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(Z) Homes4GoldStars - Gold Star Spouse Application
1. Must be an unmarried spouse of a veteran who was KIA during combat or combat training during any American conflict. 2. Must not currently have a mortgage.
Step
1
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11
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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.
How did you hear about us
(Required)
Search Engine
Facebook
Twitter
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Friend
Event
Other
Please describe how you heard about us
(Required)
Hero's Branch of Service
(Required)
US Army
US Air Force
US Marine Corps
US Navy
US Coast Guard
US Space Force
Did the Hero receive a Purple Heart?
(Required)
Yes
No
Surviving Spouse Name
(Required)
First
Last
Surviving Spouse's Date of Birth
(Required)
Month
Day
Year
Hero's Full Given Name
(Required)
First
Middle
Last
Hero Date of Birth
(Required)
Month
Day
Year
Your Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell Phone
(Required)
Home Phone
(Required)
Email
(Required)
Current Family Information
Current Marital Status
(Required)
Single
Married
Divorced
Widowed
Spouse Name
(Required)
Spouse Primary Phone Number
(Required)
Spouse Date of Birth
(Required)
Month
Day
Year
Email of Spouse
(Required)
List ALL individuals who will be living in the home (Including Yourself)
1
Name of #1
First
Last
Relationship of #1
(Required)
Occupant Date of Birth #1
(Required)
Month
Day
Year
Hidden
Occupant Age #1
Please enter a number from
18
to
100
.
2
Name of #2
First
Last
Relationship of #2
Occupant Date of Birth #2
Month
Day
Year
Hidden
Occupant Age #2
Please enter a number from
0
to
100
.
3
Name of #3
First
Last
Relationship of #3
Occupant Date of Birth #3
Month
Day
Year
Hidden
Occupant Age #3
Please enter a number from
0
to
100
.
4
Name of #4
First
Last
Relationship of #4
Occupant Date of Birth #4
Month
Day
Year
Hidden
Occupant Age #4
Please enter a number from
0
to
100
.
5
Name of #5
First
Last
Relationship of #5
Occupant Date of Birth #5
Month
Day
Year
Hidden
Occupant Age #5
Please enter a number from
0
to
100
.
6
Name of #6
First
Last
Relationship of #6
Occupant Date of Birth #6
MM slash DD slash YYYY
Hidden
Occupant Age #6
Please enter a number from
0
to
100
.
Homes
Have you previously applied for one of our homes
(Required)
Yes
No
Property Name Applying For - or Area of Interest
(Required)
Please input the HOME CODE listed on the previous page.
CLICK HERE TO OPEN A NEW TAB OR WINDOW TO SEE PREVIOUS PAGE
If you want to apply for a CITY & STATE. Please list that CITY & STATE instead. Please be specific.
When would be the first available date to move, if selected for the home you are applying for?
(Required)
MM slash DD slash YYYY
Do you, or a member of your family, require special modifications in the home? (i.e. wheelchair access, grab bars, etc.) If Yes, please explain in space below.
(Required)
Yes
No
Special modifications needed in home (Be Specific)
(Required)
Annual Household Income
(Required)
Under $20,000
$20,000 - $30,000
$30,000 - $40,000
$40,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
$100,000 - $150,000
$150,000 or more
Household Income Details
(Required)
(Please list ALL current household income, including amounts and sources. (i.e. Hero and Spouse Salary, Disability, Social Security, Child Support, Retirement, etc.): explain why)
Are you a current homeowner?
(Required)
Yes
No
Homeowner Financial Data
(Required)
(If you currently own a home, have a mortgage, or are in the process of going through or completed a foreclosure - please list who your mortgage is through, how much you have left on the loan and if you are current on your payments. If you are no longer in the home, please explain why)
Have you ever received a vehicle or home from anyone, including Military Warriors Support Foundation?
(Required)
Please mark yes, if you received a home or vehicle and sold it or gave it away.
Yes
No
Who did you receive it through and when did you receive it?
(Required)
Did you return this gift?
(Required)
Yes
No
If yes, please explain the situation.
(Required)
Are you currently going through a Foreclosure or completed a foreclosure process?
(Required)
Yes
No
Foreclosure Details
(Required)
Are you currently contracted in a lease agreement?
(Required)
(Please give the date your lease is up and penalties for breaking the lease)
Yes
No
Penalties for Breaking the Lease
(Required)
End date of your lease
(Required)
MM slash DD slash YYYY
Restrictions
Have you, or a member of your family, been charged or convicted of a crime?
(Required)
Yes
No
*If Yes, are you or them currently on probation? Please explain in the field marked as Criminal History.
Criminal History
(Required)
Is There any pending issues that would restrict you from moving out of your current county or state?
(Required)
Yes
No
*If Yes, please explain below.
Issues that would restrict you from moving
(Required)
Do you, or any individual who would be residing in the property you are applying for, have debt?
(Required)
(Ex. payday loans, student loans, mortgage, auto or credit cards, etc.) *If “Yes”, please provide details below.
Yes
No
Unpaid Balances
(Required)
Making Payments?
(Required)
Yes
No
I consent to Military Warriors Support Foundation performing a credit check.
(Required)
*Please note, a credit check is mandatory as part of our selection process. All credit scores will be considered and an opportunity to explain any discrepancies will be provided.
Yes
No
Hero's Military Service
Please answer the following questions openly and honestly. This is your opportunity to tell us about you, your family and your current situation. Read questions carefully; be certain you are answering it completely.
1. Please provide a brief history of your spouse's military career, include tours, awards given or commendations received. (*Please note, upon further consideration, supporting documentation for all listed tours, awards and decorations will require supporting documentation. A copy of your spouses' DD1300 and DD2064 will be required. Please have available so you may deliver promptly upon request. False claims of valor will not be tolerated.)
Hero's Military History
(Required)
Hero's Rank
(Required)
Hero's Military Awards
(Required)
Please select all the awards that are applicable to the Hero's military service.
Purple Heart
Medal of Honor
Silver Star
Army Distinguished Service Cross
Navy Cross
Air Force Cross
Coast Guard Cross
Distinguished Flying Cross
Bronze Star Medal w/ Valor
Bronze Star Medal
Commendation Medal w/ Valor
Commendation Medal
Achievement Medal w/ Valor
Achievement Medal
Air Medal w/ Valor
Air Medal
Air Force Combat Action Medal
Combat Infantryman Badge
Combat Action Badge
Combat Medic Badge
Combat Action Ribbon
Afghanistan Campaign Medal
Inherent Resolve Campaign Medal
Iraq Campaign Medal
Vietnam Service Medal
Global War on Terrorism Service Medal
Global War on Terrorism Expeditionary Medal
NONE LISTED
Hidden
Military Awards
Date Hero was Killed-In-Action
(Required)
Month
Day
Year
Please describe the circumstances that lead to the Hero’s combat related death, dates, how it occurred.
(Required)
(*Please note, upon further consideration, a copy of posthumous Purple Heart orders will be required. Please have this available so you may deliver promptly upon request.)
Which country did it occur?
(Required)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
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
12. Are you, or an immediate family member, currently employed with any of the below financial institutions?Must check one of the below boxes.
(Required)
Chase Bank
Citizens Bank
Bank of America
Wells Fargo
US Bank
GMAC
SunTrust
PNC
Truist Bank
USAA
None Listed
Bank Relationship
(Required)
Bank Position
(Required)
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.
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