Kearney Enrichment Council (KEC)                  Barrier Reduction Form

Those seeking assistance must meet the following income and eligibility requirements. An "eligible household" is defined as a renter household where one or more individuals:

  • has qualified for unemployment benefits or experienced a reduction in household income or has incurred significant costs or experienced financial hardship directly and/or indirectly related to the COVID-19 pandemic.
  • can demonstrate a risk of experiencing homelessness or housing instability including:
    • a past due utility
    • rent or eviction notice
    • any other evidence of such risk
  • has a household income at or below 80 percent of the area median income (AMI)
  • Citizen of Kearney or Holt, MO 
Funding Requests will be reviewed by members of the Kearney Enrichment Council team. We will reach out to you if we need additional information about your request. Please be sure to use information that is up to date. We will work as quickly as we can on your application, but please still expect 4-6 weeks for responses. 

*In addition, the Kearney Enrichment Council has full authority to deny your application if not all the criteria are met, or for other outlying reasons not listed on this form. 
*The KEC only supports a maximum of $500 per household per year.
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Name: *
Gender *
Race *
Ethnicity *
Email: *
Phone Number: *
Do you live in Kearney or Holt, MO?  *
Address: *
County *
Best way to contact you? *
Number of Children in the Household *
Are you married?  *
Employment Status *
Have you received assistance from another local agency such as (Good Samaritan Center, Ministerial Alliance, Etc.)? *
Annual Household Income *
What assistance are you seeking?  *
What is the amount of electric that is owed? 
What is the amount of water/sewer that is owed? 
What is the amount of gas that is owed? 
What is the amount of rent that you currently owe? 
Other amount that is owed? 
Please explain why this assistance is needed. Please put as much detail as you are comfortable sharing.  *
IF REQUESTING RENT:
Landlord Email Address
IF REQUESTING UTILITIES:
Utility Company/Account Numbers
By typing my signature in this form I attest, under the penalty of perjury, that the information enclosed in this application is accurate to the best of my knowledge.  I understand this is a legally binding document and I may be subject to civil and criminal penalties if I knowingly provide false or misleading information related to this application. SIGNATURE REQUIRED ->
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