Request for Community Assistance
In memory of the Deja Family and their multiple generations dedicated to changing lives in our community, the Deja Family Foundation Community Assistance Fund was established to provide assists to area individuals and families in crisis situations.

For more information or to make a donation, please contact Gayle at Gayle@DejaSchultzHomes.com or (630) 708-2424.
Sign in to Google to save your progress. Learn more
We hope to go on changing lives in our community and continue the Deja Family’s example in life: Family centered, community driven and aspiring to have a positive impact on the lives of others.

https://www.dejaschultzhomes.com/deja-family-foundation
PLEASE DO NOT USE THIS FORM TO REQUEST FUNDS FOR COLLEGE TUITION. THERE ARE SCHOLARSHIP APPLICATIONS AVAILABLE FROM JANUARY TO MARCH OF EACH YEAR.

This form is for individuals and families in crisis or with immediate needs.


Name
*
Email *
Address (Address, City, State, Zip) *
Phone number *
Confidentially reviewed by the Board of Directors on a case-by-case basis , the Community Assistance Fund assists area individuals and families in crisis situations.

List your specific requests: What is your immediate need?
*
Explain the circumstances leading to your crisis:
*
List all individuals sharing your household:
Name
Age
Date of Birth
Relationship
*
What steps are you taking to improve your present situation?
*
Have you contacted anyone else for assistance within the last six months? 
*
Who suggested you contact The Deja Family Foundation or how were you made aware of the Foundation?
*
Please tell us anything else you would like us to know. (Optional)

Please go to the Foundation website to learn more about the family and Foundation. 

The Deja Family Foundation  

To make a donation: DONATE HERE 

THANK YOU TO OUR DONORS:

Deja-Schultz Homes   

The key to finding your happy place!

 * FRIENDS of the Deja Family *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy