HOM Workshop for Women Veterans Application

HEALING OF MEMORIES FOR Women VETERANS Application

May 15-17, 2026

The Healing of Memories workshop is for women veterans who have experienced emotional, psychological and spiritual distress – in their personal or professional lives. This workshop provides a safe, confidential environment, the ideal setting to help participants take the necessary steps toward healing.

THE WORKSHOP IS FREE FOR QUALIFIED WOMEN VETERANS.

Space is limited. Applicants will be contacted well in advance to confirm their participation. Your next contact will be from your workshop coordinator.

Name *

First

Last

Email *

Phone *

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Branch of Service or Unit Served

Your current or most recent service.

Dietary Preference *SelectNoneGluten FreeVeganVegetarian

Identify dietary preferences for meals.

Gender *

• Female
• Male

Space is limited; this info is for assigning roommates by gender.

Include a second participant? *

• Yes
• No

Second Guest Name *

First

Last

Second Guest Email *

Second Guest Phone *

Second Guest Dietary Preference *SelectNoneGluten FreeVeganVegetarian

Identify dietary preferences for meals.

Branch of Service or Unit Served

Second Guest current or most recent service.

Comments or Questions

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