Doors of Hope Emergency Assistance Application

 

This is a screening to see if you meet the requirements for Doors of Hope. If you do, we will be in touch within 3-5 days to discuss the next steps. Please DO NOT fill out the application more than once!

 

Requirements for Eligibility:

Before filling out the online application, please read the list of requirements below. If you are ineligible for our program, please call our office for a referral to an organization that can help you, (662) 234-1100.

Please allow us 3-5 days to respond to your application.

 

  • 21 years of age or an emancipated adult aged 18 or over.
  • Must have minor children in the home & in your custody
  • Lafayette County resident for a minimum of 6 months, or a non-resident who has worked (and is currently employed) in Lafayette County for more than 6 months.

*IF YOU DO NOT HAVE MINOR CHILDREN IN THE HOME, PLEASE DISCONTINUE THE ONLINE APPLICATION. CALL 662-234-1100 FOR A REFERRAL TO AN ORGANIZATION THAT CAN HELP YOU.
*** IF YOU DO NOT LIVE OR WORK IN LAFAYETTE COUNTY, PLEASE DISCONTINUE THE ONLINE APPLICATION. CALL 662-234-1100 FOR A REFFERAL TO AN ORGANIZATION THAT CAN HELP YOU.
Format this section by listing the item, lender, and amount due for each debt.
Please note that a criminal record will not immediately disqualify you from our program.
List arrests by date, charge, sentence, time served, and where time was served.
Doors of Hope does not provide any medical or behavioral health benefits or treatment.
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