Churches of Carney Oklahoma

Families Outreach Center Corporation

Families Helping Families

Route 1 Box 3E

Carney, Oklahoma 74732

(405) 865-2308

Families Helping Families is a non-profit organization started in 1996 to help senior citizens, low-income and disabled families. We serve rural Lincoln, Oklahoma, Payne, Pottawatomie, Logan & Seminole Counties and have a total of over fifteen hundred family members that we help in their time of need and hunger.

It is our goal, as well as commitment, to help stop the suffering of those families that have fallen upon hard times. There are many families in our area that are on a set income which allows them only a few dollars above their needs and at times, not even a few dollars.

We started with monies from our own pockets and donations from certain organizations to help a few needy people from our church members and their families. within the year we had branched out to an overwhelming amount of needy families and it takes many hours of work and dedication from my husband, Alvin, and myself along with a few volunteers (loaders, sackers and general help) to get the job done. Any type of donation is greatly appreciated and very much needed to help us continue to serve the needy.

Whether it is a dented can of food, a shirt, jacket or perhaps a few dollars, even a few hours of volunteer service, there are people out there that it means the world to. As stated previously, we are a non-profit organization and rely solely on donations and volunteers to help us in our never ending battle against hunger and suffering. All donations are tax deductible and the cause is a sincere and dedicated one.

Carolyn Craven,

President

Application

Date:____________________________ Phone # ( ) ________________________________

Name of Person Applying:____________________________________________________________

Social Security Number:_____________________________________________________________

Address:__________________________________________________________________________

Size of Family:____________

Family Members' Names	Ages	Family Members' Names	Ages
1.________________________________	______	4._________________________________	______
2.________________________________	______	5._________________________________	______
3.________________________________	______	6._________________________________	______

Reason for Applying For Free Food

_____	1. Unemployed / Illness	_____	4. Waiting for Assistance Approval
_____	2. Fire	_____	5. Theft of Check
_____	3. Late Check	_____	6. Other (Donation Expected)


Any Special Dietary Needs

_____	1. Low / No Sodium	_____	3. Soy Formula
_____	2. Sugar-Free	_____	4. Other ____________________________


Household Income: $__________________

_____	Below $10,000	_____	$15,000 - $25,000
_____	$10,000 - $15,000	_____	Above $25,000

Do you receive food stamps? If yes, how many? $___________________

Signature:____________________________________________________ (Person Applying)

Approved by:__________________________________________________ (Agency Representative)

Families Outreach Center Corporation

Families Helping Families

Route 1 Box 3E

Carney, Oklahoma 74832

*We Reserve The Right To Refuse Service To Anyone*

*Not responsible for accidents, thefts, or injury of any kind*

Families Outreach Center Corporation

Families Helping Families

Route 1 Box 3E

Carney, Oklahoma 74832

Parent or Guardians Name:___________________________________

Phone Number:____________________________________________

Address:_________________________________________________

City/State/Zip:_____________________________________________

Name	Age	Gender (Boy/Girl)	Shirt Size	Pant Size	Shoe Size	Sock Size	Favorite Color	Desired Gift (Under $10.00)