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Candidate Information

Does candidate have a clean driving record?*
Is Candidate Employed?*
Does candidate own a vehicle?*
Does candidate or family member have any disabilities?*

Military info (if applicable)

Deployment
Will you be attaching a DD214 form?
If selected as a finalist, candidate consents to a background check (REQUIRED). All information submitted will remain confidential.*
If selected as a recipient, is candidate willing to sign a media consent form to share story and allow use of name and images. (NOT REQUIRED TO BE SELECTED)

Document Upload (optional)

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Max. 2mb
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Max. 2mb
Marketing & Future Promotions. The check box affirms my consent to receive additional marketing and promotional information from Caliber and its family of Brands (Caliber Auto Care, Caliber Auto Glass and Caliber Collision) via email. I understand that my decision to receive marketing information is not a condition of receiving service and in no way affects the service Caliber or its affiliates will provide me. I can opt out of receiving marketing information at any time by clicking the unsubscribe link included in any email or by writing Caliber, Attention: Email Marketing Unsubscribe, 2941 Lake Vista Dr., Lewisville, Texas 75067.
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