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World-Wide Lighthouse Missions, Inc.
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Request For Help - Client
Eligibility Requirements:
Eligibility requirements include, but are not limited to:
Financial inability to acquire requested items
Inability to receive state assistance for requested items
Head of household employed, actively seeking employment, or proof of valid inability to work
At least one professional reference for verification of the above
Preferential eligibility provided to those being assisted by WWLM Partner Agencies (See Agencies)
Please Note: Financial Assistance is not provided by WWLM.
By clicking "I agree" below, you are indicating that you have read and agree to the Eligibility Requirements of the WWLM Donation Center.
Do you agree with the terms above?
*
I agree
Requested By:
Organization
First Name
*
Last Name
*
Email
*
Phone
*
Referral Source
*
Social Media
Website
Word of Mouth
Requested For:
Client's Full Name
*
Client's Full Address
*
Client's Phone Number
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Item(s) Requested
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Help us understand your reason for the requested item(s) free of charge
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Employed?
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Yes
No
Insured?
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Yes
No
If insured, does your insurance cover the item(s) requested?
Yes
No
Receiving Financial Assistance?
*
Yes
No
Specify Type of Financial Assistance