Request for Assistance

Hope Across Borders

Purpose

This form is for individuals and families in distress seeking benevolent assistance from Hope Across Borders Inc. The information you provide will be used to assess your request and ensure our aid aligns with our mission to provide humanitarian relief.

Please Note: All information provided will be kept confidential and used solely for the purpose of evaluating your request.

Name

First

Last

Phone Number

Briefly describe your situation and the reason for this request:

What specific assistance are you requesting?

Specific Amount Requested ($ in USD)?

Consent for Use of Information

You may use my first name and general location
You may use my story with my photo
I wish to remain anonymous

Hope Across Borders Inc. occasionally shares stories of our impact to help raise funds and awareness. We would be honored to share your story (or parts of it) to inspire others to give.

I understand that this consent is voluntary and will not affect the decision regarding my request for assistance. I may revoke this consent at any time in writing.

Terms

I Agree to the Authorization and Agreement

By checking this box, I, the undersigned applicant, hereby confirm that the information provided in this request is true and accurate to the best of my knowledge. I understand that any false information may result in the denial of this request. I understand and agree that if this request is approved, payment will be made directly to the vendor listed in this form.

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Corporate Sponsors, Contributors & Affiliations

Hope Across Borders is honored to be connected to the Renu Foundation through the dedicated involvement of one of our board members. The Renu Foundation shares a mission aligned with ours—supporting underserved communities through sustainable programs and compassionate outreach. While we operate independently, we acknowledge the shared values that unite us in our respective goals.

Our organization is proud to participate in the Google Ad Grants program, helping us connect with more supporters online.

Help Our Cause

Assist us in achieving our current goal—every donation counts.

Hope Across Borders

Empowering children in underprivileged areas through education, resources, and support. Join us in creating a future where every child has the opportunity to thrive.

LEGAL

Unauthorized Use and Disclosure Statement

The Employer Identification Number (EIN) and other publicly accessible information provided by Hope Across Borders Inc. are intended solely for legitimate nonprofit and charitable purposes as permitted by law. Any unauthorized use of this information, including but not limited to fraudulent applications, misrepresentation, or misuse for personal or financial gain, is strictly prohibited.

Hope Across Borders Inc. condemns any such misuse and reserves the right to pursue legal action against individuals or entities involved in fraudulent or unauthorized activities. Violators may be prosecuted to the fullest extent of federal and state laws.

By accessing or utilizing this information, users acknowledge their responsibility to act in compliance with applicable laws and regulations.

For inquiries or legitimate use of our EIN or organizational information, please contact [email protected]
.