Program Application Form

Operation Hug-A-Hero® provides the Hug-A-Hero® dolls to families based on the following criteria (listed in order of priority). If you feel the family you would like to recommend does not meet this criteria, Hug-A-Hero® dolls may be purchased by going to www.hugahero.com.

Families of fallen heroes

A family with a community services referral (e.g. Chaplain, Family Services Coordinator, School Counselor, etc.)

Children with special needs registered with the EFM program

Household income

Number and age of children in household

Date of deployment

Length of deployment

Hug-A-Hero Program Application Form

Tell Us About Yourself:

Your Name:(required)
Address:(required)
City:(required)
State:(required)
Zip:(required)
Phone:(required)
Alternate Phone:
Email (valid email required)
Relationship to the Family being Referred:(required)

Tell Us About the Family You are Referring:

Fallen Hero Nomination:(required)
Family Name:(required)
Address:(required)
City:(required)
State:(required)
Zip:(required)
Phone:(required)
Alternate Phone:
Email Address:
Branch of Service or other Affiliation:(required)
Pay Grade:(required)
Years of Service:(required)
To determine Pay Grade by Associated Military Rank: please click on the link Military Rank Associations

Command Assignment or Area of Operations:(required)
Deployment Date:(required)
Length of Deployment or Assignment:(required)
Tell us About the Family:(required)
Number of dependent children:(required)
Doll Recipients:(required)
How did you hear about US ?(required)
other: cont
CC me
Visitor verification * (required)

cforms contact form by delicious:days

Program Application Form

Hug-A-Hero Program Application Form

Any amount donated will help keep a family close.

Event(s) Registration

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