2022 Veteran Participant Application
Thank you for your interest in Soul River Inc! We are excited for this season’s opportunities and experiences. Please read this application carefully. There are many details that if left incomplete may cause your application to be returned or not reviewed. If you require assistance in completing your application due to a disability, please let us know prior to 1/10/2022 so we can assist your completion. The application is due no later than 11:59pm on January 31st, 2022.
Good luck!

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Name (First, Middle Initial, Last) *
Primary Phone Number *
Can you Receive Text messages on the phone number above? *
Email Address: *
Address: *
Date of Birth: *
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What Pronouns do you use? *
Ethnicity: *
What military branch did you serve in? *
Are you Active Reserve? *
What years did you serve? *
Completed Rank: *
Your MOS/RATE: *
A valid DD214 from the Veteran's Administration is required, we require the "copy 4" - please make sure to black-out your social security number. Have you sent this to fieldeducator@soulriverincrunswild.org ? *
Are you currently employed? *
Employer: *
Job Title/Trade: *
Does your employer support volunteerism through paid time off to volunteer, cash match to volunteer site, other? If yes, please describe: *
Educational Background: *
Community Affiliations, organizations, or groups. Please write the length of time you been involved with each: *
Have you ever been convicted of a misdemeanor? *
If Yes, Please Explain:
Have you ever been convicted of a felony? *
If Yes, please explain:
Primary Emergency Contact Name: *
Relation to Primary Emergency Contact: *
Primary Emergency Contact Phone Number: *
Primary Emergency Contact Email Address: *
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