Apply For Assistance — Cheryl Cates Memorial Foundation

The Cheryl Cates Memorial Foundation’s mission is to assist women, children and families who are in need. Those applying for assistance must reside in Monroe County. Assistance can come in the form of direct aid from the Foundation or referral to another agency that can assist better. The CCMF Board will make all final decisions.

Printable Application Form Here

Apply Online

Today's Date

MM

DD

YYYY

Name

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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Please describe the type of assistance you are seeking.

Please describe the reason you are seeking assistance.

What other agencies have you contacted?

Signature

I, the undersigned applicant, hereby attests that the above information is true and factual.

Applicant agrees to provide more information and references upon request.