HOW TO APPLY FOR SERVICES

*PLEASE NOTE, we are NOT able to assist with RENT, DEPOSITS, HOUSING, UTILITY BILLS, HOME IMPROVEMENTS, VEHICLES, or VEHICLE REPAIRS. However, we are also a referral agency, and can, in most cases provide you with agencies that may assist you with services that we cannot provide. Please fill out the form COMPLETELY and explain your situation in depth, as this will speed up your application.

GET HELP FORM
PLEASE NOTE: IF YOU HAVE RECEIVED ASSISTANCE FROM US BEFORE, YOU CANNOT RECEIVE ASSISTANCE AGAIN. IF YOU NEED A SERVICE THAT WE DON'T PROVIDE, PLEASE CALL US AT 570-419-4532. AS IN MOST CASES, WE CAN REFER YOU TO AN APPROPRIATE AGENCY

* Indicates required field

Name *

First

Last

Date of Birth *

Phone Number *

Alternate Phone Number *

Email *

Complete Address *

Personal Reference *

Professional Reference *

TYPE OF GOVERNMENT AID AND OTHER FUNDING CURRENTLY RECEIVING *

Monthly Household Income *

Current or Previous Employer *

Number of people living in household *

Names of all people living in the household over the age of 18 *

Have you or anyone in your household been arrested in the past five years, or currently on probation? *

Have you or anyone in your household, ever been convicted of a felony? *

I give permission for Favors Forward Foundation to discuss my situation with other agencies that may be of assistance. *

How can we use our time, talent and treasures to meet your current hardship? *

In return for the time, talents and treasures of others, I am willing to sign an agreement to donate my time, talents and treasures to someone else. *

WITNESSED BY *

Submit

GET HELP FORMPLEASE NOTE: IF YOU HAVE RECEIVED ASSISTANCE FROM US BEFORE, YOU CANNOT RECEIVE ASSISTANCE AGAIN. IF YOU NEED A SERVICE THAT WE DON'T PROVIDE, PLEASE CALL US AT 570-419-4532. AS IN MOST CASES, WE CAN REFER YOU TO AN APPROPRIATE AGENCY

GET HELP FORM
PLEASE NOTE: IF YOU HAVE RECEIVED ASSISTANCE FROM US BEFORE, YOU CANNOT RECEIVE ASSISTANCE AGAIN. IF YOU NEED A SERVICE THAT WE DON'T PROVIDE, PLEASE CALL US AT 570-419-4532. AS IN MOST CASES, WE CAN REFER YOU TO AN APPROPRIATE AGENCY