General Assistance - Help Give Hope • Springfield, MO

ASSISTANCE

Are you seeking Assistance?

The organizations below are also resources to reach out to for additional assistance:

• Community Partnership of the Ozarks—cpozarks.org

• Consumer Credit Counseling—cccsoftheozarks.org
• Catholic Charities—ccsomo.org
• Council of Churches—ccozarks.org

• Ozarks Area Community Action Corporation—oac.ac
• Salvation Army—https://centralusa.salvationarmy.org/midland/springfieldmo/

WHO QUALIFIES

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, Northern Christian or Western Webster county.

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. You can print the attached PDF, or fill the form out on this page. If you print it, please send it to the following address:

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

You will receive a response to your request as quickly as we can get to it, once we receive it. No requests are granted “on the spot.” Help Give Hope does not give 100% of the request.

Fill the form out on this page

Step 1 of 3

Name*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Best Number to Reach by Phone*
We must be able to reach you by phone

Family Information
Names and Ages of Children*
Schools they attend--If not enrolled use "N/A"*
Other adults living in the home and their monthly financial contribution:*
Employer / If not employed, please indicate how long you have been unemployed and why*
Hours worked per week*

Monthly Income
Please answer all that apply to your family.
Wages*
SSI
TANIF
SS
Food Stamps
Disability
Child Support
Unemployment
Veterans
Other
Monthly Expenses--Please List Approximate Amounts Below*
What kind of assistance do you need?
How long have you lived at your current address?
Please include the name, address and phone number of your landlord. We must have all of this information or assistance could be forfeited.
Do you have a shut off notice (you must be in disconnection status to qualify)?
Have you applied with OACAC? (If 'No,' then please see additional instructions below and DO NOT COMPLETE THIS FORM.)
If your answer is no, you must complete the following before applying with Help Give Hope. You can do this by: Go to oac.ac; choose Housing and Energy; Choose LIHEAP Energy Programs. This will then lead you to the explanation of they two programs they offer. At the bottom of the page is a link to the application. Once you complete the form you will be eligible for both and will want to immediately apply for the Energy Crisis Intervention Program.
What type of assistance are you needing?
What got you to your current situation? Please be as detailed as possible.*
Name
This field is for validation purposes and should be left unchanged.

ASSISTANCE

Step 1 of 3

Family Information

Monthly Income

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