Application for Assistance

Grand Love Application for Assistance
Name

First NameLast Name
Email
example@example.com
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number

Area CodePhone Number
What are you needing assistance for?

Childrens Extracurricular Activities (Sports, The Arts, Field Trips, Camps)School SuppliesChildrens Prescription AssistanceChildren's Services Assistance (Dental, eye exams, haircuts, etc)Children Clothing
If other please explain.
Are you a grandparent raising a grandchild?

YesNo
Name and ages of grandchildren
Please share with us your situation, and current status of grandchildrens parents.*
Document request

1. Driver Lic
2. Pay stub or any form of income (Disability, Social Security, Unemployment, Child Support TANF)
3, Documents showing you are the guardian of your grandchild (Award letter, cps forms)

Once we receive the information we will start the process. Our committee meets every Monday and will make calls on Tuesday. Please know it can take up to 5 business days. If you have any questions or concerns please feel free to contact us. WE CAN NOT PROCESS YOUR APPLICATION WITHOUT THE REQUESTED DOCUMENTATIION.

Email all documents to
Info.grandlove@gmail.com

Email all documenst to

Info.grandlove@gmail.com
Clear
Signature
MonthDayYear
Date
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Grand Love Application for Assistance