K9 Program – Shadow Warriors Project

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Private Security Contractor or US Military Service

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

What company/companies did you work for? (Please list current and previous employment.)

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

Dates of service? *

Are you willing to provide previous and current employment references? *

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

Are you willing to share your medical documents related to your injury or medical condition? *

What is your current military status? *

In what branch did you serve?

Are you willing to provide your DD214? *

Additional Information

Are you willing to travel to Lubbock, TX or elsewhere in the US to attend the program? *

Shadow Warriors Project covers all travel costs associated with getting our warriors to the K9 Program.

Please explain why you believe you will benefit from this program. *

Letters of Recommendation

Click or drag files to this area to upload. You can upload up to 10 files.

If you do not upload your letters now, you must submit letters of recommendation to Mark Geist at swp@shadowwarriorsproject.org within 4 weeks of submitting this questionnaire.

K9 Therapy Program

Private Security Contractor or US Military Service

Additional Information