Get Intercounty Charitable And Educational Foundation - Ieca.coop

This guide provides detailed instructions on how to complete the Intercounty Charitable And Educational Foundation application for donation. Following these steps will ensure that you fill out the form correctly and completely, maximizing your chances of obtaining assistance.

Follow the steps to complete your application successfully.

1. Click the ‘Get Form’ button to obtain the application and open it for editing.
2. Begin by filling out the personal information section. Enter your full name, including last, first, and middle names, along with your marital status.
3. In the reason for the donation request section, be specific about the amount you are requesting and describe how the funds will be utilized.
4. List all household members and dependents, including their names, relationships, and ages to provide a clear picture of your household.
5. Provide your physical address, including the city, state, zip code, and county. If your mailing address differs, make sure to fill that in as well.
6. Enter your email address to enable communication regarding your application.
7. Fill in your phone numbers: home, cell, and work, to ensure they can contact you easily.
8. Indicate your employment status and provide an explanation if you are currently unemployed. If applicable, describe your disability and how long you have been disabled.
9. Document your employment history, starting with your most recent job. Include employer name, address, job title, supervisor, phone number, employment dates, and salary.
10. Detail your medical coverage type, specifying whether you have private insurance, Medicaid, Medicare, or opt for self-pay.
11. Explain the circumstances leading to your request for assistance. If your request involves repairs or replacements, attach at least two written bids or estimates.
12. List other social service agencies you have contacted in the past six months, including the agency name, contact person, phone number, and any amount received.
13. Complete the assets section by reporting all owned items and their values, including cash, real estate, and other assets.
14. Detail your monthly income sources, specifying amounts earned from various sources including salaries, benefits, or public assistance.
15. Identify your average monthly expenses, including housing, utilities, medical bills, and other necessary payments.
16. Document your liabilities by noting amounts owed, including loans, mortgages, and other debts.
17. Provide three references who are not employees or directors of the Intercounty Charitable and Educational Foundation, including their names, phone numbers, and addresses.
18. Finally, review the information provided for accuracy. You will need to sign the application to verify that the information is true and complete. Include your Social Security number and date of birth.
19. Once all sections are completed, save changes to your application. You can also download, print, or share the completed form as needed.

Complete your application for assistance online today to ensure timely support.