Moms On the Move (MOMs) Application


Below is the MOMs Application - if you prefer to print the form, fill it out and send it by mail please click here to download (PDF)

MOMs is a ministry of Samaritan Outreach – Empowering and encouraging hardworking, single mothers to achieve meaningful goals related to employment, housing, education, home ownership, and finances.

  • -

  • If you answered "No"; you are not eligible. STOP HERE .

  • Answer all questions that apply to you. Write your answers in the boxes provided. If you have no goals in an area, then answer "none".

  • Reload
  • Note : Samaritan Outreach Steering reserves the right to select participants, determine the number of participants, and designate how funds will be used and dispersed. Moreover, they will oversee the administration of all grants, in-kind gifts, and reserve funds. Please be advised that applicants who deliberately falsify information will be disqualified from the program.  Privacy Act Waiver : Upon signing this application, the applicant gives Samaritan Outreach permission to seek or share pertinent information for processing the application and promoting the ministry.

  • Should be Empty: