“Today, see if you can stretch your heart and expand your love so that it touches not only those whom you can give it easily but also those who need it so much.”

— Daphne Rose Kingma

are you in need of assistance or no someone who is? Please submit the form below.

We currently are in the beginning stages of raising funds but will help as we can. We will have a formal application coming soon that will need to be submitted as we grow to gather all necessary information. A committee will be created to select those that are in need. The committee will only see the necessary information; all names will be excluded from what they see to ensure unbiased decisions.

Applicant Name

First Name

Last Name

Applicant Email Address

Recipient Name

If applying referring someone else in need.

First Name

Last Name

Is this for yourself or someone else?

Amount/Item Requested

Are you requesting money to help cover expenses or items that are needed?

Do you wish to remain anonymous?

Yes

Message

Please provide a brief back story as to the recipient's situation and what is needed?