“What’s Next” Battle Buddy Application Form

To qualify for consideration, applicants must have served in OIF/OEF and be active-duty, retired or honorably discharged. In addition, a strong description of what a Battle Buddy means to you.

APPLICATIONS MUST BE RECEIVED BY December 26th, IN ORDER TO BE ELIGIBLE. Unfortunately, we are only able to accept a limited number of veterans to participate in this event.

Those who are selected to participate will be contacted by Combat Veterans to Careers no later than January 5th to make all of the necessary arrangements.

(Note: For those not selected through the application process, some promotional material can be provided to solicit individuals/businesses to sponsor your attendance if interested. For sponsorship packets contact Sandee at sandee@combatveteranstocareers.org or 352-461-4025.

Thank you for your selfless service to our country!

Name*

First Name:

Middle Name:

Last Name:

Address*

Home Address:

City:

State/Province:

Postal/Zipcode:

Country:

Email*:

Mobile Phone Number*:

Phone Number:

Birth Date*:

Area Code:

Spouse Name

First Name:

Last Name:

Significant Other (if not married)

First Name:

Last Name:

Military Background

Branch of Service*:

Rank*:

Service Dates*:

Date of Injury:

Have you participated in other events with Combat Veterans to Careers? If so, which event(s) and how has Combat Veterans to Careers had an impact on you and your transition and rehabilitation/recovery?

Have you used Recreational Therapy as a form of post injuries rehabilitation and therapy? If so, please explain.

Please list any other Military & Veterans Organizations that you have worked with. If you have participated in events with those organizations, please list them.

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Additional Comments/Information you would like to share.

E-Signature*:

Date*: