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.
Rank (Title) & Branch:
Year of Birth:
Select a State
Armed Forces Africa
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
District of Columbia
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:
A Ministry of Billy Graham Evangelistic Association, a registered 501(c)(3) non-profit organization
1 Porters Cove Road, Asheville, North Carolina, 28805 Toll Free (800) 950-2092 • Local (828) 298-2092
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