Application for Assistance

At Angel Helpers Ministry we are thrilled to help families in need. In order to ensure that our efforts are well founded we ask you please fill out the application below if you desire help for your family.

Important Notice! Open enrollment is October 1st- November 1st. Any applications received outside of that time, will not be processed. Please do not submit more than one application, as this will delay the processing of your application. Any fields left blank or proper documents not provided, will result in your application being discarded...

Angel Helpers Ministry Verifies with other agencies for anyone that is signed up for assistance with other agencies. Double dippers will be banned.
Open Enrollment is from 10/1 - 11/1. Applications submitted outside these dates will not be processed!

Applicant Information

List Everyone In The Household

(Names, Male or Female & Age & Shoe Size)

List Childs Shoe Size

Childrens Birth Certificates Or Placement paperwork if you are a Kinship home

Click or drag files to this area to upload. You can upload up to 10 files.

Proof Of Monthly Income (Upload any Government assistance your household receives)

Click or drag files to this area to upload. You can upload up to 7 files.

Copy Of The Households Rental/Lease Agreement (Hand written notes will not be accepted)

Click or drag files to this area to upload. You can upload up to 2 files.

Disclaimer and Signature

Angel Helpers Ministry is in Contact with other Agencies. By signing below, I understand that Angel Helpers Ministry will be checking to verify that I am NOT receiving help from any other Agencies for the Holidays. By signing below, I am also giving Angel Helpers Ministry permission to check my references as well as stating everything in this application is True and Correction to the best of my knowledge. If any information in this form is incorrect I am aware that AHM reserves the right to deny me any future help or assistance. I also understand this application does NOT guarantee that my family will receive assistance.
By entering my full name in the fields above I agree it is binding as my Legal Signature. *Additional Info may be requested Angel Helpers Ministry reserves the right to refuse service to anyone. BY SIGNING HERE, YOU ARE ACKNOWLEDGING THAT ANGEL HELPERS MINISTRY IS NOT RESPONSIBLE FOR ANY ACCIDENT.
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