PORTLAND REFUGEE SUPPORT GROUP
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PRSG's ISOS Financial Aid Request Form​
Long-Term Aid (2 months or more)

ISOS is a secondary social service agency that requires a primary sponsor from a social service agency. PRSG is that sponsor. We will verify the information you provide in this form and send it to ISOS on your behalf.  ISOS will then contact you (the core volunteer) directly regarding the client (refugee) you're advocating for.
WARNING: If you use your smartphone to submit this form we may not receive it. Please use a computer, and then contact us at: syd@pdxrsg.org to confirm that we received this form. Thank you!

    • ​NOTE: ISOS never gives aid in the form of cash.
    • Please complete every section of this application.
    • If a question does not apply to your situation, enter N/A in that field. All fields with an * are required fields.  If any required field is left blank, the application will flag the error and decline submission until corrections are made. If any section that is applicable is left blank, the application will be declined due to lack of information.
    • ISOS needs a minimum of 1 week to respond to the request. ISOS respects the privacy of all applicants. Any information that is submitted to ISOS is only used internally by ISOS board members to determine eligibility. We assure you that we do not share your information with anyone without your knowledge/consent and all information submitted is kept strictly confidential.
    • ISOS is not to be held liable for any legal violation from the applicant for misuse of the funds and services rendered to them.
    • ISOS does NOT communicate with the client (refugee), but only deals with PRSG's case manager/core volunteer.
    • ISOS expects timely updates from PRSG case managers/core volunteers, otherwise it will send 1 warning message before closing the case.

    Client Details 

    First
    Middle
    Last
    To choose more that one press "Ctrl" when selecting

    Residence Status 


    Marital Status 


    Household  

    ​Please provide details below.

    Employment Status 

    ​Length Of Employment

    Financial Status (Monthly Income) 

    * Please make sure all incomes are listed above that will give the exact total.

    Financial Status (Monthly Expenses) 

    * Please make sure all expenses are listed above that will give the exact total.

    Requested Assistance and Plan

    If applying for rental assistance, please email a copy of your Rental Lease contract to: syd@pdxrsg.org

    Active Community Partners/Sponsors (Volunteer) Information


    Attachments (Required Documents)

    I declare as an authorized signer, that this filing has been examined by me and is, to the best of my knowledge and belief, true, correct, and complete. Making false statements in this document can warrant denial of request. I also authorize ISOS to contact all listed sponsors to provide any and all relevant information to ISOS.

    I understand that transactions and/or signatures in records may not be denied legal effect solely because they are conducted, executed, or prepared in electronic form and that if a law requires a record or signature to be in writing, an electronic record or signature satisfies that requirement.
    ​

    The client needs to provide to the Sponsor the completed and signed ISOS Release of Information (ROI) Form.
    Click here for the Release of Information Form
    If applying for rental assistance, please email a copy of your Rental Lease contract to: syd@pdxrsg.org
    ​Note that the client's case will not be considered without the required documents. Thank you!
    ∙ Make sure you click the SUBMIT button well, until you see the confirmation message "Thank you. Your information has been submitted" or you see the message "Please correct the highlighted fields".
Submit
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PRSG is a 501 (c)(3) nonprofit organization with Tax ID# 82-1924164 | Copyright © pdxrsg.org 2023
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