Request Assistance From Seton Center Inc | Emmitsburg, MD

,

This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

Home
Seton Center Programs
Seton Family Store
- Donation Guidelines
Get Involved
Stay Informed
Events
- Seton Center Spring 5K Run/Walk
About

Home
Seton Center Programs
Seton Family Store
- Donation Guidelines
Get Involved
Stay Informed
Events
- Seton Center Spring 5K Run/Walk
About

Request Assistance

Request Assistance

Request Service

Free Text

Fill out this short form and a Seton Center representative will contact you within two business days to schedule an in-person interview to complete the application process. Please call (301) 358-3188 (Ext 11) if you do not hear from us in two business days. If you cannot make it to your scheduled appointment, please call to re-schedule.

Name*

Other Names Used

Current Street Address*

City*

State*

Zip Code*

Phone*

Email*

Date of Birth*

Get Assistance With* (check all that apply):

Rent/Utilities/Mortgage

Medical (non-dental)

Dental

Getting Ahead

Auto Repair

Other

If you checked "Other", what assistance do you need?

Family Type

Single

Married, No Children

Single Parent

Married, With Children

Other

Have you ever been on Active Duty in the US Armed Forces?

Yes

No

I don't know

Do you have a disability or disabling condition?

Yes

No

I don't know

Highest Level of Education Completed

What is your HOUSEHOLD monthly income from all sources?

Free Text

This should be the amount of income of everyone living in your household combined.

From which of the following sources did you receive income in the last 30 days? Check all that apply.

Full- or Part-time Employment

Unemployment

SSI

SSDI

VA Disability

Private Disability Insurance

Workers Compensation

TCA, TANF, and/or TDAP

Social Security

Military Pension

Non-Military Pension

Child Support or Alimony

Other

Do you have Health Insurance? Check all that apply.

None

Medical Assistance/Healthchoice

Maryland Children's Health Program

Medicare

VA Medical Services

Employer-provided

COBRA

Private Pay Health Insurance

Emergency Contact

Please list all family members who CURRENTLY live with you:

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Oops, there was an error sending your message.
Please try again later.

The following is a list of documentation required to process your request for assistance:

Photo ID
Proof of income (if applicable)
Bill requesting assistance with
Proof of other expenses

VISIT US

,

This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

OUTREACH OFFICE HOURS

Mon - Fri: 10:00 am - 4:00 pm
Sat - Sun: Closed

STORE HOURS

Monday: Closed
Tue - Sat: 10:00 am - 4:00 pm
Sunday: Closed

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

CONTACT US

This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

GIVE HOPE TODAY

Hi. Do you need any help?

Share On:

Privacy Policy | Do Not Share My Information | Conditions of Use | Notice and Take Down Policy | Website Accessibility Policy

© 2024 The content on this website is owned by us and our licensors. Do not copy any content (including images) without our consent.

Share by:

{{placeholder_footer_reserve1}}

{{placeholder_footer_reserve2}}

{{placeholder_footer_reserve3}}

{{placeholder_footer_reserve4}}

{{placeholder_footer_reserve5}}

{{placeholder_footer_reserve6}}

{{placeholder_footer_reserve7}}