Preliminary Funding Request
Thank you for your interest in partnering with Step Onward Foundation. Please complete the preliminary request below and provide as much information as possible. We will be in touch soon to let you know if our current funding cycle is still open for this month.
Date
-
Month
-
Day
Year
Date
Social Worker/Referral Partner Information
Name
First Name
Last Name
Referring Organization
Dell Children's Hospital
Lifeworks
Presbyterian Children's Home
Champion Institute
Depelchin
Star of Hope
Other
Email
example@example.com
Recipient Information
First Name
Last Name
County of Residence
Race and/or Ethnicity (please select all that apply)
Hispanic or Latino
White
Black or African American
Asian
Middle Eastern or North African
Native Hawaiian or Pacific Islander
American Indian or Alaska Native
Other
Please select all that apply
History of childhood homelessness or housing insecurity
Currently in school
Actively pursing education goals
Currently employed
Other
# of adults in the home
# of dependents under 18 in the home
Recommended Amount
Date Needed
-
Month
-
Day
Year
Date
Urgent
Yes
No
Is this individual or family currently facing eviction?
Yes
No
Anticipated Need
*
One-time request for financial assistance
Short-term financial assistance (1-2 months)
Long-term financial assistance (2+ months)
Other
What is the reason for this request? Please include any details on the anticipated need for this recipient and additional information as appropriate.
If funding is closed for the current month, would you like this individual or family to be considered for next month?
Yes
No
Submit
Should be Empty: