Our goal is to meet the needs of as many veterans and their families as possible.

Any information you provide will be held in the strictest confidence and your contact information will not be shared with third parties other than the information that is necessary to fulfill your request.

If you would like to schedule a private and confidential meeting to discuss your needs, please contact Margie Krussell at 231-838-5032 or Marcie Newton at 231-881-3565.

*Required

Applicant Name (if different from Vet):

Veteran's First Name*:

Veteran's Last Name*:

Form DD2-14*:
Please attach a copy of the Veteran's DD2-14 in PDF or JPG/JPEG format

Address*:

City*:

State*:

Zip Code*:

Daytime Phone:

Evening Phone:

Email*:

Military Branch*: Air ForceArmyCoast GuardMarinesNational GuardNavy

Year/s of Service (ie 2001-2005)*:

Adults in Household*: 12345

Children (under 18) in Household*: 012345678910

Describe the type of assistance you are requesting.*

Additional comments or questions:

Show us that you are a human: What is 2 + 2?