Deserving a project is an important aspect of getting it funded and completed. The Project Deserve Application Form helps project managers and those submitting proposals to provide all the necessary details for their project. This ensures that those reviewing and approving projects have all the information they need to make an informed decision about whether a particular project deserves funding. Project Deserve is an online application form that provides a simple, intuitive platform for creating, submitting, and tracking proposals. This allows individuals or groups to communicate their proposal idea with others in order to build consensus and gather required approvals before submission. It also makes it easy for reviewers to access all proposal materials in one place, removing the hassle of having to track down messy email attachments or misplaced document files.
This figure has got information about project deserve application. This page provides details about the form's si
Question | Answer |
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Form Name | Project Deserve Application |
Form Length | 4 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min |
Other names | project deserve ks, center of hope project deserve application, center of hope, project derserve |
For office use only:
Project DESERVE Application PM ____/____/200__
This program provides assistance to current Westar Energy customers. Applications may ONLY be submitted by mail through the United States Postal Service. They must be postmarked between the 1st and 7th of the month. Any application with a postmark before the 1st or after the 7th will not be considered. Please see page 3 for other important information and requirements. Assistance is determined on a
To be eligible for this program, a member of your household must meet one of the following categories:
60 years or older OR Receives permanent disability income
from SSI or SSD
If approved you will be assisted with the amount due on your account at the time of the review, up to $300.
HOUSEHOLD INFORMATION
List all members of your household. Your Westar or Atmos bill must be in the name of an adult living in the household. Begin on line 1 with the person whose name the account is in. Please print legibly.
Name (last, first, MI) |
Social Sec # |
Sex |
Date of |
M or F |
Birth |
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Meets the income guidelines below
If approved you will be assisted with the amount due on your bill at time of review, up to $100.
Household |
Gross Income |
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Size |
Annual |
Month |
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1 |
$12,287 |
$1,024 |
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2 |
$16,643 |
$1,387 |
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3 |
$20,999 |
$1,750 |
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4 |
$25,355 |
$2,113 |
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5 |
$29,711 |
$2,476 |
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6 |
$34,067 |
$2,838 |
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7 |
$38,423 |
$3,202 |
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8 |
$42,779 |
$3,565 |
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Each add’l |
$ 4,356 |
$ 363 |
person |
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Your address:
Street Address |
City |
State |
Zip |
County |
Please indicate with a check () below why you need assistance with your bill:
Not Enough Income Monthly Loss of income Unusually High Utility Bill Unusually High Medical Bill
Other (please
explain)_____________________________________________________________________________
Please list the following information from your Westar bill:
Account number ____________________________ Total Bill Amount ____________
Page 1 of 3
Budget Information |
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Income Information |
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MONTHLY EXPENDITURES |
Amount |
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Regular |
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Name of person |
Source |
Amount |
paid this |
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monthly |
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month |
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expenses |
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Food |
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Household supplies (cleaning, |
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soap bleach, etc.) |
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$ |
Shelter (rent, mortgage, paid off) |
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$ |
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Electricity |
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$ |
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Gas/Heating (fuel, oil, wood) |
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$ |
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Water/Sewer |
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$ |
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Trash |
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$ |
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Telephone |
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Monthly Income total |
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$ |
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Clothing |
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Monthly Expenditures |
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$ |
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Transportation (fares, gas, oil) |
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IMPORTANT! |
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Property Insurance |
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Auto Insurance |
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Medical Insurance |
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Please include ALL household income |
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Life/Burial Insurance |
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sources. |
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Source examples include: |
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Taxes (personal property, real |
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estate) |
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Employment, SSD, SSI, SS, TAF, |
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Medical/Dental/Drug expenses |
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Food Stamps, Unemployment, |
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Worker Compensation, Child Support, |
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Personal needs (haircuts, laundry, |
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diapers, etc.) |
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Alimony, General Assistance (GA), |
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School costs (tuition, books) |
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etc. |
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Recreation (cable, movies, trips, |
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cigarettes, lottery, gifts, etc.) |
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Each source requires official written |
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Other (child care, charity, alimony, |
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verification. |
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church, etc.) |
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Examples of verification include: |
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paycheck stubs for last 30 days, letter |
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Credit Buying - car payments |
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from Social Security office (for current |
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or other loans, medical bills, |
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year), printout from SRS, printout from |
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charge cards, appliances, |
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furniture, etc. |
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unemployment office, etc. |
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DO NOT SEND ORIGINAL DOCUMENTS. |
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SEND COPIES. ALL DOCUMENTS WILL |
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TOTALS |
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BE DESTROYED AFTER REVIEW. |
Please read the next page (p. 3) very carefully.
Page 2 of 3
Required Verification
To have your application for assistance considered, written verification of your situation is required. Along with this signed application, you must provide COPIES of the following:
•Copies of current verification for each source of income in your household for the last 30 days
•Copy of your current Westar Energy bill
•Copy of photo ID for every adult in your household
DO NOT include originals as they will not be returned to you. All documents will be destroyed after review.
Notification Information
You will be notified, in writing, of our decision. Please allow up to 4 weeks to receive notification by mail. For those who are approved, payments will show as a credit on your Westar bill.
Please return completed application and verifications to: |
American Red Cross |
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Project DESERVE |
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P.O. Box 3726 |
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Wichita, KS 67201 |
Please list the name of any helping agency or organization that helped you complete this application:
READ THE FOLLOWING CAREFULLY BEFORE SIGNING
My signature below means that I understand and agree to all of the following:
I understand it is my responsibility to provide current proof of all household income, a current copy of my bill and photo ID’s of all the adults in my household to determine my eligibility.
I understand I need to continue making regular payments to my energy provider and that any Project Deserve benefits which may be received do not take the place of my responsibility to pay the vendor.
I understand my eligibility will be determined under the Project Deserve guidelines.
I understand this assistance is available one time per year on a
I authorize my utility provider to release my payment history and other information to the American Red Cross. I also authorize the American Red Cross to release application information to my energy vendor.
I understand applications with incomplete information or verification will not be processed and will be destroyed.
I understand applications may ONLY be submitted by mail through the United States Postal Service and must be postmarked between the 1st and 7th of the month.
I certify that all information I have provided is complete and accurate.
( )
Signature of Adult Household Member |
Date |
Daytime phone number |
Page 3 of 3
Application Process
Applications may ONLY be submitted by mail through the United States Postal Service and must be postmarked between the 1st and 7th of the month. Any application with a postmark before the 1st or after the 7th will not be considered.
If your application is denied you are eligible to reapply. You are eligible for payments from this program only one time per year.
P.O. Box 3726
Wichita, KS 67201