Enrollment Form

If you are interested in employment assistance 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
DD-214 Member 4 Copy (black out your Social Security number). If Military Spouse, provide the veteran's DD-214.
- If you need assistance obtaining your DD-214 visit http://dd214.us/methods.html
A government issued ID e.g. driver’s license or VA ID Card.

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

Program Eligibility

Must be a Veteran, Military Spouse, or Presently Serving
Must have Honorable Service or discharge
No felonies

Personal Information

Source of Referral

Your Current Status (if Spouse, select Military Spouse)

First Name (List preferred name in quotations ex: Robert “Bob”)

Last Name

Gender

Date of Birth

LinkedIn URL

Street Address

Zip Code

City

State

Phone

Do you have a service connected disability rating?

Note: If you are a military spouse, please select N/A.

Service Information

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

Branch of Service

Dates Served From

Dates Served To

Era

Military Specialty (Military Specialty Title & MOS, Rate, AFSC, etc.)

Last Rank Held

Discharge Type