I confirm that I am at least 18 years old.*

I confirm that the information in this application is honest and accurate*

I understand that submitting an application does not guarantee assistance.*

I understand that recipients will be selected based on need and available resources rather than through a random drawing*

I understand that assistance will be provided as a grocery-store gift card and cannot be exchanged for cash.*

I understand that if I win, my first name and story will be posted to Scribble and Scripture's social media accounts.*