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Volunteer Information
First Name
Middle Name
Last Name
Nickname
(if used)
Date of Birth
Month
Jan.
Feb.
Mar.
Apr.
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
Gender
Male
Female
Contact Information
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Zipcode
County
Daytime Phone
Evening Phone
Mobile Phone
Email Address
Service History
Are you a Veteran?
Yes
No
Branch of Service (check all that apply)
Army
Navy
Air Force
Marines
Coast Guard
Other
Alternate Contact
First Name
Last Name
Relationship
Mobile Phone
Medical Information
What is your Weight?
What is your Height?
Do you use mobility equipment?
(check all that apply)
Cane
Scooter
Walker
Wheelchair
Wheelchair (Wide)
Can you walk up & down a set of eight bus steps with assistance?
Yes
No
Do you use oxygen at any time?
Yes
No
Do you have a problem walking the length of a football field without assistance?
Yes
No
Have you been diagnosed with memory problems?
Yes
No
Do you have any condition(s) (not mentioned above) or circumstances which might limit your ability to travel with a commercial airline, or could limit your ability to physically participate in this event?
Additional Information
T-Shirt Size
S
M
L
XL
XXL
XXXL
XXXXL
Other
Are you willing to assist all veterans, and are you willing to push any wheelchair?
Yes
No
Can you lift 100 pounds?
Yes
No
Occupation:
Why are you volunteering for Honor Flight?
Please list any prior Volunteer experience:
How did you hear about Honor Flight?
Additional Questions
Volunteer Areas of Interest:
Volunteer guardian (responsible for guardian fee)
Airport ground crew
Meet and greet crew
Reunion committee
Flightless Flight committee Mervyn Sharp Bennion (Payson UT)
Reunion Committee, Flightless Flight George E Wahlen Home (Ogden UT)
Flightless Flight William E Christoffersen (Salt Lake City UT)
Flightless Flight Southern Utah (Ivins UT)
Medical Staff
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