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3rd Annual Stand Down for Veterans Cape Cod

September 27 @ 9:00 am - 3:00 pm

Stand Down Application

Demographics

1. Relationship to the Veteran:(Required)
2. If you are the veteran, you must bring your DD-214 to the event if not already on file with CIVOC office(Required)
3. First Name(Required)
4. Last Name(Required)
8. Gender(Required)
9. Primary Race(Required)
10. Ethnicity(Required)
11. Your Housing Situation(Required)
*in a place not meant to be lived in or in a temporary program but otherwise homeless.
13. Current City, State, & ZIP(Required)
14. Is your current address a Cape & Islands Veterans Outreach Center Residential Site?(Required)
15. Your Cape & Islands Veterans Outreach Center location:
16. Check below the programs you are currently enrolled in:(Required)
17. Check below any of the Veterans Programs you are interested in:(Required)
18. Branch of Service(Required)
19. Select below the Financial Benefits you receive:(Required)
20. Sources of Non-Cash benefits:(Required)
21. Employed:(Required)
22. What prevents you from being employed?
23. Is this your first Veterans Stand Down Event?(Required)
24. How did you hear about Stand Down?(Required)
25. Who helped you complete this registration?(Required)
26. Marital Status:(Required)
27. Education:(Required)
28. Discharge Status:(Required)
29. Era of Service:(Required)
IMPORTANT THINGS TO NOTE: A FLU CLINIC, CARDIO CHECK, AND BONE DENSITY SCAN WILL BE AVAILABLE FOR ALL ATTENDEES. INSURANCE CARD REQUIRED FOR THE FLU CLINIC. THERE WILL BE A BLOOD DRIVE HOSTED AT THE EVENT IN THE CAPE COD HEALTHCARE BLOOD MOBILE

See you Friday, September 27, 2024!

Details

Date:
September 27
Time:
9:00 am - 3:00 pm
Event Category: