• Corporate Works of Mercy

    Y-Not Assist Application

  • Loving Neighbors Through Action

    Corporate Works of Mercy Foundation is a private non-profit dedicated to fulfilling the Biblical corporal works of mercy. Our mission is to share God’s blessings and love through action and in truth with our neighbors in need of assistance.

    †         Feed the hungry and give drink to the thirsty

    †         Clothe the naked and shelter the homeless

    †         Visit the prisoner (ransom the captive)

    †         Visit the sick and bury the dead

    †         Alms for the poor

     

    About the Y-Not Assist Program:

    The “Y-Not Assist” program is managed by the Corporate Works of Mercy (CWM) Foundation.  The program’s intent is to help individuals and families struggling with devastating hardships beyond their control that negatively impact their lives.

     

    Level 1 Support may be available to SRO employees, employees of our CWM sponsors, and to any community member for the following types of hardships:

    • Expenses resulting from a catastrophic (chronic or terminal) medical condition
    • Funeral or burial expenses in relation to the death of a person 25 years of age or younger; and/or the parent or guardian of a minor
    • Expenses relating to the extreme damage to the participant’s primary residence (i.e. fire or flood)

     

    Level 2 Support is available ONLY to SRO employees and employees of our CWM sponsors. Hardships (outside of those identified in Level 1) will be considered on an individual basis for possible assistance.

     

    PROCESS & CHECKLIST

    1. Submit a complete application.
    2. Attach copies of any bills you are requesting help with, as well as supporting documents (such as rental agreement, obituary, doctor's notes, etc). CWM will not begin to process your application until it is completed in full, with copies of bills and necessary documents.
    3. A representative will confirm receipt of application by the next business day.
    4. Following confirmation, expect a call within two weeks to schedule an interview with volunteer CWM Board Members. Please be patient with us, as we are all volunteers.
    5. Expect a decision from the board within 1 week of your interview. The board may approve, partially approve or deny your application based on the facts presented and the limited funds we have available.
    6. In the event the board needs additional information or documentation, those requests must be provided within 2 weeks or the application will be considered to be withdrawn.
    7. If assistance is granted, CWM will make any approved payments directly to service providers.

     

    IMPORTANT NOTES

    • CWM will not issue reimbursements to individuals for bills that have already been paid. This will be verified by service providers.
    • CWM reserves the right to refuse payment to a specific service provider.
    • CWM Board Members will only discuss details with the applicant themselves and/or service providers, no other parties.

     

    For follow-up communications, please contact Nikke at the St. Romain Oil Support Center:
    cwm@stromainoil.com or 318-240-9494 ext:1007
    Business hours 8:00 am - 4:00 pm
    We respectfully ask that phone calls are kept to a minimum.

  • Today's Date*
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    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Birthday*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is your mailing address the same as your physical address?*
  • Describe the place where you are currently living:*
  • Do you rent or own your home?*
  • Please provide the name, age, and relationship of each person living with you, INCLUDING YOURSELF:*
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  • Is infant formula needed?*
  • Are diapers needed?*
  • Does anyone in your household have special needs?*
  • If permanently disabled, have you applied for disability benefits?*
  • Has you or a close family member ever been employed by St. Romain Oil?*
  • Please provide employment history for the past 3 years: *
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  • I am applying for assistance because of the following hardship:*
  • Did the deceased have a life insurance policy?
  • Will that person be helping with funeral expenses?
  • Was the person who passed away the sole provider for any kids living in their home?
  • Did the person who passed away have a job?
  • Were you referred by a Corporate Works of Mercy Board Member?*
  • If YES, which board member/s (select all that apply)?*
  • Are you related to a Corporate Works of Mercy Board Member?*
  • If YES, which board member/s (select all that apply)?*
  • Bill Request #1*
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  • Bill Request #2
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  • Bill Request #3
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  • Are you an active church member?*
  • If not, would you be willing to connect with a church if they can assist you?*
  • What are the amounts of your monthly bills (going out)?*
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  • What are the amounts of money you receive monthly (coming in)?*
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  • What is your preferred method of contact? (Choose as many as you like.)*
  • Date
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    2 digit month, 2 digit day, 4 digit year
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