One Lamb Fund Love Offering Application

Since 2020, The One Lamb ministry has focused on providing education, connection, and support in the area of mental health and addiction. The ministry, however, started as a financial fund for a struggling teen.

Because of generous supporters of this ministry, we are able to return to the genesis of this work by providing a love offering of financial assistance to approved applicants who seek relief for mental health and addiction treatment costs.

Scholarships will be determined by the current balance of our fund and from a thorough review of the application. At this time, current members of Peachtree Road United Methodist members may apply. See application below for further details.

The mission of the One Lamb initiative is to nurture and embrace mental wellness in a faithful community of connection and support. A portion of funds raised for One Lamb will be available to help members of our community with the exorbitant cost of mental health and addiction treatment.

Please complete this form as accurately as possible. Once submitted, all information will be kept strictly confidential. We recognize that timing is critical and we will make every effort to expedite the review process.

Application General Information

Full name, age, and address of individual in need:

Your name and relationship to the individual in need:

Your Email:

Contact Number for Applicant or Applicant's Guardian:

Name and address of accredited program/treatment center/PHP/IOP/therapeutic school:

Contact person and phone number for the above facility:

Anticipated start date:

Anticipated length of treatment:

Type of Treatment Needed:

Is this the first time seeking treatment? If no, please briefly explain:

Please provide a general description of mental health and financial need:

Should your application be accepted, do you agree that this is a love offering with a desired emphasis to "pay it forward". This could mean reimbursing the fund at a later date or using your individual gifts, talents, and/or experience to assist this ministry or someone in need sometime in the future.

Yes

Please provide the amount of financial need for this treatment:

Any additional information you'd like to share:

Are you a member on record at PRUMCC?:

YES

Years as a member:

New Field:

Opt-In

By checking, I agree to share my form responses.

The undersigned understands and agrees to the following:

Information provided on this application may be confidentially shared with The One Lamb Initiative and its review committee for purposes of consideration of this application.
The One Lamb Initiative review committee reserves the right to confirm the acceptance of the applicant or applicant's minor in the designated treatment provider disclosed in this application.
One Lamb Initiate distributes love offerings directly to the service providers and in compliance with PRUMC's 501(c)3 status.

Digital Signature:

One Lamb Fund Love Offering Application

Application General Information

Contact Info