• Application for Assistance

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    • I understand that Food and Non-Food products are provided on a FIRST COME, FIRST SERVED basis.
    • I agree not to sell the food or non-food products.
    • I hereby knowingly and voluntarily release, waive and identify Free Word Outreach Ministry and it's employees, volunteers as well as donors from any and all claims, actions, suits and liability of any nature whatsoever brought as a result of acceptance of food or non-food items from Free Word Outreach Ministry.
    • Housing services are based on availability and funding. This is not a guaranteed service. 
    • The Free Word Outreach Ministry will not be held liable for the outcome of resource services provided.
    • Information on this form is confidential and for grant writing purposes only. Information will not be disclosed for any reason to any person or agency.
    • By signing below, I verify the information in this application to be correct and true.
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