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Service Provider Application
Application submission does not guarantee approval. Email confirmations will follow.
All service providers must
register
on the
Be Connected
network as a resource for Veterans.
Questions? Contact
Barb Sesate
*
Indicates required field
Contact Name
*
Email
*
Phone Number
*
Organization Name
*
Brief description of services offered
*
Note: One 8ft table and two chairs will be provided for each applicant. If additional tables/chairs are required, please indicate how many and for what purpose
*
Privacy Policy
The Arizona Veteran StandDown Alliance(AVSA) has taken several steps to safeguard the privacy of the men and women who have courageously served our country.
Personally Identifiable Information
(PII) collected during registration will not be shared. Any misuse of PII, including unsolicited communications, will result in a ban from future AVSA events. By checking the box below, you agree to follow the PII protocol and report any abuse or misuse of PII to an AVSA representative.
Acknowledgement
*
By checking this box, you and any participating staff/volunteer agree to adhere to the Privacy Policy
Submit
UA-144102645-1
