Military Warriors Support Foundation | Combat-Wounded Veterans, Gold Star Families

Before proceeding, Please be sure you meet all of these basic requirements to apply:
Killed-In-Action Statement(Required)
Service Connected Accidents do not apply to this statement.
- You must be an unmarried spouse of a veteran who was KIA during combat or combat training during any American conflict.
Mortgage Status(Required)
- You must intend to use this home as your Primary Residence. (Priority will be given to applicants who do not currently have a mortgage. Applicants with mortgages may still be considered, on a case by case basis)

Please be aware, that with your successful completion of this application, you will required to submit documentation in order to participate within the program.
The first step in this process is the documents listed below. If you do not submit them after you complete this application, you cannot be found eligible.
- DD2064, Certificate of Death
- DD1300, Report of Casualty
- Purple Heart Certificate and Orders(Posthumous)
- Bronze Star Certificate and Orders (Posthumous)
Submitted Documents Understanding(Required)
Check the box to verify you understand. If you have further questions, you can finish the application and email us at info@militarywarriors.org.
- I understand.

Describe your ideal home(Required)
Type of home and any possible cities or states you are interested in.
Of the Home, or cities, you listed, why do you want to be in this/these particular areas? What is it about the area that attracts you to it?(Required)
What family, or support structure, will you have available to you, if selected for a home in this area?(Required)
What employment opportunities or income potential will you have in this area?(Required)
Please tell us what receiving a home would mean to you and your family. Explain how this home would impact your recovery as a family.(Required)
In which ways would the addition of your family have a positive influence on the community, how is your family unique?(Required)
Do you have any pets? *If Yes, you will need to provide how many, breed, sex, weight and if they are current on their vaccinations. Is the animal a certified licensed service animals?(Required)
- Yes
- No
Additional Pet Information(Required)

11. Please provide name and phone number of 2 References that will be contacted; 1 Military & 1 Personal.
Military (Casualty Assistance Officer or someone who served with the Hero at the time of death):
Military Reference Name(Required)
First Last
Phone
Personal (Cannot be immediate family or person currently living with you, please indicate nature and length of relationship):
Personal Reference Name(Required)
First Last
Phone

Hidden
(X) Statement of Truth
Providing false information can cause a review and change in applicant status and may affect your eligibility to participate in any MWSF program.
- By submitting the application, you confirm that you all the information contained in it, is truthful to the best of your knowledge. And that you give Military Warriors Support Foundation permission to contact you regarding our programs.
Statement of Truth(Required)
By submitting your application, you affirm that all the information contained in it, and any statements or documents provided during the process, is/will be accurate and truthful to the best of your knowledge. Providing false information on your application, or during the application process, can affect your applicant status and may affect your eligibility to participate in any MWSF program. Additionally, by submitting your application, you give Military Warriors Support Foundation permission to contact you regarding our programs. Write your full legal name below to verify you understand and agree to the terms and conditions made above and that the statements of fact in your application materials are true to the best of your knowledge.

Current Family Information