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For Heroes
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Our Mission
FAQ

See If You Qualify

Hero Eligibility Application

Thank you for your interest in our hero-based programs and benefits. This application is used to verify eligibility. Submission does not guarantee approval or benefits. All information is subject to review and verification.

Applicant Information

First Name *

Last Name *

Phone *

Email *

City

State

Postal Code

Hero Category

Which category best describes you? *

Firefighter

EMS / Paramedic

Law Enforcement

Military (Active Duty)

Veteran

Healthcare Professional

Educator

Other

Write category

Employer / Organization Name: *

Job Title / Rank:

Years of Service:

Employment / Service Status

Current Status *

Active

Retired

Volunteer

Veteran

Employment Type

Full-Time

Part-Time

Are you currently employed or actively serving in this role? *

Yes

Transaction Information (If Applicable)

Are you currently working with a real estate agent? *

Yes

Agent Name (if applicable):

Are you:

Buying

Selling

Both

Agent phone number (applicable)

Expected Timeframe

0–3 months

3–6 months

6+ months

Eligibility Verification (Required)

What type of proof do you have available? *

Government or employee ID

Badge

Letter of employment

Certification or license

Pay stub

DD214 (Veterans)

Other

Preferred method of verification

Secure upload (add below)

File Upload 1kzt

Program Understanding & Acknowledgments

Please review and acknowledge the following *

I understand that program benefits are subject to eligibility requirements and program terms.

I understand that submission of this application does not guarantee approval or benefits.

I understand that this program is not a referral program.

I understand that lenders and third parties are not affiliated unless explicitly disclosed.

Additional Information

Is there anything else you would like us to know?

Applicant Certification

By hitting submit below, I certify that the information provided is accurate and truthful to the best of my knowledge. I understand that providing false or misleading information may result in disqualification from program participation.

517 Luzerne Ave Suite 1A

West Pittston, Pa 18643

(570) 212-9218

[email protected]

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