Assistance Application | Kingdom Family Min.

Application For Assistance

At this time, assistance for utilities and groceries is provided to families with children in Montgomery and North Harris County, Texas residents.

Each household may receive one approved application per year for each type of assistance.

We aim to support families to the best of our ability, yet due to limited funding, we have set limits to the amount of assistance given.

Today's Date

Contact Information

First name

Last name

Street Address

City

State

Postal / Zip code

Phone

Emergency Contact Name And Number

Demographic Information

Birthday required

Household Information

Spouse's Name If Married:

Spouse's Phone If Married:

List members of your household and include name, date of birth, gender, age, race and relationship to applicant:

Financial Information

Name of Head of Household

Employed Household Member Name:

Household Member Place of Employment

Total Gross Income (the amount before deductions) of all household members is:

List the source of any income not from an employer such as disability, alimony, unemployment, etc.)

Please upload one form of proof of residency—such as a lease agreement or utility bill—using either the document (PDF) field or the picture upload field below; only one is required.

Proof Of Residency- Document Upload

Document Upload