Household Assistance Application

Fields marked * are required.

Full Name *

Phone *

Email

County

Address

City

ZIP

Head of Household

What do you need help with?

Crisis CareWork AssistanceSingle Parent/Grandparent SupportSmall AsksOther

Describe your need

Remarks

Referred by (if any)

I understand the information I provide will be used by Meet the Need 615 to review and coordinate assistance, and kept private.

Filling the gaps where other nonprofits and churches are unable to provide assistance. Meeting basic needs with Christ's love.

501(c)(3) Tax-Exempt

Dickson, TN & Surrounding Areas

Tax-exempt under Section 501(c)(3). Donations are tax-deductible to the extent permitted by law.