Apply For Help

Are you applying for yourself or someone else? *

Who is the main point of contact?

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Last

Phone

Applicant Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Marital Status *

Do you have children? *

What kind of assistance are you looking for? *

Private Military/Security Contractor Service

Are you or did you serve as a private security contractor? *

What company/companies did you work for? *

What did your position entail with the private contracting company you worked for? *

Dates of service? *

Have you filed a DBA claim? *

Are you willing to submit your DBA claim paperwork and attorney contact information to SWP? *

Are you willing to submit proof of work with the contracting company you were employed by? *

Are you willing to submit references, such as a supervisor you worked under or coworker, from the contracting company you worked for? *

Please explain any injury or medical conditions received during your service to our country or as a private security contractor. *

What is your current military status? *

In what branch did you serve? *

Are you willing to provide your DD214? *

Additional Information

Would you like to learn more about our K9 Program? *

Will you allow Shadow Warriors Project to use your story for marketing purposes (excluding names and photos) for the purpose of helping more families? *