Here to help

We offer financial support programs designed to assist individuals and families in need. We focus on helping those who are facing financial challenges and require assistance to improve their quality of life.

Apply for financial assistance through our support programs.

Our programs

Disaster Relief

We provide financial assistance to individuals and families affected by natural disasters. Our disaster relief programs aim to help those in urgent need of support during challenging times.

Medical Assistance

We offer grants and financial aid to individuals facing medical emergencies. Our medical assistance programs are designed to alleviate the financial burden of healthcare costs by covering expenses such as hospital bills, medications, and other related costs.

Utilities Assistance

We provide financial support for individuals and families struggling with utility bills. Our programs aim to ensure access to essential services like water, electricity, and gas. We also help cover costs for mortgage and rent payments, preventing homelessness and ensuring stability for those in need.

Student Aid

We provide financial support for students pursuing higher education. Our student aid programs aim to reduce the financial burden of tuition and other educational expenses. We also provide schools and educational institutions with resources to support students in need, ensuring access to quality education for all.

Financial Assistance Application Form

For Disaster Assistance Only
Full Name
Email
Date of Application
Applying for:
Date of birth
Address
Phone #
Contact method	How can we contact you? Text Call Email
Employment	Select your employment status *Please select your employment status Employed Unemployed Student Retired
Household size
Monthly income
Monthly expenses
Amount requested
Cost of repairs
For Medical Assistance Only
Medical bill total
Hospital name
Hospital address
Insurance name
Policy #
Insurance phone #
For Student Aid Only
School Name
School address
School Phone #
Upload Supporting Documents Provide proof of income: paystubs or bank statement Upload hospital bill	Choose File No file chosen
Describe

Sign this form

By signing this form I understand I am giving the staff of Por Un Mundo Mejor (P1MM) permission to review my application and the documents I provided to verify my need for assistance. I agree to be contacted through the option(s) I selected to discuss my application. By submitting my application I also certify that the information I provided is correct and true to the best of my knowledge.

By clicking "Agree and Sign" below I am agreeing to signing this form electronically.

Confirm and Submit
Signature		Date

Application Submitted!

We will review your application as soon as possible.

You can print out your form for your records below:

To view the status of your application or to request changes,
please visit your account's portal.

We found an existing application.

We are currently reviewing your application.

To view the status of your application or to request changes,
please visit your account's portal.