If you have a spouse and children living at home please list their names and ages.
Phone Number: *
Are you a registered sex offender *
Place of Employment (N/A if unemployed): *
Current balance in fees and fines: *
Do you regularly attend any church? If yes, which church? *
How would receiving this stewardship funding benefit your life? *
I understand that to be eligible to receive any stewardship funding to assist in paying all or a portion of my current fees and fines I will assist in the organizing and hosting of the sale event. I also understand and agree to meet with community members and to share at least three meals with individuals or families. I authorize the Stewardship Committee to share my telephone number with neighbors that request it in order to establish contact and meet for a meal. I understand that receiving any amount of assistance is not guaranteed by submitting this application. Any assistance given will be paid directly to the courts.
If awarded funds, I understand that if communication cannot be maintained on my part within a reasonable amount of time, I will forfeit any funds I could receive towards my fees and fines.
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