APPLY FOR A TRAVEL AWARD "To each and every one of you that has made the decision to enlist, thank you." - Holli Lewandowski, Board of Directors "*" indicates required fields Step 1 of 5 20% Tell us about yourself:Your Name* First Last Which of these describe you (pick one).* I have enlisted in the military and I am serving on active duty. I will be entering the military after high school. Military Branch*Choose your branchAir ForceAir National GuardArmyArmy National GuardArmy ReserveCoast GuardMarine CorpsMarine Corps ReserveNavyNavy ReserveSpace ForceEmail where we can reach you regarding your application*You will receive an automated email after successfully completing this application. This is also how we will contact you regarding the status of your application. PLEASE PROVIDE A PERSONAL EMAIL. Email addresses ending in ".mil" tend to be filtered out as spam and make it more difficult for us to contact you. I understand I have provided a military email address that may prevent me from receiving emails from the Ben Jackson Foundation.* Yes I have provided a personal email Phone*Can we text you at the above phone number from the United States?* Yes No Alternate ContactWho should we contact about your application if we cannot get ahold of you?AlternateContactName*Name of person we can contact about the status of your application if we are unable to reach you. Alternate Contact Phone Number*Phone number (preferably in the United States) that we can use to reach your Alternate Contact.Alternate Contact Email* Email that we can use to reach your Alternate Contact.HiddenHigh School Graduation Class (Year)* Active Duty MilitaryHave you been in the military less than 4 years?*Those in the military more than 4 years are not eligible. Yes No The Ben Jackson Foundation Ticket Home program is geared towards those who are newly enlisted in the military. To be eligible, you must be in the military less than four years.When did you (or will you) start basic training?* MM slash DD slash YYYY HiddenMilitary Service Verification FormAccepted file types: jpg, png, pdf, Max. file size: 100 MB.Please upload the Military Service Verification Form you downloaded from the "Before You Begin"Are you currently at Tech School/A-School/AIT/MCT/MOS School?* Yes No Where are you currently stationed?*(Pick One)29 PalmsAl Udeid Air BaseAltus Air Force BaseAmari Air BaseAndersen Air Force BaseAnkara Support FacilityArnold Air Force BaseAscension Island Auxiliary AirfieldAviano Air BaseBarksdale Air Force BaseBeale Air Force BaseBellows Air Force StationBüchel Air BaseBuckley Air Force BaseCamp CaseyCamp CourtneyCamp DarbyCamp HansenCamp HumphreysCamp KinserCamp LejeuneCamp LemonnierCamp PendletonCamp SimbaCamp ZamaCâmpia Turzii (71st Air Base)Cannon Air Force BaseCape Canaveral Space Force StationCape Cod Air Force StationCavalier Air Force StationChabelley AirfieldCheyenne Mountain Air Force StationChièvres Air BaseClear Air Force StationCNATTU OceanaColumbus Air Force BaseCreech Air Force BaseDavis–Monthan Air Force BaseDover Air Force BaseDyess Air Force BaseEareckson Air StationEastern Air Defense SectorEdwards Air Force BaseEglin Air Force BaseEielson Air Force BaseEinsiedlerhof Air StationEllsworth Air Force BaseFairchild Air Force BaseFort BenningFort BlissFort BraggFort CampbellFort CarsonFort DrumFort George G. MeadeFort HoodFort KnoxFort LeavenworthFort Leonard WoodFort LewisFort MeadeFort PolkFort RileyFort RuckerFort Sam HoustonFort SillFort WainwrightFrancis E. Warren Air Force BaseGhedi Air BaseGila Bend Air Force Auxiliary FieldGoodfellow Air Force BaseGrand Forks Air Force BaseHanscom Air Force BaseHill Air Force BaseHolloman Air Force BaseHomey AirportHurlburt FieldIncirlik Air BaseIzmir Air StationJoint Base Anacostia-BollingJoint Base Andrews-Naval Air Facility WashingtonJoint Base CharlestonJoint Base Elmendorf-RichardsonJoint Base Langley–EustisJoint Base Lewis-McChordJoint Base McGuire–Dix–LakehurstJoint Base Pearl Harbor-HickamJoint Base San AntonioKa’ena Point Satellite Tracking StationKadena Air BaseKapaun Air StationKeesler Air Force BaseKegelman Air Force Auxiliary FieldKing Salmon Long Range Radar SiteKirtland Air Force BaseKleine Brogel Air BaseKunsan Air BaseKwangju (Gwangju) Air BaseLajes FieldLandstuhl Regional Medical CenterLaughlin Air Force BaseLittle Rock Air Force BaseLos Angeles Air Force BaseLuke Air Force BaseMacDill Air Force BaseMalmstrom Air Force BaseMarine Corps Air Station FutenmaMarine Corps Air Station IwakuniMarine Corps Base HawaiiMaxwell Air Force BaseMCAS FutenmaMCAS IwakuniMcConnell Air Force BaseMcEntire Joint National Guard BaseMinot Air Force BaseMisawa Air BaseMoody Air Force BaseMorón Air BaseMountain Home Air Force BaseNAB CoronadoNAS JacksonvilleNAS JRB Fort WorthNAS Key WestNAS LemooreNAS OceanaNAS RotaNAS SigonellaNAS Whidbey IslandNATO Air Base GeilenkirchenNaval Air Facility MisawaNaval Air Station PensacolaNaval Base GuamNaval Base Point Loma AnnexNaval Base White BeachNaval Construction Battalion Center GulfportNaval Station EverettNaval Station Rota, SpainNaval Support Facility Diego GarciaNavy Medicine Readiness and Training CommandNellis Air Force BaseNew Boston Air Force StationNMRTC San DiegoNorfolk Naval ShipyardNorth Auxiliary AirfieldNSA Hampton RoadsNSA BahrainNSA LakehurstOffutt Air Force BaseOsan Air BasePatrick Space Force BasePaya Lebar AirbasePentagonPeterson Air Force BasePillar Point Air Force StationPope FieldPrince Sultan Air BaseRAF AkrotiriRAF AlconburyRAF Barford St JohnRAF CroughtonRAF FairfordRAF FeltwellRAF LakenheathRAF Menwith HillRAF MildenhallRAF MolesworthRAF WelfordRamstein Air BaseRobins Air Force BaseRome Research SiteSaseboSchofield BarracksSchriever Air Force BaseScott Air Force BaseSeymour Johnson Air Force BaseShaw Air Force BaseSheppard Air Force BaseSpangdahlem Air BaseStavangerSupreme Headquarters Allied Powers EuropeThule Air BaseTinker Air Force BaseTonopah Test Range AirportTravis Air Force BaseTyndall Air Force BaseUnited States Air Force AcademyUS Army Garrison AnsbachUS Army Garrison BaumholderUS Army Garrison BavariaUS Army Garrison HohenfelsUS Army Garrison ItalyUS Army Garrison Rheinland-PfalzUS Army Garrison StuttgartUS Army Garrison WiesbadenUSAG Bavaria, GarmischUSAG Bavaria, HohenfelsUSAG Daegu Army BaseUSAG KaiserslauternUSCGC BearVance Air Force BaseVandenberg Space Force BaseVolkel Air BaseWake Island AirfieldWheeler Army AirfieldWhiteman Air Force BaseWright-Patterson Air Force BaseYokosuka Naval BaseYokota Air BaseOtherIf your duty station is not listed, please choose "Other" at the bottom of the list.You have not chosen a duty station. Please pick one from the list above.* My Duty Station is not on the list above. Duty Station (if not in list above):* Date arrived at Current Duty Station* MM slash DD slash YYYY Your military address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands High SchoolName of your high school* GraduationDate MM slash DD slash YYYY Your Address* Street Address Address Line 2 City State Zip Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands What is the timeframe of your trip?*Choose the month when you plan to arrive home.(Choose month and year)February of 2023March of 2023April of 2023May of 2023June of 2023July of 2023August of 2023September of 2023October of 2023November of 2023December of 2023January of 2024UnsureHiddenTell us about your plans to come home.* I have specific dates when I know I'm coming home. I have a rough idea of when I'd like to come home. I don't know when I will be able to come home. HiddenWhat will be your first day home?*Approximate date is OK if you only have a rough idea. MM slash DD slash YYYY HiddenPlease tell us about your situation* Will this be your first trip home since arriving at your current duty station?* Yes No Last Trip Home*What day did you return from your last trip home? MM slash DD slash YYYY Are you taking this trip due to an unforeseen family emergency?* Yes No If this is an emergent situation and your application should be process ASAP, please have someone in your chain of command reach out to us at contact@benjacksonfoundation.org.Will your trip begin or end OUTSIDE the United States?* Yes No Unknown Have you had leave approved yet?* Yes No HiddenHave you purchased your plane ticket?* Yes No I'm driving home. Home address (where you plan to visit).* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands HiddenHow did you hear about us?(Pick One)FacebookInstagramSomeone in the militaryCivilian friendSchoolFamilyOtherHow will a Ben Jackson Foundation Ticket Home Award benefit you?*Why did you enlist in the military?*Why did you choose your branch of the military?*What is your job in the military?*Give us your AFSC, Rate, or MOS. Any additional comments you would like to include:Have you read our FAQs?*Please confirm you have read the Ben Jackson Foundation FAQs prior to submitting this application. I have read the FAQs Mailing List Add me to your mailing list If selected, I agree to fill out a survey after my trip to provide additional information that will help the Ben Jackson Foundation raise money for future recipients.* Yes No If selected, I give the Ben Jackson Foundation permission to publish my name, home state, and duty station on it's website, social media pages and newsletters.* Yes No NameThis field is for validation purposes and should be left unchanged. Follow us on social media! Travel Award Application Ben Jackson Foundation PO Box 818 New Glarus, WI 53574 (608) 302-6197 contact@benjacksonfoundation.org Ticket Home Eligibility Apply Nominate an EnlisteeNews News MediaAbout About Ben Jackson Foundation FAQs Volunteer TributesBen JacksonContactApplyShopDONATE Ben Jackson Foundation PO Box 818 New Glarus, WI 53574 (608) 302-6197 contact@benjacksonfoundation.org Follow Us Ticket Home Eligibility Apply Nominate an EnlisteeNews News MediaAbout About Ben Jackson Foundation FAQs Volunteer TributesBen JacksonContactApplyShopDONATE
