Emergency Aid — Program - HRH PRINCESS BELLE RACHEL FOUNDATION

Emergency Aid Program

Offered by HRH PRINCESS BELLE RACHEL FOUNDATION

Eligibility Criteria

To ensure fair and transparent selection, applicants must meet the following criteria:

General Requirements (apply to all programs):

Must be at least 18 years old at the time of application
Demonstrated commitment to community service, leadership, or social impact
Ability to communicate effectively in English or the primary language of the program
Willingness to participate actively in training, mentorship, and follow-up activities

Individuals or families directly affected by a verified crisis or disaster

Priority given to vulnerable groups (children, the elderly, persons with disabilities, women, single parents)

Applications must be supported by local authorities, community leaders, or verified humanitarian partners

Emergency Aid Program

If the applicant is younger than 18, after filling out the application form, the legal guardian shall contact us additionally via email.

Apply

Gender

First Name *

Last Name *

Preferred Method of Contact *

Phone
Email
Mail

Date of Birth

Phone number

Email Address *

National ID / Passport Number *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Marital Status *

Single
Married
Widowed
Divorced

Number of People in Household (List Names, Ages, and Relationship)

Do you rent or own your home?

Rent
Own

Other

Total Monthly Household Income (before taxes)

Source(s) of Income *

Employment
Self-employment
Government Assistance
Disability
Unemployment

Do you currently receive any government or NGO assistance? *

Type of Crisis/Disaster *

Natural Disaster (e.g., flood, fire, hurricane, earthquake)
War/ conflict
Medical Emergency
Loss of Employment
Death in Family

Briefly describe what happened and how you were affected: *

Has the situation been verified by an authority or agency?

If yes, please attach verification documents (e.g., insurance claim, police/fire report, medical records, employer letter).

Type of Assistance Needed *

Financial Assistance (specify purpose: rent, utilities, food, etc.)
Temporary Housing
Medical Support
Transportation

Other

Estimated Cost of Treatment (if known)

Have you received medical assistance from our foundation before?

If yes, when?

How, where, or from whom did you hear about our foundation? *

Proof of residency (e.g., utility bill, lease)

Drop your file here or click here to upload You can upload up to 1 files.

Verification of crisis/disaster (e.g., official report, photo evidence, medical document)

Drop your file here or click here to upload You can upload up to 1 files.

Identification document (ID card, passport, etc.)

Drop your file here or click here to upload You can upload up to 1 files.

Proof of income (e.g., pay stub, benefits letter)

Drop your file here or click here to upload You can upload up to 1 files.

Attachments (tick what you’re submitting)

CV / Resume of applicant/lead
Academic transcript / report card
Proof of enrollment or admission letter
Recommendation letter(s)
Proof of income / financial statement
Identification document (ID card, passport, etc.)

Date

Applicant’s Signature (Full name)

Declaration *

I declare that all information provided in this application is true and complete to the best of my knowledge. I understand that providing false information may result in denial of assistance. I authorize HRH Princess Belle Rachel Foundation to verify any information provided in this application.

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