oklahoma

Please complete the form below to the best of your ability.  This will help our team best pair you in our program.

The Privacy Act of 1974, as amended at 5 U.S.C. 552a, protects records that are retrieved by personal identifiers such as a name, social security number or other identifying number or symbol. An individual is entitled to access to his or her records and to request correction of these records if applicable.

The Privacy Act prohibits disclosure of these records without written individual consent unless one of the twelve disclosure exceptions enumerated in the Act applies. These records are held in Privacy Act systems of records. A notice of any such system is published on this Privacy System Notices page.

As with the Freedom of Information Act (FOIA), the Privacy Act binds only Federal agencies, and covers only records in the possession and control of Federal agencies.

Servicemember Program Application

Step 1 of 5

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  • This item is required to participate in our program. Due to stolen valor, a VALID DD214 is required. DD214 must reflect discharge status. Preferred format is PDF
  • Spouse and children with age & sex; n/a if applicable