Veteran Intake — highervets.org

Let’s get you squared away.

If you are transitioning Active Duty, A veteran OR Reserve/Guard member fill out the form below and the HigherVets intake team will be in contact with you.

*Please ensure the accuracy of your contact information.

Name

First Name

Last Name

Phone

(###)

###

####

What branch of service were you in?

Army

Navy

Air Force

Marines

Space Force

Coast Guard

Reserve Component

National Guard Component

What was your MOS

Date of separation from the military

What services would benefit you most?

Mental Health, Coaching, Job Placement, resume building, community, etc.

Is there anything else you would like us to know?

I have read and accept the terms and conditions

Terms and Conditions for Non-Profit Intake Form Effective Date: 10/11/2024 By completing and submitting this intake form, you agree to the following terms and conditions. Please read them carefully before proceeding. 1. Purpose of the Intake Form This intake form is intended to gather necessary information to assess your eligibility for HigherVets programs, services, and support. All information provided will be treated confidentially and used solely for the purpose of evaluating your application and for administrative purposes related to the services you may receive from us. 2. Confidentiality and Data Protection We are committed to protecting your personal information in accordance with applicable privacy laws and regulations. The information you provide will be stored securely and only accessed by authorized personnel. We will not share, sell, or disclose your personal information to third parties without your consent, except as required by law. 3. Accuracy of Information You agree that the information provided in this intake form is true, accurate, and complete to the best of your knowledge. You understand that providing false or misleading information may result in your ineligibility for our programs or termination of services. 4. Non-Discrimination Policy HigherVets operates on a strict non-discrimination policy. We provide equal access to services and opportunities without regard to race, religion, gender, national origin, disability, sexual orientation, age, or any other characteristic protected by applicable law. 5. Eligibility Filling out this form does not guarantee that you will be eligible for or receive any of our services. Your eligibility will be determined based on the information you provide and any additional criteria specific to our programs. 6. Modifications We reserve the right to modify or update these terms and conditions at any time. Any changes will be communicated through our website and will become effective immediately upon posting. Your continued participation in our programs after changes are made indicates your acceptance of the updated terms. 7. Limitation of Liability HigherVets shall not be liable for any direct, indirect, incidental, consequential, or punitive damages arising from your participation in our services or programs. This includes, but is not limited to, damages resulting from the use or inability to use services, unauthorized access to personal data, or any other matter relating to our services. 8. Governing Law These terms and conditions are governed by the laws of the state of Georgia, without regard to its conflict of law principles. Any disputes arising out of or related to these terms will be resolved through arbitration in Georgia. 9. Consent By submitting this form, you consent to the collection, use, and processing of your personal data in accordance with these terms and conditions. You also consent to be contacted by HigherVets through the information you have provided. 10. Contact Information If you have any questions or concerns about these terms, please contact us