Jesus' Helping Hand Relief Fund

*This form is for Dallas 1 Corporation employees only.

First Name *

Last Name *

Today's Date * +

Number of people in your household *

Medical Benefits *

Yes

No

Phone number where you may be reached *

Amount Requested *

Reason for Request *

Rent/Mortage Past Due

Utility Bill (electric, phone,water) Past Due

Car Expense (payment, insurance, registration) Past Due

Medical/Dental

Family Death (travel, Funeral exp)

Other Other

Cause of Hardship *

Do you currently have a written budget? *

Yes

No

Date of Hire * +

Supervisor/Foreman Signature: *

clear

Relief Fund Guidelines:

**THIS IS AN EMPLOYEE FUNDED BENEFIT… THIS IS NOT DALLAS 1 MONEY**

-Prior to employee receiving a grant from the JHH fund, they will be required to attend a minimum of 1 financial counselling session in-house or with a qualified accountant, money manager, or complete an online course such as npo.org or Dave Ramsey.

-The JHH Committee will communicate the approval or denial to the employee through the Chief Ministry Officer within 1 week of their request.

-If employment with Dallas 1 Construction has been 90 days or less, a maximum of $300.00 will be granted regardless of what the employee is requesting. The committee can override the amount with a unanimous affirmative vote.

-An employee may only receive two grants from the JHH Committee in a 12-month rolling period.

-An employee who is not paying into the JHH fund may receive one JHH grant. The employee must be in compliance with all other JHH guidelines. After that, the employee must be contributing to the JHH grant fund before they can receive any further grant money. No minimum amount will be required from any employee.