Neighbor for Neighbor Beneficiary Application Form

A family or individual

Belongs to one of the following legal immigrant statuses (and have paperwork proof):

Asylum Seeker

Temporary Protected Status

Refugee

Afghan SIV

Has lived in the United States for no more than 1 year since their initial arrival in the United States as one of the immigrant statuses listed.

In need of core services listed

*Priority will be given to children, elderly, and vulnerable individuals in need.
All Neighbor Groups commit to providing the following core services to Beneficiary for a minimum period of 90 days:
Groceries

Rent

Household utilities

Necessary furniture and household goods

Interpreting and translating services

Assistance registering for applicable government assistance programs

Transportation

Enrolling children in school

Enrolling for government benefits

Keeping Beneficiary up to date with necessary legal and medical appointments

Enrolling adults in English classes (if needed)

Cultural orientation

Assist in fundraising efforts to provide for core services

The Sponsorship Process

Fill and submit sponsor or beneficiary application form.
Our team will follow up with follow up interviews and any necessary background checks to evaluate beneficiary needs and sponsor applicant capacities.
Once Sponsor and Beneficiary applications are accepted, we will match Sponsor and Beneficiaries for their 90-day support period.
Sponsors will receive cultural orientation and training to prepare them for helping their Beneficiary neighbor. Beneficiary and Sponsors will have initial meet & greet to outline goals and expectations.
Sponsors will support a Beneficiary family or individual for a minimum period of 90 days.
To make sure both parties are being adequately supported throughout the 90-day support period, our team will meet with both parties at least once a month.

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If you would like to learn more about our Neighbor for Neighbor program, visit our Neighbor for Neighbor about page. If you need help filling the form, have any thoughts, questions, or feedback, please contact our Community Sponsorship team.

Neighbor Group Name

Can be anything you like to identify your group! For example, Iowa St Friends, Little Flower Neighborhood Sponsors, The Fantastic Five, etc..

Neighbor Group Location

City

State

Postal / Zip Code

Group Members

When listing group members, please use formal names spelled the same way as on official identification (e.g., Drivers License). This will assist us in confirming background checks required as part of the application process. We also ask that you provide one secondary point of contact for your group. Groups must be made of at least three people.

Group Coordinator - Primary Contact (Required)

First name - Primary

Last name - Primary

Address - Primary

Phone - Primary

Email - Primary

Group Member 2 - Secondary Contact (Required)

First name - Member 2

Last name - Member 2

Address - Member 2

Phone - Member 2

Email - Member 2

Group Member 3 (Required)

First name - Member 3

Last name - Member 3

Address - Member 3

Phone - Member 3

Email - Member 3

Group Member 4

First name - Member 4

Last name - Member 4

Address - Member 4

Phone - Member 4

Email - Member 4

Group Member 5

First name - Member 5

Last name - Member 5

Address - Member 5

Phone - Member 5

Email - Member 5

I have additional members in my group.