By submitting this application, you acknowledge and agree to the following:

Information Collection & Use

The information you provide, including but not limited to your name, contact information, household details, financial information, and hardship circumstances, will be used solely for the purpose of evaluating your request for assistance, determining eligibility, coordinating services, and administering any support that may be available through our organization.

Confidentiality & Privacy

We respect your privacy and are committed to protecting your personal information. All information submitted through this application will be handled in accordance with our Privacy Policy. We do not sell, rent, or share your personal information with third parties for marketing purposes. Your information will only be disclosed when required by law, necessary to administer services, or with your explicit consent. Please review our Privacy Policy for additional details.

No Guarantee of Assistance

Submitting an application does not guarantee approval, funding, financial assistance, services, or any other form of support. All applications are subject to eligibility requirements, verification of information, program guidelines, and the availability of funding and organizational resources. We reserve the right to approve, deny, or prioritize requests at our sole discretion.

Limitation of Liability

To the fullest extent permitted by applicable law, our organization, its directors, officers, employees, volunteers, and affiliates shall not be liable for any direct, indirect, incidental, consequential, or special damages arising from or related to your application, the evaluation process, any decision regarding assistance, the provision or non-provision of services, or your reliance on any information provided by the organization.

Consent to Communications

By providing your phone number and submitting this application, you expressly consent to receive phone calls and text messages from our organization regarding your application, eligibility, appointment scheduling, service coordination, and other support-related communications. Message frequency may vary. Message and data rates may apply. Consent to receive text messages is not a condition of receiving assistance. You may opt out of SMS communications at any time by replying STOP to a text message or by contacting us directly. For assistance, reply HELP or contact our office.

Applicant Certification

By submitting this application, you certify that the information you have provided is true, complete, and accurate to the best of your knowledge. You understand that providing false or misleading information may result in the denial of assistance or disqualification from current or future programs.