HVRP Referral Form
This is a referral for the Homeless Veterans' Reintegration Program (HVRP) at Michigan Ability Partners (MAP). We assist Veterans with  finding and maintaining employment. (For more information on HVRP please visit: https://www.dol.gov/agencies/vets/programs/hvrp).  

Please fill out as much information as possible.

A member of MAP's HVRP team will contact the Veteran within two business days.

For any questions, please call or email supervisor Brenda Monroe at: (734) 476-0800 / bmonroe@mapagency.org
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Veteran's Name *
Veteran Contact Information *
Who is the person referring the Veteran? *
Name of person and/or organization of the referral source (Please include contact information if different than the Veteran): *
Does the Veteran have a DD-214 *
What is the Veteran's discharge status on their DD-214? *
Veteran's Housing Status (Check All That Apply) *
Required
Please describe the Veteran's current housing situation: *
Is the Veteran in Washtenaw, Jackson, Wayne, Oakland or Livingston County? *
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