Feed Me Hope Application

  • FEED ME HOPE APPLICATION

  • Culinary School
  • Bakery School

  • PLEASE NOTE: The Feed Me Hope Program is a faith-based program focused on life transformation. The purpose of our program is not to make someone a better needy or homeless person. Our goal is to give our students a hand-up, not a handout, and change from homelessness to healthy, productive members in our community.

  • Today's Date
     - -
  • Which program are you interested in?*

  • Mandatory Criteria

  • 1. Low income (less than $15,000/year) or homeless.   *   
    2. 18 yrs. of age or older.   *   
    3. Eligible for SNAP (Food Stamps) or currently receiving it.   *   
    4. Able to work part-time (20 Hours/a week) after graduation.   *   
    5. Able to stand for at least 3 hours at a time.   *   

  •  Application Requirements 

    1. You MUST provide contact information where you can be reached; either a phone number or email.
    2. Your application MUST be filled out by you and only you.
    3. You MUST fill out the entire application. Incomplete applications will not be considered acceptance. 
    4. Please READ each question carefully and take your time to explain your answers as needed.

    240 E. 3rd Ave. . P.O. Box 202684 . Anchorage, AK 99520 . 907-277-4302 www.downtownhopecenter.org / info@downtownhopecenter.org

  • Feed Me Hope Application and Assessment

  • Date of Birth*
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Best Method of Contact*
  • Gender*
  • Format: (000) 000-0000.
  • Are you a U.S. Citizen?*
  • Are you an immigrant or refugee or new arrival to this country?*
  • If yes, do you have proper immigration documents?
  • Are you limited in your ability to communicate in English?*
  • Are you eligible to work in the US?*
  • Have you ever served on Active Duty in the U.S. military, including National Guard or Reserves?
  • Honorable Discharge?
  • Race / Ethnicity: (Check all that apply)

  • Housing

  • Are you currently homeless (Including living on the streets, car, RV, or structure without utilities.)*
  • Type of housing where you live right now:*
  • Who lives in your household?*

  • Education

  • Did you graduate from high school?*
  • Do you have any additional education or training?*
  • Additional Education/Training Level
  • Do you have a history of difficulty in school or a diagnosed learning disability?*

  • Employment

  • Have you ever been employed in the food service industry?*
  • Have you worked within the past 12 months?*
  • Do you understand that working may change your government benefits?*
  • List any barriers you have experienced (Check all that Apply)*

  • Addiction and Mental Health History

  • Do you currently, or have you ever had an addiction to drugs or alcohol?*
  • Do you desire to become/stay clean and sober?*
  • Have you used alcohol or drugs in the past 30 days?*
  • Have you ever attended a treatment program for drugs and alcohol?*
  • Did you graduate the program?
  • Have you ever been diagnosed with depression or mental illness?*
  • Have you ever received treatment for depression or mental illness?*
  • Have you taken medication for depression or mental illness?*

  • Legal

  • Do you have any warrants, court dates, or other upcoming legal issues?*
  • Have you ever been convicted of a misdemeanor?*
  • Have you ever been convicted of a felony?*
  • Are you on probation?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Background Check Release

    For Feed Me Hope to be able to assist our students in achieving self-sufficiency, we need to be aware of any barriers to success our applicants face. We ask that all applicants consent to a criminal history search. By signing below you agree to allow Feed Me Hope staff to conduct a criminal history search. FMH staff will be aware of your criminal background before interviews occur. Having a criminal background does NOT automatically disqualify you or ruin your eligibility.

  • Financial and Supportive Services

  • Rows
  • Are you involved with any of the following agencies or programs?*
  • Do you have a Case Manager?*
  • Are you willing to sign a Release of Information (ROI) allowing Feed Me Hope Staff to work and communicate with your Doctor, Counselor, Case Manager, Parole/Probation Officer and/or other Service Providers?*

  • Feed Me Hope Student Hours

  • Once enrolled, your training schedule will be set unless there are catered events or large orders to be filled. The schedule for the entire 16 weeks is as follows:

    Bakery: Monday – Friday from 8AM - 4:15PM

    Culinary: Monday – Friday from 10:30AM - 7:00PM

  • 0/1000
  • 0/1000
  • 0/1000
  • How did you find out about Feed Me Hope? (Check all which apply)*
  • Have you ever applied to the Feed Me Hope Program before?*
  • Have you ever volunteered at the Downtown Hope Center before?*

  • Applicant Commitment Agreement

    (Please initial after each requirement.)

  • If admitted into Feed Me Hope, I will...

  • Attend and fully participate in all offered classes/training for the entire 16 weeks.   *  
    Develop and maintain a clean and sober lifestyle, including marijuana.
    *   
    Be coachable and accept instruction from Feed Me Hope instructors and complete all work that is assigned.
    *  
    Gain an employable skill set, with the end goal of obtaining employment.   *   
    Confront personal challenges, addictions and/or barriers to successful employment and self-sufficiency.
    *  
    Adhere to all Policies, Procedures, and Code of Conduct of the Feed Me Hope Job Training Program
    *   
    Talk to my Life Transformation Coach or other FMH Staff when I need help or feel disempowered
    *   

  • I understand that...

  • 1. Feed Me Hope is an unpaid, 16-week, faith-based job training program ultimately designed toward genuine life transformation.   *   
    2. Daily attendance is required, and full participation is expected.
    *   
    3.Feed Me Hope's purpose is not to make someone a better needy or homeless person, but to give our students a hand up, not a handout, and change from homeless to healthy, productive members in our community.
    *  

  • I certify that the information provided is true to the best of my knowledge. I am also aware that the information I have provided is subject to review and verification and I may have to provide documentation to support this form. I allow release of this information for verification purposes and understand that it will be used to determine eligibility.

     

    **Intentional false statements may result in termination from Feed Me Hope**

  • Date*
     / /
  •  
  • Should be Empty: