed, specific routes taken, unit size, procedures, etc. This information may be published world-wide, so please proceed with the obvious measures of precaution and adhere to the military uniformity within OPSEC guidelines.


Tell the world about yourself! We are proud to honor you! We understand that you may not be entirely comfortable talking about yourself, but people want to know about you. Please tell us about you, the person. It is your time to shine! We suggest typing your bio in a separate document, then providing us with a clean copy attached with your additional documents*


1) Name, Rank, and Branch of Service?


2) How long have you been in the military?


3) Where have you been deployed?


4) Tell us about the injury you sustained and how it happened.


5) Tell us about your family. Tell us how your service has affected the family unit and how your injuries are being dealt with collectively.


6) Tell us about support you have received from family, friends, churches, other organizations.


7) Tell us about any special awards received such as ARCOM, PURPLE HEART, BRONZE STAR, etc. (*Please do not note any common awards such as Army Service Ribbon, etc. which are given upon completion of Advanced Training.)


8) Tell us what it is like to be home and what you are doing now.


9) If you have participated in A Hero's Hero activities, or with a similar organization, please be sure to include some information on how your participation impacted you, helped you heal, created connections, etc.



Photographs


Please include your photos as titled files in an email, or labeled on back if sending via postal service, adhering to the following guidelines:


• We would like to see a minimum of 5 photos of you in service uniform and some of your family, extracurricular activities, etc.


• If you have participated in similar organization hunts or previously with A Hero's Hero, we would love to have some photos of those activities!


• Please do not include any photos directly following your injuries to include gore, as we cannot and will not publish those.


• For security purposes, we will not publish any photos of your children by themselves. However, family photos are welcome and encouraged



In order for us to process your application, we will need the following documents:


DD214:

This is documents you have received from the Department of Defense or the Veterans Administration. If you have been discharged from service please provide your DD214 that shows category of discharge as well. If you are still on active duty, a scanned copy of your Military ID will suffice.


VA Ratings Breakdown:

Your disability rating should be broken down by category of service connected injuries. Not simply a page that shows what your overall rating is. We need to know what your rating(s) is/are in order to best determine how to assist.


Picture ID:

This can be either a copy of your Military ID, Driver's License, VA Card, Etc.


Pictures

Minimum of 5 pictures of yourself [include family members, OPTIONAL]


Please provide us with accurate information about yourself so that we can get the assistance you requested to you as soon as possible! As with all documents of a secure nature, please mark out your social security number, driver's license number, etc.

WARNING: If you do not provide us with your complete documentation as requested, we will not be able to accept your application!



Once you have submitted your additional documents and the online form, your application is complete! We look forward to adding you to our family of Veterans and circle of friends!

Files:

We are only accepting PDF documents. Microsoft Word has the ability to export documents to .pdf format which is required for this application.


Biography:(Must be .pdf)

DD214:(Must be .pdf)

VA Ratings Breakdown:(Must be.pdf)

Picture ID:(.JPG,.JPEG,.PNG,.GIF,etc.)

Other Pictures:(.JPG,.JPEG,.PNG,.GIF,etc.)

Add more pictures



Submit application as PDF

Name:

Email:

Files:

We are only accepting PDF documents. Microsoft Word has the ability to export documents to .pdf format which is required for this application.


Application:(MUST BE .PDF)

Biography:(Must be .pdf)

DD214:(Must be .pdf)

VA Ratings Breakdown:(Must be.pdf)

Picture ID:(.JPG,.JPEG,.PNG,.GIF,etc.)

Other Pictures:(.JPG,.JPEG,.PNG,.GIF,etc.)

Add more pictures




Dogs Available to Heroes

Camo is a two year old male Catahoula.
He loves people, dogs and kids.
He is looking to be paired with a Veteran ♥.

Camo