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Arizona Veterans StandDown Alliance
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BECOME A STANDDOWN
StandDown Service Provider Application
If you're interested in being a service provider for the 2021 Maricopa County StandDown, please complete the application below.
For questions or concerns contact Barb Sesate at email@example.com or 480-510-1323.
Indicates required field
Brief description of services offered
Number of Tables Requested
Number of Chairs Requested
Any special needs:
While participating in events held or sponsored by the AVSA “social distancing” must be practiced and face coverings worn at all times to reduce the risks of exposure to COVID-19. Because COVID-19 is extremely contagious and is spread mainly from person-to-person contact, AVSA has put in place preventative measures to reduce the spread of COVID-19. However, AVSA cannot guarantee that its participants, volunteers, partners, or others in attendance will not become infected with COVID-19. By checking the box below, the participant agrees to release, waive and forever discharge any and all liability, claims, and demands of whatever kind or nature against the AVSA and its affiliated partners, providers and sponsors, including in each case, without limitation, their directors, officers, employees, volunteers, and agents.
I and any participating staff/volunteers agree to abide by the COVID-19 waiver.
The Arizona Veteran StandDown Alliance takes the privacy of our veterans seriously. As such, we will not allow any participating service provider at StandDown access to Personally Identifiable Information (PII) collected during registration at the event. Follow-up contact with veterans attending the event should only occur if that veteran has authorized the service provider to do so. Unsolicited follow-up requests by service providers to veteran attendees will not be tolerated; any provider found in violation of this request will be barred from future AVSA events. By checking the box below, you agree to follow PII protocol. In addition, service providers are requested to report any abuse or misuse of PII to an AVSA representative. We appreciate your ongoing support of the Maricopa StandDown and honoring the privacy of our men and women who have served our country so bravely.
Privacy Protocol Acknowledgement
This year, at the request of our primary funder AZDVS, all service providers need to register on the Be Connected network as a resource for veterans in our community.
When you hit Submit you will be linked to the Be Connected registration page.
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Phoenix, AZ 85014
2019. Arizona Housing Coalition is a 501(c)(3) non-profit Federal Tax ID#: 86-0909029
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