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Woman Veteran Strong Application
Signature Small Group + Wellness Coaching
powered by Others Over Self®
This form has 5 sections. It is designed to be completed by memory in 3-minutes or less.
Space is limited and participation in this program is at the sole discretion of the Program Facilitators. After submitting your application, you will be notified shortly (via email) regarding application status.
Approved applicants receive immediate access to these three member benefits, as part of the the Others Over Self Society:
♦ Woman Veteran Strong Small Group Coaching
♦ Healthy Habits Small Group Wellness Coaching
♦ Woman Veteran Strong Member Portal + App
Section 1 ~ The Basics
Program Terms
Program participants are expected to attend small group coaching meetings, once per month (virtual attendance is offered).
Membership may be terminated due to lack of participation and/or adherence to program guidelines.
Additional group gathering opportunities are optional and event fees for WVS Members are typically covered (unless otherwise noted).
Membership may be terminated due to lack of participation and/or adherence to program guidelines.
Additional group gathering opportunities are optional and event fees for WVS Members are typically covered (unless otherwise noted).
As an individual who has experience serving in the US military, I commit myself to furthering the values of such as they are reflected in the ideals and principles of this program. To the best of my ability, I will:
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Refrain from harming myself or others.
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Respect and support others in their task of self care.
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Respect members and support staff, and support them in maintaining the Program Guidelines.
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Serve as a positive advocate for female military in [the] community and society.
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Engage in an ongoing process of self-reflection, realizing that personal characteristics, biases, and beliefs have an impact on others.
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Be coachable, open to new ideas, and willing to learn from the suggestions of others.
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Continue to learn, grow, and contribute as a member.
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Honor the ideals and principles of this program.
Note: This Statement of Commitment is not part of the Code but is a personal acknowledgment of the individual’s willingness to embrace the distinctive values and moral obligations of this program. It is a recognition of the moral obligations that lead an individual to become part of a cohesive and healing community.
In addition, I commit to full participation in this program and agree to attend the required meetings, in accordance with program guidance. I will stay in regular contact with my Coach or risk being removed from the program.
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Refrain from harming myself or others.
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Respect and support others in their task of self care.
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Respect members and support staff, and support them in maintaining the Program Guidelines.
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Serve as a positive advocate for female military in [the] community and society.
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Engage in an ongoing process of self-reflection, realizing that personal characteristics, biases, and beliefs have an impact on others.
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Be coachable, open to new ideas, and willing to learn from the suggestions of others.
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Continue to learn, grow, and contribute as a member.
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Honor the ideals and principles of this program.
Note: This Statement of Commitment is not part of the Code but is a personal acknowledgment of the individual’s willingness to embrace the distinctive values and moral obligations of this program. It is a recognition of the moral obligations that lead an individual to become part of a cohesive and healing community.
In addition, I commit to full participation in this program and agree to attend the required meetings, in accordance with program guidance. I will stay in regular contact with my Coach or risk being removed from the program.
This program teaches forward-thinking content in each group coaching session. Then, we reinforce this lesson throughout the month through text messaging. We only send event reminders and positive, engaging messages to your mobile device (with your permission, of course!).
As part of our program, we will send you regular text messages through our partners Others Over Self® and Mission Ambition, LLC, to help recognize, teach, communicate, listen to, and inspire you.
We will send 1-5 program messages per month. Message and data rates may apply, depending on your mobile phone service plan. At any time you can opt out completely by replying STOP. Mobile Terms of Use and Privacy Policy can be found here: https://othersoverself.com/privacy/
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Section 2 ~ Your Lifestyle
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Section 3 ~ Your Military Career
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Choose your service branch
Check to share which military service branch you served in throughout your career. Multiple check boxes are allowed.
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Check to share which era you served in throughout your career. Multiple check boxes are allowed.
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Choose your discharge type
Check to share which discharge type you received. If you received more than one throughout your career, multiple check boxes are allowed. This information is private and is used to assist in resource and benefit referrals.
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What did you do in the military?
Would you like to share with us what your job was?
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Our systems are HIPPA compliant and all information remains confidential. This data helps us to better serve military women at no cost.
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Choose your insurance type
Check to share which type of insurance you currently have. Multiple check boxes are allowed.
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Do you have a mental health diagnosis?
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Do you have a Substance Use Disorder Diagnosis?
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Section 5 ~ Our Promises to You
Program Nondiscrimination Statement
Program Nondiscrimination Statement: people associated with Woman Veteran Strong, Others Over Self and Mission Ambition, LLC, will not exclude from participation in, deny benefits of, or discriminate against any individual or group because of race, sex, religion, age, national origin, color, height, weight, marital status, gender identification or expression, sexual orientation, partisan considerations, or a disability or genetic information that is unrelated to the person’s eligibility.
Privacy Policy + Terms and Conditions
This privacy notice discloses the privacy practices for this Female Veteran Peer Support Group program. This privacy notice applies solely to information collected by this application and the host website. It will notify you of the following:
- What personally identifiable information is collected from you through the website, how it is used and with whom it may be shared.
- What choices are available to you regarding the use of your data.
- The security procedures in place to protect the misuse of your information.
- How you can correct any inaccuracies in the information.
Information, Collection, Use and Sharing
We are the sole owners of the information collected on this form. We only have access to/collect information that you voluntarily give us via email or other direct contact from you or from your Veteran Navigator in the Walking With Warriors program. We will not sell or rent this information to anyone.
We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request, e.g. to ship an order.
By submitting this form, you grant consent and agree to both the full Privacy Policy and Terms and Conditions documents published on this webpage: https://othersoverself.com/privacy/
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