Application — Rayven's Acts of Kindness

Application For Assistance

Disclaimer

Read Before Submission

Applications for assistance will be viewed on a first come, first served basis, all depending upon the need, the urgency, and the availability of funds within the Non- Profit organization of Rayven’s Acts of Kindness. Applications must be fully filled out before submission, and any supporting documentation must be emailed to rayvensactsofkindness@gmail.com in a timely manner with the recipients name clearly stated within the title.

By submitting this form, there is no guarantee of Rayven’s Acts of Kindness supplying assistance to the recipient.

Name of Person Applying

First Name

Last Name

Are you applying for yourself or someone else?

Recipients Name

First Name

Last Name

Recipients Email

Recipients Phone

(###)

###

####

Type of Kindness Request

Explanation for Kindness

How can RAOK potentially pay it forward to the recipient?

Reason for Assistance

Please email us any supporting documents, with recipients name as the title of the email.

Type of Assistance

Media Release

Do you give Rayven's Acts of Kindness permission to take and publicly post any photos, videos or interview conversations online? This would be in regards to this act of kindness for promoting and fundraising purposes, all in effort to provide assistants to future recipients and gain the interest of new donors? ** Partial permission allows you to stay annoymous, but still allow us to share this act of kindness to the community. **

Yes, I Give My Full Permission

Partially, I Give My Permission

No, I DO NOT Give My Permission

Additional Information

Optional