Interested in this program? Apply here.

Name(Required)

First Last

Email(Required)

Phone(Required)

Branch of Service(Required)

Service Start Date(Required)

Discharge Date(Required)

Service Connected Disability?(Required)

Yes

No

Left or Right handed?(Required)

Left-handed

Right-handed

Reason why you think this program would help you.(Required)

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2595 Arlington Ave 2^nd Floor
Toledo, OH 43614

Monday-Friday, 8:30 a.m. - 4 p.m.*
*Closed on all federal holidays

(419) 213-6090