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414-345-4254
3400 W. Wisconsin Ave, Milwaukee, WI 53208
Monday – Friday 8 AM – 5 PM
Donate To CVI
The Center for Veteran's Issues
We offer supportive services to improve the quality of life of current and ex-military personnel
Home
About CVI
About CVI
Board of Directors
Partners
Services
CVI Intake Form
Supportive Services for Veteran Families
Transitional Housing
Homeless Veterans’ Reintegration Program
Permanent Supportive Housing
Organic Therapy
CVI Help App
Events
Contact
CVI Office Locations
Search:
Home
About CVI
About CVI
Board of Directors
Partners
Services
CVI Intake Form
Supportive Services for Veteran Families
Transitional Housing
Homeless Veterans’ Reintegration Program
Permanent Supportive Housing
Organic Therapy
CVI Help App
Events
Contact
CVI Office Locations
CVI Intake Form
Center for Veterans Issues Intake Form
Name
Name
Are you a Veteran?
*
Yes
No
Branch of Service
*
U.S. Army
U.S. Army Reserve
Army National Guard
U.S. Marine Corps
U.S. Marine Corps Reserve
U.S. Navy
U.S. Navy Reserve
U.S. Air Force
U.S. Air Force Reserve
Air National Guard
U.S. Space Force
U.S. Coast Guard
U.S. Coast Guard Reserve
Check all that apply
Did you serve in any Campaigns?
WWII
Korea
Vietnam
Gulf War
Bosnia
Kosovo
OEF
OIF
Inherent Resolve
Check all that apply
Dates of Service Began
*
Entered MM/DD/YYYY
Date of Service Ended
*
Types of Discharge
Honorable
General Discharge Under Honorable Conditions
Other Than Honorable (OTH)
Bad Conduct Discharge (BCD)
Dishonorable Discharge
Entry-Level Separation
Medical Separation
Separation for Convenience of the Government
Do you have a copy of your DD-214?
*
Yes
No
Are you currently homeless?
*
Yes
No
Are you at risk of becoming homeless?
*
Yes
No
Have you been homeless for a year or more?
*
Yes
No
Have you had at least 4 episodes of homelessness in the past 3 years?
*
Yes
No
Are there other services you are in need of?
Please list services
What is the best way to contact you?
*
Email
Cell Phone
Both Email and Cell Phone
Other
If other - Add that contact info. here
What is your email address?
What is your cell phone number?
Twitter
Name
Are you a Veteran?
*
Yes
No
Branch of Service
*
U.S. Army
U.S. Army Reserve
Army National Guard
U.S. Marine Corps
U.S. Marine Corps Reserve
U.S. Navy
U.S. Navy Reserve
U.S. Air Force
U.S. Air Force Reserve
Air National Guard
U.S. Space Force
U.S. Coast Guard
U.S. Coast Guard Reserve
Check all that apply
Did you serve in any Campaigns?
WWII
Korea
Vietnam
Gulf War
Bosnia
Kosovo
OEF
OIF
Inherent Resolve
Check all that apply
Dates of Service Began
*
Entered MM/DD/YYYY
Date of Service Ended
*
Types of Discharge
Honorable
General Discharge Under Honorable Conditions
Other Than Honorable (OTH)
Bad Conduct Discharge (BCD)
Dishonorable Discharge
Entry-Level Separation
Medical Separation
Separation for Convenience of the Government
Do you have a copy of your DD-214?
*
Yes
No
Are you currently homeless?
*
Yes
No
Are you at risk of becoming homeless?
*
Yes
No
Have you been homeless for a year or more?
*
Yes
No
Have you had at least 4 episodes of homelessness in the past 3 years?
*
Yes
No
Are there other services you are in need of?
Please list services
What is the best way to contact you?
*
Email
Cell Phone
Both Email and Cell Phone
Other
If other - Add that contact info. here
What is your email address?
What is your cell phone number?
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