Completing this application is the first step in being considered for placement in a 2019 theraputic fly-fishing experience.
PLEASE READ every section in their entirety and answer accordingly.
We thank you for your service to our country and for your interest in Warriors and Quiet Waters (WQW).
This process may include a brief phone interview, further questions, and additional emails.
Prompt responses to additional questions are appreciated.
Selection for our program is not guaranteed even if all program criteria is met. Selection is at WQW's discretion and we appreciate your understanding.
* If you are the Caregiver of a service member and applying for our Caregiver Fishing Experience (FX) please fill in with YOUR name and contact information.
Under the "PERSONAL/MILITARY" information section, please fill in for your care recipient.
Please state in the ADDITIONAL COMMENTS section that you are applying as a Caregiver.*
**Name as it appears on Federal or State Identification Card**
The next question asks to list any *COMBAT RELATED* wounds or conditions. "Combat Related" is defined as wounds or diagnosed conditions that are a direct result of enemy contact (conditions include PTSD and TBI); NOT an illness, injury or condition acquired while deployed, in training, or CONUS.
If you are NOT active duty, please answer the following question:
Please send your DD214 MEMBER-4 AT THE TIME OF APPLICATION SUBMISSION. Your selection evaluation WILL NOT begin until a DD214 or other service documentation has been received.
**ACTIVE DUTY - Please state in the additional comments if you have an updated ERB, SRB or similar on hand to submit.
Both Active and separated, please feel free to omit your Social Security and DOB when submitting but please know that we take personal records very seriously and your personal identifying information will not be shared with any other entity or person and is all stored securely
ALSO, please send over a CURRENT PHOTO of yourself.
Methods of sending include:
Email the document(s) and photo to firstname.lastname@example.org or email@example.com upon completion of this application.