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iava Sign Up Information

Last Updated:

11/2/2019

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Email Address

Your Name

First Name, Last Name

Your Address

Home Address, City, State, County, Zipcode

Phone Number

Phone

Post-Registration Data

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This site did not show evidence of storing passwords in plaintext.

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This site did show a clear way to unsubscribe from their emails

This site does verify your email address.

Membership Emails

Below is a sample of the emails you can expect to receive when signed up to iava.

Follow up from IAVA...
Re: Follow up from IAVA...

Samuel,

My name is Ashley Wegmann and I am reaching out from IAVA�s Rapid Response Referral Program. I am reaching out to follow up with you regarding your request for assistance. Is there a time that you can connect by phone to discuss what we can do to assist? If so, what is the best phone number to reach you at? Also, what are some times that work best for you to connect by phone? I am happy to schedule a call for when we are both available. If you prefer email, that works as well. Please let me know your preference.

I am also providing you with our Frequently Asked Questions page for your review: https://iava.org/rrrp-faqs/�

If you have any questions or concerns, please do not hesitate to reach out. My office hours are Monday through Friday 10am to 6pm ET.

All the best,
Ashley
--

Ashley Wegmann, LMSW

Director, Client Services�

Iraq and Afghanistan Veterans of America (IAVA)

85 Broad Street,16th Floor

New York, NY 10004

Phone:�347-746-5066

Fax: 917-591-0387�

Email:�ashleyw@iava.org

IAVA�|�Twitter�|�Facebook�|�Instagram

Please note our new NYC HQ address above.

If you are currently experiencing a crisis please call the Veterans Crisis Line at 1.800.273.8255, and press 1 or text 838255. Alternatively, use the Crisis Text Line by texting �RISING� to 741741.�For immediate shelter please call the National Call Center for Homeless Veterans at 1.877.424.3838.

IAVA has been making historic�impacts�on behalf of the veteran community for over a decade.�Help support our fight!

Samuel,

�

I hope this email finds you well. I am writing to follow up with you to determine if you are still interested in receiving assistance. If so, is there a time that you can connect by phone to discuss what we can do to assist? What is the best phone number to reach you at? I am happy to schedule a call for when we are both available. If you prefer email, that works as well. Please let me know your preference.

�

All the best,

Ashley

On Mon, Nov 4, 2019 at 2:46 PM Ashley Wegmann <ashleyw@iava.org> wrote:

Samuel,

My name is Ashley Wegmann and I am reaching out from IAVA�s Rapid Response Referral Program. I am reaching out to follow up with you regarding your request for assistance. Is there a time that you can connect by phone to discuss what we can do to assist? If so, what is the best phone number to reach you at? Also, what are some times that work best for you to connect by phone? I am happy to schedule a call for when we are both available. If you prefer email, that works as well. Please let me know your preference.

I am also providing you with our Frequently Asked Questions page for your review: https://iava.org/rrrp-faqs/�

If you have any questions or concerns, please do not hesitate to reach out. My office hours are Monday through Friday 10am to 6pm ET.

All the best,
Ashley
--
Ashley Wegmann, LMSW
Director, Client Services�
Iraq and Afghanistan Veterans of America (IAVA)
85 Broad Street,16th Floor
New York, NY 10004
Phone:�347-746-5066
Fax: 917-591-0387�
Email:�ashleyw@iava.org
IAVA�|�Twitter�|�Facebook�|�Instagram
Please note our new NYC HQ address above.

If you are currently experiencing a crisis please call the Veterans Crisis Line at 1.800.273.8255, and press 1 or text 838255. Alternatively, use the Crisis Text Line by texting �RISING� to 741741.�For immediate shelter please call the National Call Center for Homeless Veterans at 1.877.424.3838.

IAVA has been making historic�impacts�on behalf of the veteran community for over a decade.�Help support our fight!

Ashley Wegmann, LMSW

Director, Client Services�

Iraq and Afghanistan Veterans of America (IAVA)

85 Broad Street,16th Floor

New York, NY 10004

Phone:�347-746-5066

Fax: 917-591-0387�

Email:�ashleyw@iava.org

IAVA�|�Twitter�|�Facebook�|�Instagram

Please note our new NYC HQ address above.

IAVA has been making historic�impacts�on behalf of the veteran community for over a decade.�Help support our fight!

Raw Data Registration Structure Registration Form Text

Registration

Yes

First name

Last name

Title

Phone

Home address

City

State

County

Zipcode

Gender

Please review our terms before completing our intake form. Thank you for reaching out to IAVA�s Rapid Response Referral Program (RRRP). Below are our intake questions which will help us determine how we can best assist you. All of your responses are confidential unless you express intent to harm yourself or someone else. Thank you again for reaching out and we look forward to working with you. Someone from our RRRP Team will be in touch within 1-2 business days. With that in mind, please submit this for

Yes

Please select...

Please enter your date of birth in the format mm/dd/yyyy. Gender

Male

Please select...

Please select... American Indian / Native American Asian Black / African American Hispanic / Latino Pacific Islander White (Not Hispanic / Latino) Other Military Information Select the option that best applies to you.

I am a veteran or am acting as proxy for a veteran.

Please select...

Enter your rating without any symbols (i.e. if your rating is 20%, you will enter 20) Are you receiving VA Disability compensation?

Yes

Please enter only a decimal number with no other symbols. Are you receiving Combat Related Special compensation?

Yes

Please enter only a decimal number with no other symbols. Are you receiving retirement income from the military?

Yes

Please select...

Please select... Did not graduate High school Some college 2 year degree 4 year degree Masters degree Ph.D. degree Trade school graduate Have you utilized your VA educational benefits (Montgomery GI Bill, Post 9/11 GI Bill, or Voc Rehab)?

Yes

Please select...

Enter his/her rating without any symbols (i.e. if his/her rating is 20%, you will enter 20) Does he/she receive VA Disability compensation?

Yes

Please enter only a decimal number with no other symbols. Does he/she receive Combat Related Special compensation?

Yes

Please enter only a decimal number with no other symbols. Does he/she receive retirement income from the military?

Yes

Please select...

Please select... Did not graduate High school Some college 2 year degree 4 year degree Masters degree Ph.D. degree Trade school graduate Has he/she utilized his/her VA educational benefits (Montgomery GI Bill, Post 9/11 GI Bill, or Voc Rehab)?

Yes

Please select...

Please select... Currently Married Living with partner Never Married Separated or Divorced Widowed Do you have children?

Yes

Are you receiving any public benefits?

Yes

Please select...

Data Name	Data Type	Options
Yes	Text Box
First name	Text Box
Last name	Text Box
Title	Text Box
Email	Text Box
Phone	Text Box
Home address	Text Box
City	Text Box
State	Text Box
County	Text Box
Zipcode	Text Box
Gender	Text Box
	option	Please review our terms before completing our intake form. Thank you for reaching out to IAVA�s Rapid Response Referral Program (RRRP). Below are our intake questions which will help us determine how we can best assist you. All of your responses are confidential unless you express intent to harm yourself or someone else. Thank you again for reaching out and we look forward to working with you. Someone from our RRRP Team will be in touch within 1-2 business days. With that in mind, please submit this for
	option	Yes
	dropdown	Please select...
	option	Please enter your date of birth in the format mm/dd/yyyy. Gender
	option	Male
	dropdown	Please select...
	option	Please select... American Indian / Native American Asian Black / African American Hispanic / Latino Pacific Islander White (Not Hispanic / Latino) Other Military Information Select the option that best applies to you.
	option	I am a veteran or am acting as proxy for a veteran.
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	option	Enter your rating without any symbols (i.e. if your rating is 20%, you will enter 20) Are you receiving VA Disability compensation?
	option	Yes
	option	Please enter only a decimal number with no other symbols. Are you receiving Combat Related Special compensation?
	option	Yes
	option	Please enter only a decimal number with no other symbols. Are you receiving retirement income from the military?
	option	Yes
	dropdown	Please select...
	option	Please select... Did not graduate High school Some college 2 year degree 4 year degree Masters degree Ph.D. degree Trade school graduate Have you utilized your VA educational benefits (Montgomery GI Bill, Post 9/11 GI Bill, or Voc Rehab)?
	option	Yes
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	option	Enter his/her rating without any symbols (i.e. if his/her rating is 20%, you will enter 20) Does he/she receive VA Disability compensation?
	option	Yes
	option	Please enter only a decimal number with no other symbols. Does he/she receive Combat Related Special compensation?
	option	Yes
	option	Please enter only a decimal number with no other symbols. Does he/she receive retirement income from the military?
	option	Yes
	dropdown	Please select...
	option	Please select... Did not graduate High school Some college 2 year degree 4 year degree Masters degree Ph.D. degree Trade school graduate Has he/she utilized his/her VA educational benefits (Montgomery GI Bill, Post 9/11 GI Bill, or Voc Rehab)?
	option	Yes
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	option	Please select... Currently Married Living with partner Never Married Separated or Divorced Widowed Do you have children?
	option	Yes
	option	Are you receiving any public benefits?
	option	Yes
	dropdown	Please select...
	dropdown	Please select...