Tell us about yourself

Apply for assistance

Fill out the form below to apply for assistance. Our team will get back to you. This form is meant to allow It Is Finished.Faith to be better equipped to evaluate your current situation and determine how to best support you. All information will be kept confidential. Please complete the entire application. Any information left blank will delay processing a response. All fields with * at the end are required.

    1. Your full name*

    2. Your email address*

    3. Your phone number*

    4. Your date of birth*

    5. Your gender

    6. Your address*

    7. City*

    8. State*

    9. Zip Code*

    10. Do you rent or own?

    If you rent, please fill out your landlords's information below. If not, skip to question #13.

    11. Landlord’s name

    12. Landlord’s number

    13. Are you employed?

    If you are employed, please fill out your employer's information below. If not, skip to question #16.

    14. Employer's name

    15. Employer's phone number

    16. What is your maritial status?*

    If you're married, please fill out your Spouse/Partner's information below. If not, skip to question #24.

    17. Spouse/Partner's name

    18. Spouse/Partner's phone number

    19. Spouse/Partner's email address

    20. Is your Spouse/Partner working?

    If you answered no to the above question, skip to question #24.

    21. Spouse/Partner's employer

    22. Spouse/Partner's employer's phone number

    23. Spouse/Partner's monthly income

    24. Any other income (alimony, child-support, assistance, food stamps etc.)

    25. How many adults in your household?

    26. How many children in your household?

    27. List 3 top priorities that are needed and amounts requested (i.e. bill, food, car).

    28. Attach any documents that may be helpful to us while we work on helping you (i.e copies of invoices, most recent late notice with amount due for housing)

    29. Please explain in detail the circumstances which brought you to this need.*

    30. Are you receiving assistance? (food stamps, disability etc.)*

    31. Are you a veteran?*

    32. What steps have you taken to address this need?*

    33. Have you reached out to family or friends for help?

    34. How have they been able to help?

    35. Have you been helped previously by this charity or any other charity?

    36. What other organizations have you contacted for assistance?

    37. How were they able to assist you?

    38. Are you open to financial counseling?*

    How did you hear about us? Who were you referred by?


    This is a legal document. By submitting this, you agree that all information you have provided is accurate and truthful.

    Are you having technical issues with this form or the website? Contact tanner@siremarketing.com.