MEMBER INTAKE FORM

At Stay Tuned for Vets, our commitment to serving our Veterans effectively is paramount. To ensure that we continue to make a positive impact in the community, it is essential that we gather comprehensive information. This data helps us meet our service requirements and improve our programs.

We need your help to continue supporting our Veterans and hosting events, providing resources, and more. The information you provide is strictly confidential and helps us with funding so we can keep making a difference. 

Thank you for your dedication to completing this form (for yourself, someone in need of assistance, and each of your children) with as much detail and accuracy as possible. Your efforts help us to better serve our Veterans and their families.

Note that proof of service (and of relationship for veteran family members) will be required. All data is de-identified and only presented as aggregated data.

If you have any questions, please do not hesitate to reach out to us at info@staytunedforvets.org. We will do our best to comply with individual needs and greatly appreciate your understanding and time in completing this form.

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affiliated organization
Are you affiliated with a non-profit that may be interested in partnering with Stay Tuned or a company that supports non-profits recommended by employees?  If so, please specify the organization below. We are excited to explore potential partnership opportunities!
WHO IS completing THIS FORM? *
First & LAST NAME (as listed on driver's license) *
PRIMARY E-MAIL ADDRESS *
NEWSLETTER OPT-IN
Click here to sign up for our newsletter! You can opt out at any time.
DATE OF BIRTH *
MM/DD/YYYY
mobile phone number *
123-456-7890
text message opt in
By checking this box, I agree to receive marketing text messages from Stay Tuned via an automatic telephone dialing system. I consent to Stay Tuned using my phone number for resource referrals and client database purposes. I may receive texts or phone calls from Stay Tuned and those service providers. You may opt-out at any time by emailing info@staytunedforvets.org
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mailing Address *
Please provide your full mailing address as it should appear for postal delivery.
county
If you have a Texas address, please specify the county
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