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The Good Ole Boy foundation was founded to help and assist families who have come against unforeseen circumstances. Our number one priority is to address the needs of the children that are involved. With that being said, please provide us with as much information as possible so we can fully understand the situation. We will contact you if we have resources available to assist.

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Full Name(Required)

First Last

Email(Required)

Phone Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Married? Yes or No(Required)

Yes

Employed? Yes or No(Required)

Yes

Children? Yes or No(Required)

Yes

Total number of Adults living in household(Required)

Total number of Children living in household(Required)

Household weekly income(Required)

Household annual income(Required)

Have you received assistance from any other organizations in the past 12 months? Yes or No(Required)

Yes

If Yes, please list the name of the organizations you received help from, the month, the amount, & what it was for(Required)

Do you currently receive state assistance? Yes or No(Required)

Yes

Have you received help from the GOBF before? Yes or No(Required)

Yes

What best describes your financial situation?(Required)

Yes

Please explain in as much detail as possible your current hardship(Required)