Bridge Point - Hope Card

Bridge Point's Hope Card Program

Bridge Point strives to help families of all shapes and sizes meet their everyday needs. Our goal is to help you "stretch" your income and budget by providing needed resources, at no cost, that free up your income for other family needs.

The HOPE RESOURCE CENTER and Bridge Point CONNECTION POINT MOBILE SERVICES exist to provide needed resources to individuals and families in our community.

Some of the resources include;

PERSONAL CARE ITEMS (tooth brushes, soap, deodorant, diaper, shampoo & more)
HOUSEHOLD ITEMS (laundry soap, toilet paper, dish soap & more)
SPECIAL RESOURCES (used & sometimes new appliances, furniture, monthly specials and more)

These resources are not made available to the General Public.
They are reserved for HOPE FAMILIES.

Following review of your application, you will be notified about whether you meet the initial qualifications for a HOPE CARD and an appointment will be made to further discuss your family's needs.

Qualifications: Meets Ohio Department of Job and Family Services Federal and State Funded Food Programs Eligibility. No proof necessary

Community: Bridge Point works within the following zip codes/communities. Occasionally, we make exceptions but these are our primary areas of ministry.

44626 - East Sparta 44704 - Canton (portions)
44643 - Magnolia 44706 - Canton
44671 - Sandyville 44707 - Canton
44688 - Waynesburg 44730 - East Canton

School Districts: Our primary areas of ministry are within these schools districts.

Canton Local Schools (Canton South High School)
Osnaburg Local Schools (East Canton High School)
Sandy Valley Local Schools (Sandy Valley High School)

STEP 1:

Currently, you MUST live and/or learn within the Canton South, East Canton or Sandy Valley community in order to be approved for our Hope Card Program. If none of these apply to you, please do not continue with the application process.

Select One:

New Applicant

Recertification

Do you LIVE or LEARN in:

Canton South (Waco, North Industry, East Sparta, Fohl Village, Vienna Woods)

East Canton (Osnaburg Township)

Sandy Valley (East Sparta, Magnolia, Sandyville, Waynesburg)

STEP 2:

Reason for requesting assistance

STEP 3:

GENERAL INFORMATION

Head of Household First Name

Head of Household Last Name

Are You Currently Employed?

Yes

No

Birthdate

Gender

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Email

Phone Number

Number of CHILDREN (Under 18)

Number of ADULTS: (19-59)

Number of SENIORS: (60 and older)

1ST ADULT IN HOME (not head of household):

1st Adult - First Name

1st Adult - Last Name

1st Adult - Currently Employed:

Yes

No

1st Adult - Birthdate

1st Adult - Relationship to you (Spouse, partner, parent, child, other):

2nd ADULT IN HOME:

2nd Adult - First Name

2nd Adult - Last Name

2nd Adult - Currently Employed:

Yes

No

2nd Adult - Birthdate

2nd Adult - Relationship to you (Spouse, partner, parent, child, other):

3rd ADULT IN HOME

3rd Adult - First Name

3rd Adult - Last Name

3rd Adult - Currently Employed:

Yes

No

3rd Adult - Birthdate

3rd Adult - Relationship to you (Spouse, partner, parent, child, other):

4th ADULT IN HOME

4th Adult - First Name

4th Adult - Last Name

4th Adult - Currently Employed:

Yes

No

4th Adult - Birthdate

4th Adult - Relationship to you (Spouse, partner, parent, child, other):

Children at Home (18 and under)
Fill out information for each child in your home. ALL information must be completed before your application can be considered.

CHILD 1:

Child 1 - First Name

Child 1 - Last Name

Child 1 - Gender

Child 1 - Birthdate

CHILD 1's SCHOOL (Enter TOO YOUNG if under school age)

CHILD 1'S GRADE or LEVEL

CHILD 2:

Child 2 - First Name

Child 2 - Last Name

Child 2 - Gender

Child 2 - Birthdate

CHILD 2'S SCHOOL (Enter TOO YOUNG if under school age)

CHILD 2'S GRADE or LEVEL

CHILD 3:

Child 3 - First Name

Child 3 - Last Name

Child 3 - Gender

Child 3 - Birthdate

CHILD 3'S SCHOOL (Enter TOO YOUNG if under school age)

CHILD 3'S GRADE or LEVEL

CHILD 4:

Child 4 - First Name

Child 4 - Last Name

Child 4 - Gender

Child 4 - Birthdate

CHILD 4'S SCHOOL (Enter TOO YOUNG if under school age)

CHILD 4'S GRADE or LEVEL

CHILD 5:

Child 5 - First Name

Child 5 - Last Name

Child 5 - Gender

Child 5 - Birthdate

CHILD 5'S SCHOOL (Enter TOO YOUNG if under school age)

CHILD 5'S GRADE or LEVEL

CHILD 6:

Child 6 - First Name

Child 6 - Last Name

Child 6 - Gender

Child 6 - Birthdate

CHILD 6'S SCHOOL (Enter TOO YOUNG if under school age)

CHILD 6'S GRADE or LEVEL

Household Income Information

Monthly Income:
Use totals for ALL INCOME from ALL HOUSEHOLD MEMBERS.

Fill in ALL blanks. Use your MONTHLY totals. If not applicable, enter '0'

Monthly Salary

Child Support

Food Stamps/WIC

Social Security/SSI/SSD

Public Assistance

Pension

Alimony

Unemployment

Section 8 Housing

Household Expense Information

Fill in all blanks. Use your MONTHLY totals. If not applicable, enter '0'

Rent/Mortgage

Electricity

Gas/Heat/Oil

Phone

TV/Streaming/Internet

Car Payment

Car Insurance

Other Monthly Expenses

Are you going to ask for assistance from anywhere else?

Yes

No

Do you attend church regularly?

Yes

No

If your answer was yes, which church do you attend?

STEP 4:

Once your application has been reviewed, we will contact you to set up an interview to further discuss the needs of your family. At this time, all interviews will be conducted over the phone. Upon talking, we will notify you if you have been approved for our Hope Card Program and after that point, you will be eligible to receive resources.

Please select an interview time that best fits your schedule. You will be notified after review of your application of your appointment time:

Wednesday (4:30 pm - 6:30 pm)

Friday (9:30 am - 11:30 am)

If there is any additional information that you can provide to better help us understand why or how Bridge Point can assit you and your family that is not already listed on this form, please include below:

By submitting this application and signing below, you confirm that, to the best of your knowledge, all the information provided is accurate and verifiably true. You also give Bridge Point Community Services permission to verify any of this information. Please understand that if you are being helped by another agency in town, you might not also be helped by Bridge Point.

Signature