Project UPLIFT Emergency Assistance Referral
PLEASE NOTE: AFTER JUNE 11, 2021, APPLICATIONS FROM BUNCOMBE COUNTY AND HENDERSON COUNTY WILL BE PUT ON A WAITLIST. FOR ADDITIONAL RESOURCES, PLEASE CONTACT UNITED WAY'S 211 REFERRAL LINE.

This form is to be completed by partner agency staff. Please read the following before submitting:

Project UPLIFT is funded through the CARES Act funding.

The goal of Project UPLIFT's Emergency Assistance is to help people who have been impacted by COVID-19 and who are living at or below the income guidelines (200% poverty) avoid eviction, utility interruption, and/or increase or maintain stability. Other types of financial assistance provided might include payments for childcare, transportation repairs, medical bill assistance, etc. Individuals do not need a social security number to receive assistance.

Financial assistance is not guaranteed. For questions, please contact Ray Vincent: 828-777-0259
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Your Name & Agency: *
Name of Applicant (person being referred): *
Applicant Phone Number:
Applicant Email Address:
In which county does the applicant reside? *
Please check all of the statements that apply: *
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Does applicant understand that Project Uplift will need to obtain income (if applicable) from the past 30 days for the entire household for individuals related by blood or marriage? *
What is the best way for us to contact the applicant? *
Other information?
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