Gary Sinise Foundation's Letter of Recommendation Form

As part of the Gary Sinise Foundation's (GSF) standard application screening process, GSF is requesting a letter of recommendation to enhance consideration of eligibility for a Specially Adapted Smart Home. GSF may use the information contained in these letters of recommendation, in part, to assist in deciding who to select as a participant for the program.

If we at GSF have any further questions about the applicant, we may reach out to you for clarification.

Who Are You Referring?

First Name

Last Name

Your Contact Information

First Name

Last Name

Relationship to Applicant

Email Address

Phone Number

What is Your Availability, Should We Need To Contact You? Please Include Day(s) of the Week & Time(s) of Day.

Your Time Zone

Referral Information

Are You:

Military / First ResponderCivilian

Please Select Your Respective Service

MilitaryFirst Responder

Your Branch

Your Rank & MOS

Total Years Served

Name of Department

Your Title / Position

Total Years Served

Instructions

The Gary Sinise Foundation's R.I.S.E. Program was established to provide wounded veterans/first responders and their families with the necessary resources to overcome their new life challenges. Through R.I.S.E. (Restoring Independence, Supporting Empowerment), we are committed to supporting our nation's wounded heroes increase their mobility, independence, and overall quality of life in gratitude for their service.

Please describe your relationship with the servicemember and reasons why you believe they would be a great candidate for the Gary Sinise Foundation's customized Specially Adapted Smart Home.

To help you get started, please consider sharing the following:

1. How you first met
2. Where you spent most of your time with the service member
3. The lasting impact/impression they have left on you, since you first met
4. What you believe a smart home would mean to them

Prompt