Operation Enduring Support Application

Active Duty Service Member's Name and Rank *

Rank First Name Last Name

Branch of Service *

Army Navy Air Force Marines National Guard Coast Guard

Base *

Installation where currently stationed

Unit *

Unit where you are currently assigned

Are you currently deployed? *

Yes No Just returned About to deploy

Phone Number

- Area Code Phone Number

Work email *

Your .mil email address

Personal email *

Your personal email address. After initial verification, this is the email address we will use to communicate with you.

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Are you applying for help because your family home or belongings were destroyed by Hurricane Florence or Michael? *

Yes No

Please tell us a little bit about your family. *

Are you married? Do you have kids? Please tell us their ages, genders and any special needs.

Please tell us your situation. *

Our Operation Enduring Support program is strictly for emergency/ crisis situations. We do not assist with debt, financial issues due to budgeting, help with car payments, etc. We do NOT share the information you provide with the public. This is purely to understand how we can help.

Please tell us how you hope we will help. *

This is an opportunity to tell us what, specifically, you need. If clothing, shoes or diapers are needed, please include sizes.

Please tell us what was destroyed/damaged due to the hurricane so we understand your situation to best be able to help.

Should gift cards help your family, please give us a list of local stores where you could use gift cards.

Grocery stores, gas stations, places to buy clothes, shoes and household goods, etc.

Has the command, chaplain, family/unit/deployment readiness officer been made aware of your situation/need? Please tell us who has been contacted and any course of action they've helped you take. If we are your first course of action, just write "n/a" here. *

This helps us know what resources you may have already been given as we help your family.

Have you applied for help or received help from any other non-profits or agencies? If so, please tell us who you contacted and their response. If we are the only ones who you've contacted, just type "n/a" here. *

This does NOT prevent us from helping. It helps us know what kind of help has been received as we shape our own response.

Please attach a copy of your most current LES statement

Browse Files

This is used to confirm active duty service and help us determine how to help if financial help is approved.

Please list a unit contact should we need to confirm your service. *

Name, position in unit, phone number and .mil email address. With your current LES statement attached to this form and a working .mil email address, we will not contact your unit.

As the person filling out this form, I am: *

The active duty service member named on this application The spouse of the service member named on this application A unit representative

Please give us your full name

Spouse's full name

Please tell us your name and position within the service member's unit

Your full name and position within the unit. (John Doe, Chaplain)

Please know that we protect your privacy at all times. We NEVER share your PII to include names, contact information, details of your situation, address or unit with the public. Only our Executive Director and President see your application and LES. Our Board of Directors decide collectively how to respond based on a synopsis (names removed) by the Executive Director.

After your application is approved, here is our typical course of action:

1. Our first choice is always to use the resources we have to help, most times this is done without the public's knowledge at all.

2. Should we find that the need is greater than the resources we have available, our next line of "attack" is to put out pleas for help. In this stage of action, our requests are general and intended to collect more donations as needed.

3. On rare occasions, when a family's need is great or, when multiple families are affected and our funds are dwindling, we may ask permission to issue family specific "action alerts." These are social media and donor pushes that give a little more info to be able to help us meet specific needs. No PII (personal identifiable information) like names, addresses, contact info, etc. is shared.

Here is an example action alert: "ACTION ALERT: A military family of 3 in CA has lost their home in the fires. We are currently collecting gently used furniture (2 twin beds, queen bed, table/chairs, living room furniture), clothing (size 4T girls, size M womens, and size XL mens), Visa/Amex gift cards and online donations to be able to help them recover as much as possible. Donations may be dropped at XYZ locations and online donations may be made through the following link: XYZ"

We will never post action alerts without your permission.

Should the need arise to help your family, do you give permission to OHH to post/share action alerts? These are family specific alerts we only use if we feel we need to push out more information for donors to respond. No personal identifiable information is ever shared. *

Yes, I give permission to OHH to share action alerts for my family's needs if they feel it will help my family. No, I prefer not to share my family's needs via action alert.

Please sign below to confirm that all the information you have provided above is correct. *

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