Widows/Orphans Application

Widows/Orphans

This application helps YHWH's Misfits understand the needs of widows, fatherless children, single mothers, and households looking for faithful support.

Share your situation with clarity so the ministry can review your request, consider the care that may be appropriate, and respond with wisdom.

Applicant Information Full Name

Referred by:

Date of Birth Phone Number Email Address Is it okay to call and leave a voicemail? Current Address City / State / Country Best Method of Contact Preferred Time to Contact

Household Status

Please select all that apply.

Widow Divorced Woman Separated Woman Single Mother Fatherless Child / Children Orphaned Child / Children Seeking Counsel Only Seeking Long-Term Covering / Headship Support

Number of children in the household Ages of children Are all children currently living with you? Do any children have special needs, medical needs, or behavioral concerns? If yes, explain

Covenant & Faith Background Do you profess faith in YHWH and the Messiah (AKA Yahushua; Yahshua, Yeshua)? Do you currently seek to walk according to Torah? Do you observe Sabbath? Do you observe YHWH's appointed times? Have you ever participated in spiritual practices outside of Scripture, such as astrology, tarot, divination, mediumship, spell work, energy work, manifestation rituals, or similar practices? If yes or unsure, please share what you are comfortable explaining Are there any spiritual influences, objects, teachings, groups, or practices in your home or past that you believe elders should know about? If yes or unsure, explain anything that may help elders understand your background If accepted into the program, are you willing to receive counsel and correction concerning any spiritual practices that conflict with Scripture? Briefly describe your current walk, beliefs, and household convictions

Current Headship Situation Do you currently have a lawful husband, father, elder, or male covering involved in your life? If yes, explain who and what role he currently has Is there current conflict involving a husband, former husband, father, family member, or civil authority? If yes, explain Has any man formally abandoned, divorced, abused, neglected, or failed covenant responsibility toward you or your children? If yes, explain

Reason for Applying Why are you applying to this program?

What type of help are you seeking? Select all that apply.

Spiritual counsel Fatherly mentorship for children Elder evaluation Long-term foster headship support Accountability and structure

Are you seeking in-person counsel or remote counsel? Other help requested What outcome are you hoping for?

Safety, Legal, and Custody Information Are there active court orders, custody agreements, restraining orders, CPS cases, criminal cases, or pending legal matters involving you or your children? If yes, explain Do you currently have legal custody of your children? Are you willing to provide documentation if needed? Is there any immediate safety concern in your household? If yes, explain

Willingness to Submit to Program Order Are you willing to be interviewed by ministry representatives or elders? Are you willing to receive correction, instruction, and accountability? Are you willing to follow written program expectations if accepted? Are you willing to participate in a written agreement if required? Are you willing and able to relocate if needed? Are you willing to allow appropriate evaluation of your household before any placement, covering, or foster headship arrangement is considered?

Applicant Statement Please share your testimony, current situation, and why you believe this ministry may be able to help your household

Agreement & Consent

This application does not guarantee acceptance. The ministry may request further interviews, documentation, or elder review. The ministry does not replace lawful civil authority, courts, medical professionals, or legal counsel. Any assistance offered must remain within lawful, ethical, and Torah boundaries.

I agree to be truthful in all information provided. I agree this qualifys as my digital signature. Client Signature Date