Apply For Help

Are you applying for yourself or someone else?(Required)

Application Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Marital Status(Required)

Do you have children?(Required)

What kind of assistance are you looking for?(Required)

Private Military/Security Contractor Service

Are you or did you serve as a private security contractor?(Required)

What company/companies did you work for?(Required)

What did your position entail with the private contracting company you worked for?(Required)

Date of service?(Required)

Have you filed a DBA claim?(Required)

Are you willing to submit your DBA claim paperwork and attorney contact information to SWP?(Required)

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

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

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

What is your current military status?(Required)

Active

Honorably Discharged

Not Applicable

Retired

Dishonorably Discharged

In what branch did you serve?(Required)

Are you willing to provide your DD214?(Required)

Additional Information

Would you like to learn more about our K9 Program?(Required)

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