Veterans Stand Together - CA
Enrollment Form

The Information requested on this document is voluntary and will be used for service delivery and statistical purpose only. Veterans Stand Together (VST) provides, upon request, reasonable accommodations to ensure equal access to its program, service, and activities.

Equal Opportunity Employer/Program.

Veterans Stand Together

19401 S Vermont Ave Suite B102, Torrance, CA 90502

424-266-9532

888-884-VETS

www.usavest.org

Follow us on Social Media

@WeSupportVST

First Name

Last Name

Address

City, State, Zip

Phone

Email

Preferred Method of Contact

Call

Text

Email

DOB

Gender

Male

Female

Other

State Driver's License /ID

Yes

No

Mode of Transportation

Personal Vehicle

Bus

Uber/Lyft

Carpool

Are you a Spouse/ Dependent of a Veteran

Yes

No

Do you have your DD-214?

Yes

No

Are you currently employed?

Yes

No

Do you have an up to date Resume?

Yes

No

Have you ever had a Career Assessment Evaluation?

Yes

No

Workshops of Interest

VA Claims / Housing / Veteran Benefits Workshop (8 Hours)

Crisis Intervention Training Certification (8 Hours)

Knowing Your Rights Under the Law (8 Hours)

Introduction to Financial Literacy (8 Hours)

Prepare For Your Success (8 Hours)

Your Sizes & Measurements

Your Sizes & Measurements

This information is solely to assist in the acquiring of suits and/or uniforms. These questions are strictly for tailoring purposes.

Height

Weight

T-shirt Size

Dress Shirt Size

Dress Pants Size

Belt Size

Dress Shoe Size

Comments

Send me a copy of my responses

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