THANK YOU for your interest in Light The WayPlease fill out the following application, and someone from our team will be in touch! Light The Way - Application Name * First Name Last Name Email * Phone * (###) ### #### Marital Status * Military Status * Were you ever discharged from the military? * Employer Information * If you are unemployed put N/A Employer Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country HAVE ANY MEMBERS OF THE HOUSEHOLD EVER BEEN CONVICTED OF OR BEEN CHARGED WITH A CRIME? (IT COULD BE AS SIMPLE AS A MISDEMEANOR DRIVING VIOLATION OR AS SERIOUS AS ARMED ROBBERY.) WE DO EXTENSIVE BACKGROUND CHECKS. * HAS THE FAMILY OR ANYONE IN THE FAMILY BEEN INVOLVED IN A LAWSUIT? * HAS THE FAMILY OR ANYONE IN THE FAMILY FILED FOR BANKRUPTCY? * HAVE ANY MEMBERS OF THE HOUSEHOLD BEEN ON TELEVISION? * DOES ANYONE IN THE HOUSEHOLD HAVE A FACEBOOK, BLOG OR WEB SITE OF ANY KIND? * HAS ANYONE IN THE HOUSEHOLD PARTICIPATED IN VOLUNTEER WORK OR COMMUNITY SERVICE OF ANY KIND? * HAVE ANY HOUSEHOLD MEMBER'S ACHIEVEMENTS OR PROUDEST ACCOMPLISHMENTS BEEN RECOGNIZED BY YOUR COMMUNITY? * LIST ALL VEHICLES OWNED AND OPERATED BY HOUSEHOLD MEMBERS (INCLUDING YOUR OWN): * HOUSEHOLD INCOME* * APPROX. NET WORTH* * LIST ALL CREDIT CARD AND LOAN ACCOUNTS: * ARE ALL LOAN PAYMENTS CURRENT? * LIST ALL RECIPIENTS OF STATE AID FOR FOSTER CARE, DISABILITY, ADOPTION SUBSIDY OR OTHER BENEFITS: * WHAT TYPES OF INSURANCE DO YOU HAVE: * WILL W2S AND/OR TAX RETURNS FOR THE LAST TWO YEARS BE AVAILABLE? (PLEASE DO NOT INCLUDE THEM NOW) * DOES THE FAMILY OWN A HOME? * LIST ALL LIVING EXPENSES BY EXPENSE TYPE: * LIST ALL OTHER PROPERTIES OWNED BY PROPERTY TYPE: * SUMMARIZE THE FAMILY'S CURRENT SITUATION. WHAT MAKES THEM DESERVING? WHAT MAKES THE SITUATION UNIQUE? * THANK YOU - for filing our an application! Someone from our team will be in touch shortly!