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Welcome to The Help Squad Assistance Program Client Request Form

The Help Squad Assistance program is based on funding availability and
this form will no longer be available when we meet our Quota.
 
The new DRIVE Car Repair Program is only available to those in the Help Squad Service areas or
experiencing Homelessness who are enrolled 
in a prevention program with
Strategies to End Homelessness (STEH) Shelter Program. 
*****Due to the Overwhelming response of those in need
please be patient
as it may take several days for a response.
 

Regretfully, The Help Squad is unable to assist you. In the Greater Cincinnati area, please contact The Cincinnati Shelter Hotline for assistance at 513-381233, or your local Homeless Coalition if you are outside the greater Cincinnati area. 

We regret to inform you that you are outside our service area.  We recommend you contact your local United Way 211, St. Vincent de Paul or a provider in the Hamiton County Resource List for assistance. Hyperlink to Hamilton county Resource List: 

Community Resources and Programs - Hamilton County, OH 

Are you employed?
Yes
No
Are you able to work or actively seeking employment?
Yes
No
Do you need assistance finding a new job?
Yes
No
How many hours do you work?
0 (retired/disabled)
<10
10-25
25-39
40+
Are you senior/retired, mentally or physically disabled (with documentation) or main caregiver for an elderly or disabled person?
Yes
No

We are unable to assist you at this time. 

The Help Squad serves qualifying working families, senior citizens and veterans in our service areas. We 

recommend you contact United Way 211, St. Vincent de Paul or a provider in the Hamiton County 

Resource List for assistance. Hyperlink to Hamilton county Resource List: Community Resources and 

Programs - Hamilton County, OH 

Have you received assistance from The Help Squad within the past 12 months?
Yes
No

Due to demand, applications 

are limited to one in a 12 month period.  We recommend you contact United Way 211, St. Vincent de 

Paul or a provider in the Hamiton County Resource List for assistance. Hyperlink to Hamilton county 

Resource List: Community Resources and Programs - Hamilton County, OH

Were you referred to The Help Squad by another organization or agency (e.g., church, school, another service organization)?
Yes
No
Are you a US citizen or do you have a green card, work permit, student visa or other form of documentation of legal residence?
Yes
No
Are you, your spouse or your parent currently enrolled in the military (active duty or reserves)?
Yes
No
Are you a Veteran or widow of a Veteran?
Yes
No
Did you receive an honorable discharge?
Yes
No
Do you have a DD214 (certificate of release summarizing your active duty)?
Yes
No
Are you retired?
Yes
No
Are you on Disability?
Yes
No
Are you in need of emergency financial assistance?
Yes
No
Current Need (check all that apply)
Current Need (Check all that apply)
Have you received an eviction notice?
Yes
No
Are you facing a disconnection? List the utility company, account number and disconnect date.
Yes
No
Do you need Rent or Mortgage assistance? Check below
No, Not Applicable
Rent
Mortgage
Are you currently Homeless?
No
Yes
If you are Homeless, please register with the Shelter Network Call 513-381-7233)
No
Yes
Have you received assistance from The Help Squad in the last 12 months?
No
Yes
How many adults live with you?
1
2
3
4+
How many children live with you (under 18 years of age)?
1
2
3
4+
Are you a US Citizen or do you have a green card, work permit, or student visa?
No
Yes
Does any member of your household have a disability or special need?
No
Yes
Were you referred to The Help Squad by another organization or agency?
No
Yes
Are you currently employed?
No
Yes
Lost Job in last 30 days
On Disability
Retired
Are you working Full-time?
No
Yes
Part-time
How many hours do you work?
<10
10-25
25-39
40+
How many other adults living in your household work at least 36-40 hours per week?
0
1
2
Are you a Veteran?
Yes
No
Are you enrolled in pre courses for a GED or at a college or trade school?
Yes
No
“I never imagined myself in this position with 5 kids and no where to turn. Thank you for being there for me and helping me through this. I have a job, daycare vouchers, food, housing and hope because you cared. I want to come back and help others who are hurting like I was…..”

Mother of a NWLSD family

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