L.O.V.E. Framework

Love Overcomes Virtually Everything

The L.O.V.E. Framework is our holistic approach to community wellness, addressing physical, mental, emotional, spiritual, and financial well-being. Apply to receive comprehensive support tailored to your unique needs.

L.O.V.E. Framework Application

Apply for our holistic wellness program that addresses all aspects of your well-being.

Personal Information

Full Name *

Email *

Phone Number *

Date of Birth

Gender Identity

Pronouns

Race / Ethnicity

Address

Street Address

City

State

ZIP Code

Household Information

Household Size

Annual Household Income

Employment Status

Additional Information

Which areas of wellness are you seeking support with? (Select all that apply)

Have you received support from Evangeline or similar organizations before?

What are your personal wellness goals?

Application Details

Why are you applying for this program? *

What specific needs do you have?

Additional Information

Supporting Documents

Please submit all supporting documents:

GOVERNMENT-ISSUED DRIVER LICENSE OR ID
COPY OF UTILITY BILLS (FULL BILL REQUIRED FRONT AND BACK)
COPY OF LEASE AGREEMENT
Proof of eligibility

Click to upload or drag and drop

PDF, DOC, or images up to 10MB

I certify that the information provided is true and accurate. I understand that Evangeline will review my application and contact me regarding my request. I consent to Evangeline storing and processing my personal information for the purpose of this application.