Application Form for HOWA's E-Fund Vehicle Grant, Tent Grant, or Compassion Grant Stage 2

Have you ever received assistance from HOWA before?*

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If you have received assistance from HOWA please explain (what type of grant, amount of grant, and when was the past grant approved.)
Briefly describe your current need: *

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What is your source or sources of income.*
How much do you earn monthly?*
What other resources/assets do you have?*
What are you specifically requesting HOWA to do for you? *
Explain your financial need.*
Please provide photos of receipts of what your personal emergency funds were used for that now puts you in a position of needing assistance. If reciepts are not available, please provide a screenshot of your bank balance.*

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Do you travel with Pets? If so how many?*
Which eFund Grant are you applying for?*
HOWA Vehicle Repair Grant Application

This application is for repairs to your vehicle.
If applying for repairs; Take your vehicle to an Auto Repair Shop for an inspection and get a professional Estimate. If not mobile, inquire with a mobile mechanic. Upload a photo of the estimate. A second estimate may be required if the committee observes numbers out of balance with the norm. Ensure that your name, phone number, vehicle information (year, make, model, mileage), parts & repairs needed, cost for labor, shop fees, taxes, and TOTAL cost are all included on the shop estimate with their business name, phone number, address and mechanic name that diagnosed the problem.*

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IF you are needing a mechanical repair, please provide an approx. value of your rig by going to Kelly Blue Book at - www.kbb.com and utilize their webpage to obtain a range of values based on your rig's condition. Choose “PRIVATE SALE” not trade in or cash value and be HONEST about its condition. Send a screenshot of the value. If your vehicle's age or type is not serviced on Kelly Blue Book, you have a bit of a hunt ahead. Google your make, model, and year of similar items for sale and send me 3 screenshots of prices sold. *

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IF you are needing a mechanical repair, how much are you able to contribute financially to your repair? *
HOWA Tent Grant Application

This application is for those applying for a tent grant.
Do you have a specific medical or emergency need for a tent? *
Are you physically able to lift, store, pack/unpack,set up, move it into/out of your vehicle? Approximate Package size - 68 x 9.5 x 9.5 inches and 30 Pounds.*
HOWA Compassion Grant Application

This application is for those in need of food, gas or similar needs.
Are requesting assistance with fuel for travel to an employment offer or personal medical reasons?*
"Please describe the support you are seeking from a Compassion Grant."*
Current Location (Screenshot of a map with your current location visible)*

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Location of employment offer or medical facility.*
Verification of employment offer or medical appointment.*

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Vehicles miles per gallon.*

PLEASE NOTE:

eFund Hours of Operation (Monday/Friday 8am- 4pm Pacific Time)

This is a Multistep process and the turnaround time is NOT immediate.

STEP ONE: By clicking the submit button, at the bottom of this page, you will have completed step one of the application process. A confirmation email will be sent to the email address you provided.

STEP TWO: Completed eFund application will be sent to the eFund team, who will review your answers.

- Those within the scope and intent of the program will receive an email with the next steps, possibly requesting further information and/or supporting documentation.
- If your request is outside the scope of the Emergency Fund Program, you will receive an email from the eFund team informing you.

STEP THREE: (For clients who have completed ALL application answers and documentation)

-The eFund team will process your application and then submit it to the eFund Committee for review.
-When the committee has made their decision, the eFund team will send an email to inform you of HOWA’s decision of Approval or Denial.

The application process can take some time depending on the volume of submissions and the timely submission of information from applicants. The turnaround time is not immediate. Applications are processed in the order they are received.

IMPORTANT: You cannot authorize the repair you are requesting help for until you hear an approval from the eFund team. If you authorize that specific repair before approval is given, HOWA will decline to assist financially.

Thank you for your cooperation throughout the eFund process. We are reachable at eFund@homesonwheelsalliance.org

EFund Team and Committee
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