Joseph’s Coat Foundation

Our God sent His Only Begotten Son to lay down His life so that we may be free
from the eternal hold of sin. We are not worthy of God’s forgiveness but through
grace we are redeemed. Our military is also willing to give their lives to protect
the freedoms we all enjoy as American Citizens. In appreciation and support of our
military, Joseph’s Coat Foundation is offering assistance with childcare expenses if
you wish to enroll your child in the preschool. Below are instructions for submitting a request.
Application for Military Christian Childcare Assistance
All applications are individually reviewed on a case-by-case basis.
Submitting an application does not guarantee payment of funds.
The Board of Directors reserves the right to make exceptions on a case-by-case basis.
All of the following criteria must be met for your application to be reviewed.
1. The service member has served active duty, other than training,
from 2001 until present time prior to applying.
2. The hardship must be due to one of the following:
Deployment, military pay issue, military injury or illness, or natural disaster
3. Applicant must be the service member or eligible dependent
4. Service member’s or eligible dependent’s address must be in one of the following
zip codes:77095, 77433, 77429 or 77084
5. Child must be 18 months to 5 years old in age
6. Christian Childcare Facility is
The Family of Faith Preschool located at
16710 FM 529 Rd., Houston, Texas 77095

Please mail application to:
Joseph’s Coat Foundation
Christian Childcare Assistance Program
7514 Cypress Bluff Drive
Cypress, Texas 77433
email josephscoatfoundation@gmail.com

Terms and Conditions
This form is essential to the review and approval process. We want to emphasize
that each application will be reviewed independently and each case will stand on
its own merit. I understand that proper stewardship requires I provide information
to substantiate my request, including governmental records, price/income information,
and medical information. This information will be kept confidential. I further understand
that if the request cannot be substantiated, it will not be possible to consider or approve it.

Member/Applicant Signature_________________________________________________

Printed Name_____________________________________________________________

Date____________________________________________________________________

APPLICATION

NAME: ___________________________________________BIRTHDATE:_____________________

ADDRESS:_________________________________CITY:_______________ ZIP:_______________

PHONE:________________________ EMAIL: ___________________________________________

RELATION:______________________ SOCIAL SECURITY NUMBER: ______________________

APPLICANT’S INFORMATION

Excluding Military Member, please list all dependents residing in the home

NAME:____________________________AGE:_______RELATIONSHIP:____________________

NAME:____________________________AGE:________RELATIONSHIP:____________________

NAME:____________________________AGE:________RELATIONSHIP:____________________

NAME:____________________________AGE:________RELATIONSHIP:____________________

Military Members Information

Name:______________________________________Birthdate:_________________

Address:_____________________________________________________________

City:__________________________________ZipCode:_______________________

Phone:____________________________ Social Security Number:_______________

Branch:_____________________ Status:______________ Pay Grade/Rank:_______

Home station unit or last unit if not currently active____________________________

Y___ N___ Military member is currently active duty.

If NO, what is the approximate discharge date of last active duty service?___________

What was this period of active duty service for?_______________________________

Y___ N___ Military member is currently deployed in support of OEF/OIF

Y___ N___ Military member is currently experiencing a service connected injury or medical emergency

Please list the other agencies you are working with (i.e. VA, Salvation Army, local church):____________________________________________________________________________________________________

INCOME

Military Member Monthly Income:_____________________________ Spouse/Fiance/Roommate Monthly

Income:______________________ Additional Monthly Income: Type__________ Amount_________

Type__________Amount_________ Type__________ Amount_________

Total Income Amount________________________Total Monthly Expenses Amount______________