Saint Vincent de Paul Intake Form

Saint Vincent de Paul Intake Form

St. Lawrence, Lawrenceville Conference
Today's Date*

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Date
Hour MinutesAM/PM Option
Thank you for reaching out to the Lawrenceville Conference of the St. Vincent de Paul Society. Please carefully review the following important information before submitting your form:
- Intake Hours: TUESDAYS, 9am to 3pm. Requests made outside these hours won’t be reviewed.
- Completing this form does not guarantee services. Providing incomplete or false information may delay the review process and invalidate you from receiving services.
- Our ministry is staffed by volunteers. These individuals generously give their time to assist, so we appreciate your patience.
- Each case will be reviewed. If sufficient funds are available, an intake volunteer will contact you for any additional information needed. Please note: due to limited volunteers, we are only able to follow up with those we are able to assist (and at the availability of our volunteer case workers).
- While not all cases can be assisted, all requests will be prayed for with care. Due to limited weekly resources, on average only 10 people are assisted per week.
- Submitting multiple forms in the same month will not speed up the process.
- To protect confidentiality, all forms are cleared at the end of each month.
Thank you for understanding these guidelines as we strive to serve with compassion and fairness.
Please sign to acknowledge that you understand the above.*

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Saint Vincent de Paul Intake Form

Intake Hours: TUESDAYS, 9am to 3pm. Requests made outside these hours won’t be reviewed.

Completing this form does not guarantee services. Providing incomplete or false information may delay the review process and invalidate you from receiving services.

Our ministry is staffed by volunteers. These individuals generously give their time to assist, so we appreciate your patience.

Each case will be reviewed. If sufficient funds are available, an intake volunteer will contact you for any additional information needed. Please note: due to limited volunteers, we are only able to follow up with those we are able to assist (and at the availability of our volunteer case workers).

While not all cases can be assisted, all requests will be prayed for with care. Due to limited weekly resources, on average only 10 people are assisted per week.

Submitting multiple forms in the same month will not speed up the process.

To protect confidentiality, all forms are cleared at the end of each month.

In order to best serve our neighbors in need, it is important for us to understand where you reside. The following questions will ask about your current residential address and living situation to help us provide appropriate assistance.

Additional Household Members

Employment Information