Heroes to Heroes Program Application
Please fill out the information below.
Heroes to Heroes Foundation, a non-denominational 501(c)(3) organization, provides a spiritual healing, suicide prevention, and peer support program for veterans who suffer from Moral Injury and PTSD.
PR- Puerto Rico
IL - Israel
Use format (xxx) xxx-xxxx
Name as it appears on Passport
Please type in you full name as it appears on your passport.
Passport Expiration Date
US Passort Number
Passport Issue Date
Branch of Service
Date of Active Duty
Date of Discharge
Type of Discharge
Explain if other than honorable
Injured during tour in
Date of Injury
Please give a brief description of your injuries.
Are you willing to work as part of a team for a minimum of 1 year?
Heroes to Heroes Foundation requires a one year commitment to the team you will be traveling with. This may include monthly meeting in order to help one another meet individual goals and to complete a group project or goal.
Are you willing and able to comply with out "no-alcohol/drug" policy for the 10 day journey?
Are you able to travel on a flight for 12 hrs?
Have you visted Israel before?
Do you have a service animal?
Are you willing to submit a $500 deposit which will be returned immediately after journey?
Are there any special concerns or needs?
Please answer the questions below to the best of your knowledge. There are no wrong answers.
How did you hear about Heroes to Heroes?
What do you know about Heroes to Heroes?
What do you feel you will get out of a 10 day Journey to Israel?
What do you feel you can contribute to this program and your fellow veterans
Any comments or concerns?
Upload a file
Please attach a photo of yourself and a copy of your DD214.
You can upload multiple files.
By checking this box, you certify that all statements made herein are true and complete to the best of your knowledge and belief, and herewith apply for a grant to be part of the Heroes to Heroes Foundation.
Send me a copy of my responses
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