Application For Financial Assistance 


Please fill out the application below and submit upon completion.

If the required questions are not answered, you cannot proceed to the next page.

NOTE: Please complete all required questions in order to complete and submit your application.

 If you have difficulty completing this application please call the crisis line at:  704-225-0440

Bridging the Gap Between Crisis and Hope since 1985

The mission of Union County Crisis Assistance Ministry’s Crisis Intervention Program is to provide a bridge from crisis to stability for individuals in our community who are at risk of losing their most basic needs of shelter and food during personal or family crisis.