Changes Unlimited Inc 10/11

CONTRACTUAL AGREEMENT TO PROVIDE FUNDING ASSISTANCE

This contractual agreement to provide funding assistance shall be entered upon on the below date between the non-profit organization of Changes Unlimited, Inc. and the facility of _______________________ ______________________ _______________________ for a period of one (1) year for the organization to provide entrance/admission fee funding and clothing assistance for individual(s) entering into the facility and meeting the below criteria. Our organization Changes Unlimited, Inc. believes a primary barrier for individuals to access safe housing is the required entrance/admission fees. Our efforts are to assist individuals entrance into the facility with initial fees of placement. If a resident can gain placement, he or she will have a better opportunity to seek employment or access financial assistance within the first week of entrance and can become accountable for future housing cost, subsequently preventing this individual in becoming homeless. Many individuals have no financial support to pay applicable admission/entrance fees nor do they have clothing. Subsequently, these individuals are referred to city homeless shelters and are not accepted into a facility. Unfortunately, these individuals with no support often become and remain homeless.
Our assistance is limited as well so you are required to utilize the below criteria when considering our services. If your prospected applicant meets our criteria for our assistance, you may apply by calling 267-815-0511, if funding and/or clothing is available the necessary contract with the facility must be signed and we will disperse funds and/or clothing within 24 hours. Individual must be at least eighteen (18) years of age. Individual must demonstrate a financial need. Individual accepted into a facility that has a contractual agreement with our organization for the services we provide. Individual accepts responsibility for future rents. Individual is not a member of our organization or their relative. Individual may only receive assistance a maximum of one (1) time per year.

______________________ DATE _______________________________________ FACILITY SIGNATURE/ Position or Title _______________________________________ CHANGES UNLIMITED, INC. SIGNATURE