SVDP at St. Mary Mother of God

To request financial assistance, please fill out the form below, starting with the drop-down box for your zip code. Please note that we’re a small volunteer team using donations from individuals at St. Mary Mother of God Catholic Church in Jackson, GA. Resources vary week to week, but we do our best to assist as many as possible. If we’re able to help, you can generally expect a call back within 5-7 days. Thank you for your understanding.

"*" indicates required fields

Please select the zip code where you live:

If you do not reside in one of the zip codes listed, you will not be eligible for assistance through the volunteers at St. Mary Mother of God in Jackson, GA. Instead, please call St. Vincent de Paul Georgia at 678-892-6163 to be connected with volunteers in your area who may be able to assist.

Head of Household Information

Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email

How many adults are in your household (18-59)?*

How many children are in your household (0-17)?*

How many seniors are in your household (60+)?*

Are you employed?

Yes

No

Assistance Requested (select all that apply):

Food

Hygiene

Utilities

Clothing

Prescriptions

Please tell us about why you need assistance:

Request Financial Assistance

If you do not reside in one of the zip codes listed, you will not be eligible for assistance through the volunteers at St. Mary Mother of God in Jackson, GA. Instead, please call St. Vincent de Paul Georgia at 678-892-6163 to be connected with volunteers in your area who may be able to assist.

Head of Household Information

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