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Military Marriage Resource Assistance

Military Marriage with Tommy Nelson
September 8-10, 2017

Cove Active-Duty Military Resource Assistance Form

Submit this form to apply for Cove active-duty military resource assistance.  If you need immediate help, please call 1-800-950-2092.

Please Note: To allow us to assist a larger number of military personnel, resource assistance is limited to two events per calendar year, per participant.*  (Married couples may attend one Military Marriage seminar and one non-military seminar per year.)  Military Marriage seminars are limited to couples united under the biblical definition of marriage as described in BGEA’s statement of faith.

Your Information

First Name:

Last Name:

Rank (Title) & Branch:

Year of Birth:

Address:

City:

State:

ZIP Code:

Home Phone Number:
(example format: 800-950-2092)

Cell Phone Number:
(example format: 800-950-2092)

Email Address  (Please do not use Military email address):

Confirm Email Address:


Are you a chaplain?



How did you hear about the Military Resource Assistance Program?


Spouse Information*  (if applicable)

* Active-duty military service member and spouse (if attending) must be registered jointly. Resource assistance will not be awarded to spouse alone.

Spouse First Name:

Spouse Last Name:

Spouse Year of Birth:


Military Resource Assistance Eligibility Requirements

(Assistance awards limited to active-duty military personnel and spouses only. Maximum award of 2 per year, per person.)

Are you currently on Active-Duty?



If Reservist or National Guard, are you still deployable?



Are you now, or have you previously been, Deployed/Mobilized in the Global War on Terror?


If 'Yes', please list general area of Deployment/Mobilization:


Please tell us where you are currently stationed: