Individual and Family Assistance Inquiry

Philadelphia Ramadan & Eid Fund > Individual and Family Assistance Inquiry

Individual & Family Assistance Inquiry

Primary Contact Information

Full Name *

Full Name

First Name

Last Name

Phone Number *

Ok to Text *

Yes

Email Address *

Home Street Address *

City *

State *

Zip Code *

Preferred Language *

English

Arabic

Urdu

Bengali

French

Household Details

Number of Adults in Household *

Number of Children in Household (and their ages, useful for Eid gift initiatives) *

Current Housing Status (e.g., Renting, Homeowner, Temporary Housing/Shelter) *

Type of Support Requested: *

Iftar/Food Assistance (e.g., Halal groceries or prepared meals)

Clothing/Eid Attire

Eid Gifts for Children

OtherOther

Brief Description of Hardship: *

Referral Source: (How did you hear about PREF?) *

Consent and Next Steps

Acknowledgment and Authorization to Contact: *

By submitting this form, you acknowledge that the information provided is accurate to the best of your knowledge and grant PREF permission to contact you regarding your request.

Data Privacy Agreement: Your Privacy is Our Priority. The Philadelphia Ramadan & Eid Fund (PREF) is committed to protecting the privacy and dignity of every family we serve. All information shared in this application is strictly confidential and will be used exclusively by our internal team to determine eligibility and facilitate support.

Submission Acknowledgment: To ensure every family receives the attention they deserve, please allow our team seven (7) business days to respond.

If you are human, leave this field blank.

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About

The Philadelphia Ramadan & Eid Fund is a nonprofit organization with a mission to provide the community with Ramadan and Eid programming and shared experiences for children, youth and families, while celebrating the rich diversity within our region.

Contact

Philadelphia Ramadan and Eid Fund
PO Box 2234
Bala Cynwyd, PA 19004

+1(267) 252-0944

info@phillyramadaneidfund.org

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