Adopt a Wounded Warrior/Gold Star Family Application 2022

Adopt a Wounded Warrior Family Holiday Program Application

The Adopt a Wounded Warrior/WII/Gold Star Family Christmas Program was launched in 2013 to help wounded warrior families in our community with temporary assistance or help during the holidays. In 2016 we expanded it to include post 9/11 Gold Star Families. For us to make a determination if your family may be eligible for assistance from our program, we ask that you please take a moment and complete this application form. Please answer all of the following questions for us to better serve you. Those eligible for adoption include U.S. Based active duty military personnel, career or medically retired military, or those honorably discharged from service who have been injured, wounded or acquired a disease during service with a 50% or higher service connection. Priority to post 9/11 service members & gold star families. Post 9/11 Gold Star Families are also welcome to apply** By providing and submitting this form, you are stating that all of the information is true and accurate. Services will not be provided if the organization deems the information false or misrepresented. Applications open 10/1 We HIGHLY advise completing this form on a desktop/laptop computer vs mobile device. If you get an error submitting, please do not attempt to attach files and instead email files to adoptafamily57@gmail.com. The application itself must be received electronically.

Step 1 of 2 - Family Information

  • Please list if you are applying as a Active/Veteran or as a Gold Star Family. For this application, Veteran is defined at Active Duty/Wounded/Ill/Injured.
  • Please only list children under the age of 18 living at home.
  • i.e. John/12/Male If no children please type None
    Check all that apply.
  • Press and hold "Ctrl" to select multiple items.
  • You do not need to list every condition they are service connected for, just the primary issues.
  • You must provide a detailed explanation as to why the hardship/need and provide proof of hardship. Letters of support documenting need from a case manager will greatly increase chances for approval as will providing documents to substantiate a hardship situation. Examples of proof of hardship include – documentation such as a hospital bill, a past-due mortgage bill, or an eviction notice or a college tuition bill are usually sufficient. This program is designed to support families in need based on low income or extenuating hardship circumstances. PLEASE BE AS DETAILED AS POSSIBLE.
  • Max. file size: 99 MB.
    Please attach DD214 (if applicable). If a Widower please attach DD1300 & Death Certificate. You may also email documents to adoptafamily57@gmail.com
  • Max. file size: 99 MB.
    Please upload your VA Rating letter. Document must show dates of service and final rating. You may also mail to adoptafamily57@gmail.com
  • Drop files here or
    Accepted file types: jpg, gif, png, pdf, doc, Max. file size: 99 MB.
      Letters of support documenting need from a case manager will greatly increase chances for approval as will providing documents to substantiate a hardship situation. Examples of proof of hardship include – documentation such as a hospital bill, a past-due mortgage bill, or an eviction notice or a college tuition bill are usually sufficient. This program is designed to support families in need based on low income or extenuating hardship circumstances.
    Save and Continue Later