Feed Me Hope Application

FEED ME HOPE APPLICATION
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.
Full Legal Name *
Today's Date

MonthDayYear
Which program are you interested in?*

I would like to enroll in Culinary SchoolI would like to enroll in Bakery School (WOMEN ONLY)
Mandatory Criteria
1. Low income (less than $15,000/year) or homeless.   Initial*
2. 18 yrs. of age or older.   Initial*
3. Eligible for SNAP (Food Stamps) or currently receiving it.   Initial*
4. Able to work part-time (20 Hours/a week) after graduation.   Initial*
5. Able to stand for at least 3 hours at a time.   Initial*
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

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.   Initial*
Develop and maintain a clean and sober lifestyle, including marijuana.
Initial*
Be coachable and accept instruction from Feed Me Hope instructors and complete all work that is assigned.
Initial*
Gain an employable skill set, with the end goal of obtaining employment.   Initial*
Confront personal challenges, addictions and/or barriers to successful employment and self-sufficiency.
Initial*
Adhere to all Policies, Procedures, and Code of Conduct of the Feed Me Hope Job Training Program
Initial*
Talk to my Life Transformation Coach or other FMH Staff when I need help or feel disempowered
Initial*
I understand that...
1. Feed Me Hope is an unpaid, 16-week, faith-based job training program ultimately designed toward genuine life transformation.   Initial*
2. Daily attendance is required, and full participation is expected.
Initial*
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.
Initial*

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**
Printed Name*

First NameLast Name
Applicant's Signature*

Clear
Date*

MonthDayYear
Should be Empty:

	Yes	No	Amount $
Social Security (SSI and SSD)
Adult Public Assistance
Housing Assistance
SNAP/Food Stamps
AK Temporary Assistance Program (ATAP)
Veterans Benefits
Employment Income
Unemployment Benefits
Child Support
Veterans Health Care
Medicare
Medicaid

FEED ME HOPE APPLICATION