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 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 about your combat related physical and/or mental wounds you still suffer from. (How did you receive your injury? What happened? How did it immediately effect you? etc..)*

How does your combat related injuries 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 copy a copy of your DD Form 214 (Please black-out or cover up your SSN)

U.S. Active Duty: Upload a photo copy for the front side of your military identification card.

Canadian Veterans: Upload a copy for your NDI 75 Veteran Service Card.

Canadian Active Duty: Upload a copy of the front side of 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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