HOPE IN ACTION - Cobb County, GA

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If you are a single mother, head of household with children in elementary school, please complete this form to request assistance.

Email *

Name *

Full Address ( with: city, state, zip, county) *

Phone # *

Your age *

Please Answer the following questions

Must answer all questions to be considered for assistance. Assistance will be provided as resources are available.

Are you single? *

Yes

Required

Are you the head of household? *

Yes

Required

Are you currently employed? *

Yes

I've lost my job due to the Pandemic

Required

How many children do you have? *

What are the ages of your children? *

How did you hear about Developing Hope Ministries? *

What type of assistance do you most need? *

Please share any information that might be helpful in our assistance to you. *

JESUS LOVES YOU!

Developing Hope Ministries is an extension of the love of Christ to you. We thank you for your honesty as we seek not to be intrusive but to simply learn how we can best serve you.

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