Pre-Application For Assistance

Thank you for entrusting your needs to A Hand Up CRC.

The following information will help us determine your eligibility for our program. Any information you provide will be held confidentially and will not be used for any other purposes other than assessment for our resources. Please be advised, completing this questionnaire does not guarantee assistance.

If you have any questions, please contact us at the phone number listed below. Thank you!

* All income sources will be verified. ** The following are considered government assistance: SSI, Unemployment, SNAP (cash and food benefits) and Disability.