Name (as it appears on your driver's license or gov't ID) (*)
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Nickname (if applicable)
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Address (*)
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City (*)
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State
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Zip Code (*)
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Phone (Day)
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Phone (Evening)
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Phone (Mobile)
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Email (*)
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Age
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Gender (*)
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Occupation
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Are you a veteran? (*)
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If a veteran, please indicate BRANCH of service, and WHEN and WHERE you served:
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How did you learn about the Honor Flight organization?
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Why are you volunteering for Honor Flight?
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Please list any prior volunteer experience:
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Are you requesting to travel with a specific veteran? (*)
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If yes, please name the veteran (please note that the veteran application must be completed separately)
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Are you able to push a veteran in a wheelchair up a slight incline? (*)
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Can you lift 100 pounds? (*)
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Please identify any physical disabilities, restrictions and/or medical conditions that would limit your ability to fulfill the duties of a guardian. Also, please list any medications being taken and how often.
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T-Shirt Size (*)
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Please indicate any medical experience you may have (e.g. EMT, CPR, Parmedics, etc.)
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Please review carefully and check the box (*)
You must check the box
Please review carefully and check the box (*)
You must check the box