Special Fundraisers

Rules for Special Fundraiser requests:

Special Fundraiser requests for an individual/family and if approved this is a one time only opportunity. In order to request a special fundraiser we will need this application filled out completely, submitted with any supporting documents. Feel free to include a personal letter to help express what you are looking for.

These applications must be completed on behalf of another person by a professional, such as a Doctor, Counselor, Service Provider, Teacher, Social Worker or Clergy.

Applicants can not currently have any outstanding warrants, be on probation or be incarcerated at the time of the request.

No cash, gift cards, or checks will be given directly to any individual, any monies raised will be paid directly to the vendor/need. If the need cannot be validated this request can be denied. All approvals and denials are at the discretion of the Board of Directors.

The request needs to have a set dollar amount to pay a specific vendor and the request is accepted, Hearts for Kindness will work with you to raise enough money to pay for that item, Hearts for Kindness cannot guarantee that all funds needed will be raised. Any expenses required to fundraise to fill the request will be deducted from the gross amount raised, all of those expenses will be disclosed.

If additional funds are raised those funds will remain within Hearts for Kindness to be used to continue our mission for others.

Please note that we are a volunteer organization and we would be looking for volunteers from within your circle of contacts as well.

Hearts for Kindness may use your scenario as an example of how we have helped others, however your personal identity and information will remain confidential, unless we receive permission from you otherwise.


Application for Special Fundraiser



This application is being completed by:*
Email:*
Address*
Phone*
Recipient Name: (If Different)*
Address*
Email*
Phone*
Amount Requested*
Vendor Name*
Reason for need*
Explanation*
Please list and include and documentation to support this request*
Is this a one-time need for assistance or long term situation in need of other services or assistance*
Please list any other assistance you have applied for and/or have received*
If we are aware of additional options for assistance would you like us to share those with you*Yes   No   
May we use your likeness?*Yes   No   
Are you willing to allow any photos, videos or interviews for Hearts for Kindness to use in promoting support and fundraising efforts for future recipients? *Yes   No   
Would you like information about becoming a volunteer? *Yes   No   
Would you like to be added to our email and mailing list for Newsletters, future acts of kindness projects, and fundraising events? *Yes   No   
Attach a File


Check*Hearts for Kindness may use your scenario as an example of our financial assistance program.

 By checking here you are stating that you have read the above rules before applying.

By signing this application. I am stating that I have read the rules for the application for assistance and believe all statements I have made above to be true to the best of my knowledge. 


Applicant/Recipient Signature*
Date*