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Application For A Grant

The North Carolina Heroes’ Fund is dedicated to supporting the men and women of our state who defend our freedom. It is primarily intended to support the men and women of the United States Armed Forces who have served our country in harm’s way in the execution of overseas military missions. The Fund will focus on men and women, or their families, who are currently serving or have recently served in the military and are currently enduring hardships.

The fund was established to provide support to military men and women from North Carolina or stationed at one of North Carolina’s many military bases. This support is primarily centered on hardships which these men and women, or their families, may have endured due to their service oversees. Support can come through direct and indirect payments to these individuals to assist them with financial burdens. Support may also come in the form of coordination of volunteer efforts. Family members and dependents can also benefit from grants or scholarships.

Click here to download .pdf application

Applicant Information – Servicemen & Servicewomen

I qualify for a grant under the Fund’s guidelines because:
My current permanent residency is in North Carolina
I am currently or was recently stationed at a base or facility in North Carolina
   
PERSONAL INFORMATION  
Name
Age
Current Address
City
State
Zip
Hometown / Base (if different than above)
Email
Home Phone (if available)
     Email 
Alternative Phone (if any)
     Email 
 
Best time to contact you  
Marital Status  
Dependents  
   
MILITARY SERVICE  
Current Military Status (if any) and Rank
Years of Military Service
Current / Most Recent Military Unit
Location of Overseas or Hardship Duty or Service
Dates of Overseas Hardship or Duty
Name of Current or Most Recent Commanding Officer or NCO
Contact Number for Commanding Officer or NCO
**Provide us with a copy of your DD214 or other proof of military service
   
HARDSHIP OR FINANCIAL REQUEST  
Briefly Describe Hardship Need and Cause of Hardship
Total Amount of Debt(s) or Bills Owed
Organization(s) where debts or bills are owed
Contact Phone Number of Organization where Debt(s) or bills are Owed
Are you seeking assistance from other charities or organizations?  If yes, which ones? 
**Provide us with copies of debt notices or bills for the debts that are owed  
Please put me on your email list
 Yes    No

 

Please note that by submitting a request for a grant, your information becomes available for use by the North Carolina Heroes’ Fund, Inc. and your information may be included in materials describing the Fund and its activities. This could include posting to our website. You understand that your submission of information and / or acceptance of a grant provides explicit permission for this information to be used by the Fund.

 


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