Financial Assistance Request Form
This program exists to provide temporary financial aid to members of the airport community (IAH, HOU, & EFD) who are experiencing verified hardship. Assistance is not guaranteed and is not automatically approved. All requests require documentation of need and are reviewed on a case-by-case basis, with approval granted by the Board of Directors. NOTE: Please allow 5-7 business days for an update on your request.
Applicant Information
Are you applying for yourself or on behalf of another person?
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Self
Other
Full Name
*
Email Address
*
Applicant Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Employment + Position
*
Please provide us with the name of your employer + your position.
Length of Employment in the Houston Airport System.
*
A minimum of one year of employment in the Houston Airport System is required to qualify for financial assistance.
Length of Employment in the Houston Airport System.
*
Verifier Information
This individual must be an active Wings of Compassion Board Member.
Select ONE board member to verify your request.
*
Andy Jamison
Bill Taylor
Cecil Dulaney
Cliff Price
Daniel De Simone
Ella Ghica
Janice Ruley
Jermarcus Parker
Jesse Burgos
Lenore Herman
Mario Cediel
Pedro Valadez
Perla Rodriguez
Robert Parker
Robert Riedle
Walt Gray
Board Member Email Address
*
How are you connected to the selected board member?
*
Donation Recipient Email
Full Name
*
Email Address
*
Donation Recipient Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Employment + Position
*
Please provide us with the name of your employer + your position.
Length of Employment
*
A minimum of one year of employment in the Houston Airport System is required to qualify for financial assistance.
Assistance Details
Please provide specific details regarding the need in the “Circumstances” section.
Have you applied for financial assistance from Wings of Compassion or other organizations before?
*
Yes, from Wings of Compassion.
Yes, from another organization.
No, not from Wings of Compassion.
No, this is the first time applying for financial assistance.
Date of previous financial assistance application.
*
-
Month
-
Day
Year
If assistance was received, please describe your previous situation.
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Assistance Category
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Accident / Fire
Burial
Disaster
Domestic Violence
Family Care
Medical
Other
Circumstances (Include details of need and the reason for financial assistance)
*
Upload supporting documentation of need.
*
Browse Files
Drag and drop files here
Choose a file
e.g., Eviction Notice, Unpaid Bill, Medical Bill, Funeral Details, etc.
Cancel
of
Funds Transfer Options
Completing this portion does not guarantee approval of request.
Preferred method of funds transfer:
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Cash App
Venmo
Mailed Check
Cash App Handle
Venmo Handle
Address (Please note: this information will be kept confidential and used solely for mailing the check.)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit Form
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