Apply

APPLY TO VETV

Thank you for your interest in VETV! Please read the points below before filling out the application. A member of the VETV team will contact you days with information about further application steps.

Please note that before acceptance into VETV programming, all veteran applicants must meet with VA psychologist C. Paige Brown, Psy. D.
If you would prefer to fill out this application with a member of the VETV team, please email us at apply@veterans-tv.org and someone will get back to you.
If you would prefer to fill out this application by hand, you may download it here. You can send it by mail to 15214 Pammy Way, Grass Valley, CA 95949 ATTN: Student affairs, or email it to apply@veterans-tv.org.

CHOOSE ALL THAT APPLY *

I am a Veteran My spouse/family member is an active military member or Veteran I am the dependent of an active military member or Veteran I am not a Veteran, but I am interested in the program

* Indicates required field

NAME OF APPLICANT: *

First

Last

PREFERRED NAME, IF ANY *

NAME OF MILITARY MEMBER OR VETERAN (IF OTHER THAN YOURSELF) *

RELATION *

DATE OF BIRTH *

PHONE NUMBER *

GENDER *

PRONOUNS *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

YEARS SERVED *

VETERAN OF WHICH BRANCH *

RANK ACHIEVED *

REASON FOR LEAVING SERVICE *

ILLNESS, INJURY OR OTHER MEDICAL ISSUES THAT MAY AFFECT OR LIMIT YOUR ABILITY TO WORK? *

WORK SPECIALTY IN SERVICE *

PLEASE BRIEFLY DESCRIBE YOUR WORK EXPERIENCE BEFORE, DURING, AND AFTER YOUR SERVICE. PLEASE SPECIFY ANY LEADERSHIP OR MANAGERIAL EXPERIENCE. *

PLEASE TELL US WHY YOU WOULD LIKE TO APPLY TO VETV *

DO YOU CURRENTLY HAVE A JOB? *

Full Time Part Time Not at this time

WOULD YOU LIKE RESOURCES REGARDING HOUSING ASSISTANCE IN GRASS VALLEY, CA? *

Yes No

ARE YOU CURRENTLY UTILIZING THE SERVICES OF THE VETERANS ADMINISTRATION? IF YES, PLEASE EXPLAIN. *

DO YOU HAVE ANY QUESTIONS OR COMMENTS? *

Submit

​Apply to VETV

​​APPLY TO VETV

Apply to VETV

APPLY TO VETV