Abundant LIFE Community Development Corporation - Intake Form



 Our mission is to help people thrive by ensuring access to housing, food, health, and opportunity. We are dedicated to building long-term solutions that address poverty, under-employment, and community needs with dignity and care.


Office: (737) 637-4550 ext. 500
An ALCDC program provided by GUD LIFE Holistic Wellness 
1006 Old Austin Hutto Rd. 
Pflugerville, TX 78660




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Date Entered:

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First and Last Name *
Date of Birth:

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Complete Address 

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Phone Number



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Email Address *
Communication Type 
(How would you like to be reached?). 
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Gender

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Provide details of your immediate needs.

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Comments: Where have you looked for the services you need help with?

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Services Requested:  *
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Housing Assistance: Emergency or Transitional Housing Support - If you are in immediate need of housing or shelter, we may refer you to:

Acknowledgment and Certification

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that submitting this request does not guarantee assistance, and that any support provided may be limited and may not cover the full amount requested.

To serve as many individuals as possible, the GUD LIFE Program limits financial assistance to a maximum of $300.00 per household, per year towards utilities.

I understand that the GUD LIFE Program prioritizes emergency needs and will review applications based on urgency and the availability of resources. Response times may take up to 7 business days, as the program operates on a limited schedule (Tuesdays and Thursdays only).

I also understand that I will be required to submit supporting documentation in order to be considered for emergency financial assistance. This may include proof of hardship such as past-due bill. To expedite your application please submit your information to sonya.hosey@gudlife.org


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Type name for acknowledgment: *
For more questions please contact GUD LIFE Team at sonya.hosey@gudlife.org
A copy of your responses will be emailed to .
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