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The HOPEfund

Eligibility and Application Process:


The HOPEsudbury Fund supports Sudbury residents experiencing financial difficulties by providing emergency assistance to help pay for rent, utilities, and other essential bills. We offer grants up to $600 for an individual, $800 for a two or more adult household, or $1,200 for a family (guardian and one or more dependent/s) toward eligible expenses.


To apply for a HOPEsudbury emergency grant, please review the HOPEfund guidelines on our website and then complete and submit the online application below.

 

The application will be sent to the Sudbury Board of Health Social Work Office, and
someone from their team will reach to you to schedule a brief phone call. Following the call, the Social Work Office will submit
your application to the HOPEsudbury board, who will assess your eligibility for the grant.


Please review the HOPEfund guidelines for more details on the application process and eligibility criteria. If you have any questions or would like additional support in applying to the HOPEfund, you are welcome to contact the Sudbury Board of Health Social Work Office at any time at socialworker@sudbury.ma.us or 978-440-5476.

Please note: it is not possible to save this form; if you leave this page while completing the application, any information you have already entered will be lost.

HOPEfund application
Do you live in subsidized housing?
Do you
Have you received a HOPEfund grant in the past?

Please note, there is a limit of 5 lifetime HOPEfund grants per household

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Are you currently receiving any of the following Non Cash Benefits? (check all that apply)

Please Note: this question does not impact your eligibility for the HOPEfund; it is used by the social work office to offer tailored resources and referrals to meet your needs.

Household Information

Are you the sole household income earner?
Are there additional household members?
Does this person live with you more than 50% of the time?
Is there a third household member?
Does this person live with you more than 50% of the time?
Is there a fourth household member?
Does this person live with you more than 50% of the time?
Is there a fifth household member?
Does this person live with you more than 50% of the time?
Is there a sixth household member?
Does this person live with you more than 50% of the time?
Are there more than six household members?

BILL INFORMATION

Please provide information about the bills you need assistance with in the fields below.

Please also upload copies of each bill and ensure all images include the following: name of company, name of a
pplicant, account number (if applicable), total amount due, and payment address If any of this information is missing,
payment may be delayed! 


At this time we can only accept JPG or PNG uploads. Alternatively, you may email copies of the bills to to: socialworker@sudbury.ma.us
You may submit 1-4 bills on this application.  

Upload File (jpg or png only)

Upload a copy of bill #1 here or email a copy to the Sudbury social worker: socialworker@sudbury.ma.us. Please make sure bill includes name of company, name of applicant, account number (if applicable), total amount due, and complete payment address. Payment may delayed if all this information is not clearly indicated!

Upload File (jpg or png only)

Upload a copy of bill #2 here or email a copy to the Sudbury social worker: socialworker@sudbury.ma.us. Please make sure bill includes name of company, name of applicant, account number (if applicable), total amount due, and complete payment address. Payment may delayed if all this information is not clearly indicated!

Upload File (jpg or png only)

Upload a copy of bill #3 here or email a copy to the Sudbury social worker: socialworker@sudbury.ma.us. Please make sure bill includes 
name of company, name of applicant, account number (if applicable), total amount due, and payment address 

Upload File (jpg or png only)

Upload a copy of bill #4 here or email a copy to the Sudbury social worker: socialworker@sudbury.ma.us. Please make sure bill includes name of company, name of applicant, account number (if applicable), total amount due, and complete payment address. Payment may delayed if all this information is not clearly indicated!
If you have more than 4 bills to submit at this time, please email: socialworker@sudbury.ma.us

CERTIFICATION AND RELEASE OF INFORMATION

Please be sure you have answered all questions to the best of your ability so that we can process your application quickly and efficiently. After submitting this form, someone from the Sudbury Board of Health Social Work Office will contact you for a phone call to review your application before submitting it to the HOPEsudbury board. If it is determined that your household is eligible, under the program guidelines, payments will be made on your behalf directly to the vendor of the bill(s) you submitted.

By checking and signing below I certify the following:

 

Certification of application: 

I have read, understood, and agree to the HOPEfund Guidelines/FAQ.  I understand that my eligibility is dependent on me filling out this application truthfully and to the best of my ability. I promise that the information contained on this application is truthful. If information is found to be untruthful, your household may be ineligible for HOPEsudbury programs.  I authorize HOPEsudbury and the Town of Sudbury Social Work Office to verify the information provided. 

 
 
Release of Information: 

I hereby give permission for this application and the information contained within it to be shared with HOPEsudbury Board Members and Town of Sudbury Social Work Office for purposes of approval, payment, and program management.  HOPEsudbury shall have no liability related to the release of information.  

This application may be executed by electronic signature which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature. 

Please hit "submit" only once;

it may take a few seconds for you to

receive confirmation!

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