IL Foundation Assistance Form
This form allows the Foundation to review your needs and determine if you qualify for assistance. The Foundation may contact you for further information. Please note the Foundation will inquire about your situation to establish the level of support needed. All information will be kept confidential.
First Name, Last Name *
Current Home Address
Phone number
Explain your situation leading to needing assistance *
Explain what resources you are requesting during this challenging time. Examples include groceries, financial assistance, transportation, etc. *
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