Application Form

First Name

Last Name

Phone

Street Address

City

Region/State/Province

Postal / Zip code

Your approximate from and to dates (month and year) that you served or are serving in the military.

What was, or is (if active duty), your military Branch of service

What was, or is (if active duty), your military rank.

What was, or is (if active duty), your military specialty

If not currently active duty, did you receive an honorable, or general under honerable conditions, or equivilant discharge from the military?

What were your combat deployment locations and months / years you were deployed to that location

Are you a Purple Heart (USA), Sacrifice Medal (Canada) or equivalent award (other countries) recipient?

Do you suffer from any negative physical or mental effects of combat? ( If so, please list which ones.

In the below paragraphs, please provide us with a detailed explanation of your personal story. The reason we ask for a detailed explanation is because we need to understand you and your personal story so we can make the best decision on who to select for a PHP scholarship. What you tell us is all we have to make our scholarship selections, so please be as detailed as possible. We know this can be very difficult, but we want to understand YOU.

Tell us about your military service. (Why did you join? When did you join? What is or was your military specialty? What were your key assignments? What were your key duty positions? etc...) *

Tell us in specific detail about how your received your combat related physical and/or mental wounds you still suffer from. (How did you receive your wounds? What happened? How did your wounds immediately effect you? etc..)*

Tell is in specific detail, how does your combat related wounds described in the previous question effect you and your family today? (What are the challenges? What are the issues? How have you and your family coped with the challenges and issues?)*

How did you get interested in woodworking?*

U.S. Veterans: Upload a scanned copy (NOT A PHOTO) of your DD Form 214 (It MUST show your separation information). Please black-out or cover up your Social Security Number)

U.S. Active Duty: Upload a scanned image or a photograph of your military identification card.

Canadian Veterans: Upload a scanned copy (NOT A PHOTO) of your MPRR.

Canadian Active Duty: Upload a scanned image or a photograph of your military identification card.

Others. Upload copies of your countries military seperation document or if active duty, your military identification card.

If you cannot upload your proof of service with the upload file button please email it to Applications@thepurpleheartproject.org

Upload File

Thanks for submitting - we will be in touch!

Application Form

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Application Form

Program

Bench Brigade

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Bench Builders Resources

Bench
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Bench
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