We Stand With You

Intake Assessment Step 1

Enrollment Form

If you are interested in resources in the areas of employment, education, housing and health care; you've come to the right place!

You will NOT be able to save your registration information and come back to it at a later time, so please have the following items ready to attach before you start:

  • An updated resume, preferably in Word document format
  • DD214 form (Black out your social security number)
    • A good site for DD-214 reference, describing the various alternatives to access your DD-214 is http://dd214.us/methods.html
  • A valid picture ID, preferably your VA ID card

Please contact us at 214-438-6358 if you have any questions before starting the enrollment process.

Personal Information

Service Information

Note: If you are a military spouse, please provide the veteran/service member’s information.