Veteran & First Responder Program - Participant Registration

Thank you for applying to the Higher Ground Veteran & First Responder Program. We strive to ask only the questions we need to best serve you. If you have questions or would like assistance, email dave@highergroundusa.org or call 208-721-3067.

Basic Information
Mailing Address
Include Apartment # and multiple lines of addresses (if necessary)
Physical Address
Include Apartment # and multiple lines of addresses (if necessary)
Demographics
Do you think of yourself as... (please select one).
Please select one or more of the following which you feel best describes you. (Hold CTRL + click to select multiple.)

Do you think of yourself as... (please select one).
Service Information
First Responder Information
In which of the following areas have you worked? (Check all that apply)
Military Information
In which branch of the US military have you served? (Check all that apply)
Did you serve in a
Combat or War Zone?
Medical & Therapeutic Information
Do you have symptoms of any of the following? (Check all that apply)


To select multiple options, click and hold the Ctrl key while selecting all options that apply.


Hidden Fields
DD Form 214 or Credentials

Veterans, please attach your DD214. Current service members, please attach your orders or equivalent. First Responders please attach your credentials, or an agency issued ID card. If you have served in multiple capacities, only upload the most recent form/proof/id. Upload is limited to one file. Your file cannot have any special characters in its' name.

You can submit this form/credential later; however, it must be provided prior to placement and participating in a Higher Ground Program.