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Application for Financial Assistance

APPLICATION FOR FINANCIAL ASSISTANCE
Hospitality Life, Inc.

Hospitality Life has partnered with Love INC to process our applications for financial assistance. Upon Completion and submittal of this application you will be receiving a call from Love INC. All applications will be reviewed and the below information verified.

Hospitality Life, Inc. desires not only to assist during times of crisis, but to help people develop a financial discipline to continually cover the basic four walls (shelter, food, utilities, transportation). Through Love INC you may be asked to attend a Budget Mentoring class. It is our desire to provide financial assistance to those under extreme circumstances; however, long-term needs will be directed to other agencies outside Hospitality Life, Inc. Submittal of this application constitutes authorization for us to share this application with other agencies.

Requests may take up to two to three weeks to process. Failure to provide Love INC the required documents could delay approval. Filling out this application and or the completion of the interview process with Love INC does not guarantee that monetary assistance will be approved. If your request is approved and funds are available, payments will be made directly to the service provider(s) to whom debt(s) are owed (e.g., utility provider).

Recommendations for follow-up with other ministries or agencies must be followed for a long term solution to this problem.

All information provided to the Hospitality Life, Inc. team and Love INC will be kept as private as possible, so please be open and honest in responding to questions. We are not here to judge anyone, but instead to provide compassionate assistance according to the Hospitality Life, Inc. team guidelines and available resources in extreme circumstances.

  • PERSONAL INFORMATION

  • Date Format: MM slash DD slash YYYY

  • EMPLOYMENT INFORMATION

  • FAMILY INFORMATION

  • First/Last name, Sex, Age, Grade, Employment/School Relationship

  • FINANCIAL INFORMATION

    The following form is a basic financial statement for you to complete. Please be as thorough as possible as this is the only way we are able to get an accurate picture of your current financial situation.

  • Net Income Per Month

  • Monthly Expenses

  • More Information

    In order to determine how and/or if we can be of assistance, please complete the following questions.

  • Release of Information

    I hereby AUTHORIZE THE RELEASE of information to the Hospitality Life, Inc. (Hospitality Life, Inc.) Team to receive the assistance I am requesting. I further certify the information I have stated is TRUE and CORRECT and that all income is reported. I understand Hospitality Life, Inc. may verify the information on this application and that deliberate misrepresentation of information may subject me to denial of assistance/services.

    I GIVE PERMISSION for Hospitality Life, Inc. and Love INC to discuss my case with other agencies, businesses, churches, attorneys, individuals and others deemed necessary to verify application information and/or identify additional sources of assistance. I understand that all information will remain as private as possible within these entities.

  • A new commandment I give to you: Love one another. As I have loved you, so you must love one another. John 13:34
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