Portion & Promise Aid Request

Portion & Promise Aid Request

Portion & Promise exists to provide aid for individuals and families in need, including but not limited to providing access to basic resources, education, or emergency relief, and support local churches and impactful community initiatives.


This application will help us determine your eligibility for assistance and understand how we can best help you.

APPLICANT INFORMATION

HOUSEHOLD INFORMATION

Add Full Name, Relationship, Age and Annual Income

REQUEST FOR ASSISTANCE

Please tell us about your circumstances and why you are seeking assistance. The more detail you provide, the better we can understand your situation and determine if and how we can help.


ADDITIONAL INFORMATION

Acknowledgments and Authorizations

I certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that providing false information may result in denial of assistance and may have legal consequences.
I authorize this organization to verify the information I have provided, including contacting employers, financial institutions, and government agencies as needed to confirm my eligibility.
I understand that assistance is not guaranteed and that the organization will make eligibility and distribution decisions based on available resources, organizational policies, and demonstrated need.
I grant this organization permission to use my case information (with my name removed) for statistical reporting and program evaluation purposes, in accordance with applicable privacy laws.


Clear

IMPORTANT INFORMATION FOR APPLICANTS

Your Privacy


This organization takes your privacy seriously. All information you provide will be kept confidential and used only to determine your eligibility for assistance and to comply with legal and financial reporting requirements. We will not share your information with outside parties except as required by law or as necessary to verify the information you've provided.


Documentation and Record-Keeping


This organization is required to maintain records of all assistance provided, including income verification and eligibility documentation, for internal record-keeping and federal tax reporting purposes (Form 990 Schedule I). These records are maintained securely and in accordance with applicable privacy laws.


Eligibility Criteria


To receive assistance through this organization, you must demonstrate:

* Financial need based on household income that meets our established guidelines

* Membership in the charitable class we serve (individuals and families in poverty or facing financial hardship)

* A specific, documented need that our assistance can address

* Willingness to provide truthful information and necessary documentation


Equal Opportunity Statement


This organization provides assistance without regard to race, color, religion, national origin, gender, sexual orientation, disability, age, or any other characteristic protected by law.

This application must be completed in full and submitted with supporting income verification documents when requested. Incomplete applications may be returned to the applicant.

For questions about this application process, please contact Portion & Promise at Portion.Promise@protonmail.com 

FOR OFFICIAL USE ONLY

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