Nominate a Veteran for a Tiny Home
Email address *
I am nominating: *
Nominee name: *
Your answer
Date of birth: *
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Cell phone: *
Your answer
Email: *
Your answer
If nominating someone else, your name, address and phone number:
Your answer
Marital status: *
Number of children living with you: *
Your answer
Current housing: *
Do you use a wheelchair, walker, crutches or have any other physical handicap? *
Branch of service: *
Your answer
Dates served: *
Your answer
Were you ever deployed: *
If yes, where were you deployed:
Your answer
Discharged: *
If asked, can you produce a DD214: *
Do you currently get VA benefits? *
Place of employment (enter NONE if unemployed)? *
Your answer
Employment: *
Are you a felon? *
If felon is marked yes, city and state of arrest:
Your answer
Explain felony:
Your answer
If you are not currently a local resident would you be willing to relocate if awarded this tiny home? *
Please tell us in 500 words or less why the nominee should be awarded a tiny home: *
Your answer
A copy of your responses will be emailed to the address you provided.
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