soldiers

Help A Hero

MG 20-20 has taken an active role in providing direct assistance to soldiers and their families as needs arise. We have personally helped over a dozen soldiers and their families since incorporating this mission and are currently searching for Louisiana soldiers injured after September 11, 2001, while serving our great nation who may need help from MG 20-20.

The foundation is currently searching for wounded soldiers from the state of Louisiana who were injured after September 11, 2001, while serving our great nation. The application is to be filled out by the service member or immediate family member. The foundation is dedicated to giving physical items but depending on the situation may consider a monetary donation. Applications will be reviewed and considered by the foundation board.

You can also download the Soldier Application in PDF format and when completed Fax to 866.615.2442 or Mail to: 139 B James Comeaux Rd. #568, Lafayette, LA 70508.

Soldier Application Information

Your Name(required)
Date Of Birth
Street Address
City,State,Zip
Home Phone
Cell Phone
Gender
Martial Status
Number of Children
E-mail Address(valid email required)

Military Service

Branch
Rank
Current Military Status
Which conflict did you participate in?
Discharged
If So Date of Dischage
Type of Discharge
Have you been awarded any Medals?
Date of Injury
Disability rating or estimated disability rating
Please state the type of injuries you sustained and explain how they were incurred

Health/Misc. Information

Do you require a wheelchair?
If so how often is it used?
Do you have traumatic brain injury?
Do you have hearing loss?
Do you have vision loss?
Do you have post traumatic stress disorder?
Are you experiencing any financial difficulties?
If so, please explain
What type of assistance are you requesting? Please be specifici.e. handicap bathtub, wheelchair, medical expenses, etc.
May we contact you for more information?

Disclaimer

I certify that my answers are true and complete to the best of my knowledge.
If completed by family member, please put your name and relationship to soldier:

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