Project Lift

Project Lift is designed to remove barriers and identify solutions to enable families to reach self-sufficiency. This unique public/private partnership allows providers the flexibility, funding, and resources to meet a family’s needs quickly. Project Lift will track participating families for one and three years and use the information to implement new solutions to poverty.

To receive funding and resources from Project Lift, participating families must:

• complete this form
• collaborate with a case management provider
• consent to monthly data collection for at least one year.

Preferred Sponsor Agency:–None–Cincinnati WorksCommunity Action AgencyCorinthian Baptist ChurchCornerstone Renter EquityEaster SealsFamiliesFORWARDFreestore FoodbankGRAD CincinnatiHouse of Hope Fellowship ChurchIslamic Center of Greater CincinnatiMadisonville MissionMercy Neighborhood MinistriesMt. Calvary Early Church of GodNew Prospect Baptist ChurchPeoples ChurchSanta Maria Community ServicesSaving Grace Community ChurchTalbert HouseUrban LeagueVillages of Roll HillWhitewater Crossing Christian ChurchZion Global Ministries<

Household Name

First Name

Last Name

SSN:

Date of Birth:

Gender:–None–MaleFemaleOther

Race:–None–African-AmericanAmerican_IndianAsianHawaiian/Pacific IslanderMultiple RacesOtherUnknownWhite (Caucasian)

Street

City

State/Province

County:–None–BooneBrackenBrownButlerCampbellClermontClintonDearbornFranklinGallatinGrantHamiltonHamilton-CincinnatiKentonMasonOhioPendletonWarren

Zip

Phone

Email

Household Size:

Children Under 18:

Current Monthly Household Income:

Employment Type:–None–Full TimePart TimeTemporarySeasonalNone

Pending Referral Needs: