2Unique Closet Boutique Voucher Application Process

The 2Unique "Closet" Boutique

3743 S. Hickory Ridge Mall, Suite 494

(Located inside Hickory Ridge Mall, C.D. Corporation)

Memphis, TN 38115

Website: www.2unique-csf.org

the 2Unique "Closet" Boutique

The 2Unique "Closet" Boutique is a product of 2Unique Community Salvation Foundation, a 501(c)3 nonprofit organization established to provide workforce attire, clothing, toiletries, personal care products and other miscellaneous items at no cost to referred clients and or participants. This service includes families who are experiencing hardships such as a house fire, homelessness, individuals who are unemployed and have an inability to meet their basic needs.

Due to the overwhelming number of unemployment, homelessness and agencies who provide workforce development training programs with little to no resources for professional clothing to their participant's, 2Unique CSF has decided to utilize the boutique as a resource to the community.

Name of Referral Agency*

Agency Referral Contact Information*

First NameLast Name

Position/Title*

Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Agency Referral Phone Number*

Agency Referral E-mail*

example@example.com

Client Referral Contact Information

Client's Full Name*

PrefixFirst NameMiddle NameLast Name

Gender:

MaleFemale

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Social Security Number

Please provide SSN for SNAP eligibility. If you do not wish to disclose please type "I wish not to disclose".

Client Date of Birth

Date

Home Number*

Mobile No. :*

E-mail*

example@example.com

Primary Language

Do you receive SNAP, TANF, or SSI Benefits?

YesNo

Read and Understand the instructions.*

Yes, I have

Select a Need

ClothingToiletriesPersonal Care Products

Reason (i.e., job interview, house fire, etc); and please list participant clothing sizes)

Adult Clothing Sizes (Shirts, Pants, Jackets/Coats, Shoes). Please indicate Male or Female sizes.

Children Clothing Sizes (Shirts, Pants, Jackets/Coats, Shoes). Please indicate Boy or Girl sizes.

Instructions:

How does the referral system work?

After receiving an electronic voucher form, simply fill out the form and select the button "Submit" at the end of filling out the application. Once approved and the client/referral is ready to pick up items, each referral must bring a printed copy of the voucher application along with a state-issued picture ID such as a driver's license to the 2Unique Closet Boutique during regular store hours to redeem it. Store hours are Monday- Friday 10:00 a.m. - 2:00 p.m.

Clients should allow at least 1 hour with a 2Unique Clothes Boutique consultant in order to be assisted with clothing choices and appointments are encouraged but are not necessary.

Workforce Attire

The referring agency can approve a male/female for a total of 5 outfits. Qualified men and women may receive 2 outfits for job interviews, and then 3 additional outfits to help them fit into their position once they have been hired.

Referred clients seeking employment in the Shelby County and surrounding areas may receive clothing and accessories at no cost with a voucher.

If you would like to make a monetary donation please make checks payable to:

2Unique Community Salvation Foundation

P.O. Box 786

Cordova, TN 38088

OR: Scroll down to the bottom of the form and make a donation

We sincerely appreciate your support!

By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

E-Signature:*

The 2Unique Closet Boutique is committed to equal opportunity in sponsorships. 2Unique Closet Boutique does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class. For further questions email us at thisis2unique@gmail.com

MAKE A DONATION

USDDonation

Voucher Application Process

III. Applicant's E-Signature