Apply for Emergency Aid Portland OR

Applicant Information

Full Name

Date of Birth

Phone Number

Mailing Address

Number of Children Under Your Care

Ages of Children (e.g., 5, 8, 12)

Employment Information

Are you currently employed?

Average Monthly Income ($)

Employer Name

Your Position

Employer Contact (Phone or Email)

Your Situation

Describe your current situation and any challenges you are facing.

Assistance Needed

If you selected "Other" or need to provide more details, please explain here.

Eligibility Requirements

Applicants must meet all of the following criteria:

Requirements List

Be a single parent or legal guardian with primary responsibility for one or more children. Have legal status to reside and work in the U.S. (submit documentation). Be actively employed or have verifiable work income. Not use illegal drugs or substances not prescribed to them. Be willing to sign a declaration and comply with program rules.

Declaration and Consent

I certify that the information provided is true and accurate to the best of my knowledge. I understand that falsifying information may result in denial of assistance. I agree to comply with The Tolú Foundation guidelines if I am selected as a recipient.

Signature (Type your full name)

Date

Request Support