SVdP Saint Jude Online Assistance Form

St Vincent de Paul Society at Saint Jude the Apostle Catholic Church, Sandy Springs, provides assistance to Saint Jude parishioners and members of the Sandy Springs community. To be eligible for assistance, you must reside in 30328 or 30350 zip codes, AND within the boundaries listed below. St Jude parishioners are eligible for assistance consideration regardless of zip code.

North of I285,
South of Pitts Road,
West of Peachtree Dunwoody Road, and
East of the Chattahoochee River

If you are eligible for assistance please proceed with completing and submitting the form below. A volunteer Vincentian will contact you soon.

If you are not a Saint Jude Parishioner and do not reside in our coverage area, you will not be eligible for assistance through the Saint Jude St. Vincent de Paul Conference. Please call the main St. Vincent de Paul Georgia assistance line at 678-892-6163 or visit this map to be connected with a local Conference that may be able to assist you.

ASSISTANCE REQUEST FORM

"*" indicates required fields

Please select the zip code where you live:*

Do you live within these boundaries: North of I285, South of Pitts Road, West of Peachtree Dunwoody Road, and East of the Chattahoochee River?*

If you do not reside in one of the zip codes AND within the boundaries listed, you will not be eligible for assistance through the Saint Jude St. Vincent de Paul Conference. Please call the main St. Vincent de Paul Georgia assistance line at 678-892-6163 to be connected with a local Conference that may be able to assist you.

Date

Head of Household Information

Name*

First Middle Last

SSN

Last 5 digits only

Date of Birth*

mm/dd/yyyy

Email Address*

Email*

Do you have a permanent address?*

Address*

Street Address Address Line 2 City State ZIP Code

Have you lived in your apartment for at least 3 months?*

Yes

No

Are you homeless?*

Yes

No

Apartment Complex Name

If applicable

Primary Phone Number*

Are there other members of the household?

Yes

No

Other Household Members

Other Household Member Information

Assistance Request

Have we helped you in the last 12 months?*

Yes

No

Would you like assistance with applying for food stamps?*

Assistance Requested*

Please describe your request

ST. VINCENT DE PAUL GEORGIA AT SAINT JUDE THE APOSTLE PROVIDES ASSISTANCE TO INDIVIDUALS AND FAMILIES ONCE EVERY 12 MONTHS. IF WE HAVE PROVIDED ASSISTANCE TO YOU IN THE PAST 12 MONTHS, YOU WILL NOT BE ELIGIBLE FOR ASSISTANCE AT THIS TIME.