Caring4Humanity Eligibility Criteria Form

ELIGIBILITY FORM

Caring4Humanity Eligibility Criteria

One Table Cost: $200

Set up time: 2 to 3 pm

Booth display and sale time: Between 3 to 8 pm

No sale during the program.

Advance of $50 to be paid with Registration Form to:
E Transfer: [email protected]

1. Primary Applicant Information

Date of birth *

Date 26l3

2. Family Dynamics

3. Initial Eligibility Assessment Criteria

Crisis / Conflict Survivor: Is the applicant an immediate survivor or family member affected by the Gaza humanitarian crisis, or from an aligned priority conflict area?

Yes

Settlement Status: Is the applicant a newly arrived person with Temporary visa permit , refugee, asylum seeker, claimant, or displaced individual requiring immediate settlement integration within Canada.

Yes

Lack of Alternative Support: Does the applicant lack sufficient institutional, federal, or private financial sponsor resources to cover basic living conditions?

Yes

Community Group Priority: Is the applicant from one of our historically supported diverse cultural communities (e.g., Palestinian, Bengali, Afghan, Nepali, Turkish, Syrian, Sri Lankan, Pakistani, Somali, and Indian)?

Yes

4. Immediate Assistance Required (Check all that apply)

Urgent Emergency Housing / Shelter

Transit Assistance (Prepaid Cards/Tokens)

Job Placement & Employment Coaching

Furniture & Essential Household Goods

Food Hamper / Grocery Support

Language Class / ESL Enrollment

5. Declaration and Consent

I hereby declare that the information provided in this form is accurate and true to the best of my knowledge. I understand that Caring4Humanity is a non-profit organization and that services are distributed transparently based on immediate vulnerability, regional capacity, and available donor funding.

I authorize Caring4Humanity to review these details for internal intake screening and community coordination purposes.

Clear

Date Signed

This document is an internally generated intake template based on Caring4Humanity public criteria for crisis relief and community settlement