Stand Down Application

When: Friday, October 7th 10:00am – 2:00pm

Our Goal is to make Stand Down a safe event, but as with anything, there are inherent risks involved:

  • COVID-19 is still potentially dangerous, especially for those with other health issues. Our event is inside a large well-ventilated area, and we will follow MA DPH safety guidance. All participants must not have a COVID-19 infection or current symptoms of COVID-19 (fever/chills, persistent
    cough, difficulty breathing, fatigue, loss of taste or smell, etc.) Participants should wear a face mask or maintain 6-foot social distancing IF NOT VACCINATED. This risk of contracting the COVID-19 virus can’t be fully mitigated despite all reasonable measures taken. All participants must fully accept any consequences from their choice to participate in the event.
  • General safety and risks: the event will have many clients, vendors, and staff, as well as tables, chairs, electric cords, stairs, and other hazards. All participants must understand that they participate in the event at their own risk; each individual is responsible for understanding their abilities and maintaining their own safety.
  • The Cape and Islands Veterans Outreach Center and its partners are not responsible for any lost, stolen, or damaged items on our property or at our event.
  • By submitting this registration and attending this event, all participants understand that the sole responsibility for their personal safety rests with themselves.
1. Relationship to the Veteran:(Required)
2. If you are the veteran, what form(s) of documentation of your military service will you bring with you to the event?(Required)
3. First Name(Required)
4. Last Name(Required)
8. Gender(Required)
9. Primary Race(Required)
10. Ethnicity(Required)
11. Your Housing Situation(Required)
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. If you are not vaccinated/boosted for COVID-19, are you interested in obtaining vaccination/booster at Stand Down?(Required)
19. Branch of Service(Required)
20. Select below the Financial Benefits you receive:(Required)
21. Sources of Non-Cash benefits:(Required)
22. Employed:(Required)
23. What prevents you from being employed?(Required)
24. Is this your first Veterans Stand Down Event?(Required)
25. How did you hear about Stand Down?(Required)
26. Who helped you complete this registration?(Required)
27. Marital Status:(Required)
28. Education:(Required)
29. Discharge Status:(Required)
30. Era of Service:(Required)

Your support provides access to healthy food, a place to call home, professional counseling, referrals, and more.