Veterans Housing Assistance Application — Form Fields
This nonprofit template includes 9 fields. Apply for transitional housing assistance program for homeless or at-risk veterans. Free to customize and use on ZenBuild.
Full Name (text, required)
Email (if available) (email, optional)
Phone Number (text, required)
Branch of Service (dropdown selection, required) — options: Army, Navy, Marine Corps, Air Force, Coast Guard, Space Force, National Guard
Years of Service (text, required)
Honorably Discharged? (multiple choice, required) — options: Yes, No, Other Discharge Type
Current Housing Situation (dropdown selection, required) — options: Unsheltered, Couch Surfing, Temporary Shelter, At-Risk of Eviction
Currently Receiving VA Benefits? (multiple choice, required) — options: Yes, No, Applied but Pending
