General Assistance Questionnaire

Help Give Hope offers assistance in many areas. Rental assistance, utility assistance, gas/grocery vouchers, and bus passes are just a few of the ways we help. We offer gently used furniture in an emergency situation. Unexpected challenges happen to all of us and Help Give Hope is available to assist families, based on several criteria.

If you find that your family is a candidate for our services, please fill out the attached form and return it via email to If you are unable to email it, please print and send to the following address:

Help Give Hope
2733 E. Battlefield, Suite 332
Springfield, MO 65804

You will receive a response to your request within 48 hours of receipt of information.

No requests are granted “on the spot.” Help Give Hope does not give 100% of the request.

• Families must have custody of children under the age of 18 living in the home.
• Families with children/adults with disabilities over the age of 18, must have full parental guardianship.
• Families must live in Greene, Christian or Webster county.


DOWNLOAD and PRINT General Assistance Questionnaire

Or just fill in the form below.

Fields marked with an * are required

Monthly Income

Please answer all that apply to your family.