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CAREGIVER APPLICATIONS FOR
​Adopt a Vet Spouse for the Holidays
OPEN OCTOBER 1ST


APPLY TO BE ADOPTED​
Once your application is approved and you are matched with a sponsor, you will receive an email from Hearts of Patriots.
 
IF YOU ARE ADOPTED AS A CAREGIVER
Sponsors are asked to provide up to $75 for a gift(s) just for you the Caregiver and a $100.00 grocery gift card to help with the Holiday meal. If you are adopted you will be asked to submit a WISH LIST to Hearts of Patriots of gift suggestions for yourself. The number of Caregivers adopted is based on the number of Sponsors we have to pair with the caregivers. (In some instances, a Sponsor will ask to adopt the caregiver and children. We will ask for a wish list for the children living at home under the age of 18 if we have a sponsor for your family.)

 
CAREGIVER APPLICATION
ARE NOW OPEN
*Submitting an application does not guarantee acceptance into the program.
If you were paired with a sponsor last season, please wait one year before applying again.
*Indicates required field

    THIS FORM IS NOT ACTIVE UNTIL OCTOBER 1, 2023

    ​Please Answer all Questions Below That Apply

    SECTION I 
    Answer all questions in this section. Incomplete applications will not be reviewed.
    [object Object]
    C

    Veteran Information

    Answer all. Incomplete applications will not be reviewed.
    This information is required by our funders
    VA Disability Rating-If no PTSD or TBI rating enter 0%
    IF N/A INDICATE 0%
    IF N/A INDICATE 0%
    IF N/A INDICATE 0%
    SECTION II

     Caregivers of Veterans with VA disability rating

    Please answer all questions. Incomplete applications will not be considered.

    SECTION III

    Please list names and ages of all children living at home under the age of 18

    REQUIRED DOCUMENTATION

    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    I agree to send a Thank You letter or email and holiday photos to my Sponsor c/o Hearts of Patriots
Submit
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  • ABOUT US
    • OUR STORY
    • EDUCATION >
      • BLOOD STRIPE l A SPOUSE'S STORY
      • LIVING WITH PTSD AND TBI
      • PTSD AND TBI STATISTICS
    • IN THE NEWS
  • REGIONAL CHAPTERS
    • NE OHIO CHAPTER
  • OUR PROGRAMS
    • HOLIDAY ADOPT A CAREGIVER >
      • CAREGIVER APPLICATION FORM
    • CAREGIVER RESOURCE DIRECTORY
  • BLOG
  • VETERAN MEMORIAL WALL
  • CONTACT US