2021 Kosciusko County Military Veteran Stand Down Registration

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The 2021 Kosciusko County Military Veteran Stand Down, is being held on Friday, July 23, 2021 from 4:00 pm - 7:00 pm at the Warsaw Municipal Airport, 3000 Airport Rd, Warsaw, IN 46582. We are excited to let you know that we have invited our partner agencies to return to this years event. You will be able to talk directly with the organizations who attend. If you plan to attend, please complete this registration form before arriving. A volunteer will check you in upon arrival.

ON-SITE REGISTRATION WILL BEGIN AT 3:30 PM, THE EVENT WILL BEGIN AT 4:00 pm. (EARLY ARRIVALS WILL NOT BE ALLOWED TO ENTER THE EVENT UNTIL IT BEGINS.)

Veteran's First Name *

Veteran's Last Name *

Veteran's Street Address *

City *

State *

Zip Code *

County of Residence *

Veteran's Phone *

Veteran's Email Address (If no email, enter NA) *

Veteran's Gender *

Male

Female

Last 4 of Social Security Number OR Service Number if not SSN *

Have you attended any of our past stand downs?

Yes

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Is your spouse/significant other attending? *

Yes

Number of children attending with veteran *

Number of people in your household *

Number of other people attending with veteran who are not children *

Branch you served in? (Check all that apply) *

Army

Navy

Marine Corps

Air Force

Coast Guard

National Guard

Space Force

Required

Era(s) of Service (Check all that apply) *

Post 9/11

Persian Gulf

Vietnam

Korean War

World War II (1939-1945)

Non-Conflict Veteran

Required

Deployments (Mark all that apply) *

OEF (Afghanastan)

OIF (Iraq)

Yugoslavia

Somalia

Desert Shield

Desert Storm

Granada

Panama

Lebanon

Vietnam War

Korean War

WWII

Other combat operations

None

Required

Do you have a copy of your DD214? *

Yes

If you do not have a copy of your DD214, would you like help getting a copy? *

Yes

Are you enrolled in VA Healthcare? *

Yes

If you are not enrolled in VA Healthcare, would you like help enrolling? *

Yes

Have you applied for VA benefits? *

Yes

Are you a disabled veteran? *

Yes

Are you in need of housing? *

Yes

Would you like information about the VA Homeless Program? *

Yes

Are you in need of dental care *

Yes

Would you like someone to contact you after the Stand Down? *

Yes

The South Bend Vet Center offers a variety of counseling services. If you would like someone to contact you, please mark the services you are interested in hearing more about. *

Individual Counseling

Group Counseling

Relationship Counselor

Military Sexual Trauma

Bereavement Counseling

Required

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