All Purpose Assistance Form
The Salvation Army seeks to help the most critical needs in our community with its limited resources.  For this reason, we take several items into account when assessing requests for assistance, including how many requests the household has made, how much aid the household has received, the long-term viability of situation, and eligibility for other programs that may be more appropriate for the need.  The All Purpose Assistance offered by The Salvation Army is meant to be a short-term intervention during a time of crisis, not ongoing assistance for chronic need.  It may take 3-5 business days to process your application.  We appreciate your patience and understanding.  With Love & Prayers, The Majors Thies
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Email *
First Name *
Last Name *
Date Of Birth *
Please enter your legal date of birth
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Please enter the last four digits of your Social Security Number. (This is used for inter-agency reporting and verification of previous assistance)
What is your current need? *
Many clients have multiple needs, but please just select or enter the most urgent need and reason for your form submission.  Please note, this is not the correct for to make rent, utility, or water bill requests. For those types of requests, please visit www.sawaterloo.org and select the Rent/Utility Assistance form.
Why are you in need of help today? *
Please provide details of WHY you are in need, not what you need.  The more information you provide here, the less likely we will have follow up questions that could delay the processing of your application.
Have you sought help with this need elsewhere? *
Please list the organization/institution/person where you have sought assistance, WHEN you sought assistance, and the result of your request.
(For example: I sought assistance for household items from Operation Threshold yesterday the 16th of March, but they didn't have what I needed.) If you answered NO above, then please skip this question.
Have you received the requested assistance from The Salvation Army before? *
If you answered YES to the above question, when and what type of assistance did you receive?
Phone Number With Area Code *
If the above phone is not your personal phone, what is the name of the intermediary contact?
What is your preferred method of follow-up contact? *
As of today, what are your three most significant other needs?
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