Financial Assistance Form

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This form will be reviewed by Soaring Wings ministries staff and/or board members.
** Please read process steps here **
The Process is:
1) Submit your completed application
2) Within 1-3 days, check your email for an email to schedule your intake phone meeting.

This process can take around 2-3 weeks. Our program is not set up to help with immediate financial emergencies.

Soaring Wings Ministries is not able to provide assistance with the following: legal fees, late fees, taxes, credit card bills, or any expense for which it is deemed that assistance would contribute to an enabling situation for the person/family.

Soaring Wings Ministries is a nonprofit ministry that exists to create wholeness and an empowered future for homeless and hurting young adults through the love of Jesus.

Email *

Date *

YYYY

Name (First and Last) *

Email *

Address *

Phone number *

Demographics

Are you currently homeless? *

Yes

Gender *

Female

Male

Prefer not to say

Do you have a disabling condition? *

Yes

Are you a USA service person or Veteran? *

Yes

Employment

Employment Status? *

Full time

Part time

Not employed and receiving unemployment

Not employed and not receiving unemployment

Stay at Home Parent

Do you live with a roommate? *

Yes

Name of individuals living in your household/rental. Please list name and ages for all adults and children in the household. How many dependents do you have and what ages? *

Marital Status *

Married

Single

Divorced

Widowed

Separated

Personal References

#1 Personal Reference (Non-family) ** Name, phone, email and relationship to person. ** *

#2 Personal Reference (Non-family) ** Name, phone, email and relationship to person. ** *

Financial Assistance

Have you received any lump sums in the last 6 months? Settlements, inheritance, etc? *

Yes

Have you received financial assistance from Soaring Wings Ministries before? *

Yes

If marked Yes to receiving financial assistance from Soaring Wings Ministries before please tell us when and for what?

INCOME SECTION. I understand that I will discuss my income with Soaring Wings Ministries. *

Yes

EXPENSE SECTION. I understand that I will discuss my expenses with Soaring Wings Ministries. *

Yes

What community resources have you contacted during the last two months? *Please identify any community resources you have met with within the last two months. *

What was the outcome of reaching out to the community resources? *

Primary Financial Need

Please put your most urgent financial need. Please know that Soaring Wings Ministries can not help with deposits, legal fees, late fees, taxes, or credit card bills.

What is your Primary Financial Need? *

First, Last, Security for a rental

Rent

Mortgage

Electric

Heating

Auto Repairs (we require 2-3 estimates of work needing completed to be e-mailed to us directly)

Car Payment

Car Insurance

Medical equipment

Medication

Other:

Please explain your need here: briefly explain what has lead you to be in need of financial assistances. *

Dollar Amount Requested *

What is the plan for next month to cover this expense? *

If assistance is granted, who does the check get issued to? (Checks get written to a company and never the applicant). *

Are you connected to a local church or place of worship? *

Yes

If you are connected to a local church, what church do you attend?

I am aware that my next step is to check my e-mail. *

I understand

I don't check my e-mail so please close out my application.

I am aware the financial assistance provided by Soaring Wings Ministries is for a one time help in a difficult situation. *

Yes

I am aware the financial assistance process generally takes at least two weeks to process. *

Yes

Do you agree to let Soaring Wings Ministries contact other community organizations regarding your request? *

Yes

By submitting this form you are providing true and accurate information and understand that misrepresentation or falsification of information could disqualify you from receiving these funds. *

Yes

Submit

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