Portland Metro Veterans Employment Services: Application for Services
Welcome to Easterseals Oregon Homeless Veteran Reintegration Program (HVRP).
*All responses will be provided to Veteran upon submission.
Current County of Residence:
Characterization of Discharge:
Not Dishonorable (all other)
Have you served at least one day of Active Duty other than Basic Training?
Are you Chronically homeless? A chronically homeless individual is defined to mean a homeless individual who has met the definition of homelessness continuously for at least 12 months, or on at least four separate occasions in the last 3 years, where the combined occasions total a length of time of at least 12 months.
Yes - I've been homeless for at least 12 months
Yes - I've been homeless on at least four separate occasions in the last three years, where the combined occasions total a length of time of at least 12 months
Please describe your living situation (Homeless, Renting, Staying w/ Friends, etc.):
Are you currently looking for work?
Yes, I am actively seeking work
No, I am not actively seeking work
I am interested in work, but don't know where to start
I am not medically able to work
I am not sure
American Indian/Alaskan Native
Hispanic or Latino
Native Hawaiian/Pacific Islander
Branch of Military Service
Air Force Reserves
Air National Guard
Army National Guard
Marine Corp Reserves
What are your current employment needs?
Employment Training, Certifications, and Licensing Assistance
Job Readiness (Life Skills, Money Management, Vocational Counseling & Guidance, Job Club, Resume Assistance)
Referral for Other Services and Treatments
Shelter, Transitional, and Permanent Housing Referrals
Small Business Start Up/Entrepreneur
Transportation (HOP Card; Gas Card)
How did you hear about HVRP?
Community Resource and Referral Center (CRRC)
Do Good Multnomah
Portland VA Medical Center
Portland Vet Center
Salvation Army Veterans and Family Center
Society of St. Vincent de Paul
The Mission Continues
Transition Projects (TPI)
A copy of your responses will be emailed to the address you provided.
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