Apply Online for Assistance

We are a non-denominational, walk-in, year-round emergency resource center servicing the Davison, Goodrich and Otisville area .

Are you in need of food, utility assistance, rent eviction’?. You may fill out the application online, even upload your pay stubs etc. , HOWEVER, You MUST Bring in the physical copy of your social security cards of all children and drivers license for services the first time. We do require re-certifying all info every 6 months .

Application for Client Services

  • Date Format: MM slash DD slash YYYY
  • FOODRENT EVICTION $ Amount NeededUTILITIES $ Amount NeededOTHER 
  • Child NameDate of BirthLast 4 numbers of Social Sec (Must still bring in Physical Card)Girl or Boy 
  • NameDOBRealtionship 
  • INCOME

    Please List ALL INCOME FROM ENTIRE HOUSEHOLD -All Members - EVERYONE -including , Work - Soc Sec, Disability, Unemployment , SSI, Food Stamps, MISHDA , Child Support , CLICK ON THE PLUS SIGN ++ TO ADD A NEW LINE ++
  • Who's IncomeFrom what companyAmountHow Often - Weekly, Bi-weekly,Monthly 
  • RENT / MORTGAGE

  • LANDLORD/ Mortgage paid to:AMOUNTPer Mo?Note 
  • Drop files here or
    Accepted file types: jpg, gif, png, pdf.

Privacy Policy / Waiver

In consideration for receiving assistance from Outreach East, I hereby release, waive, discharge and covenant not to sue Outreach East Inc., or its board, officers, agents, servants, employees, donors, individuals, or businesses (hereinafter referred to as “releasees”) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of, or related to, any loss, damage, or injury, including death, that may be sustained by me, or my children; whether caused by the actions or negligence of the releasees, or otherwise; or caused by any furniture, clothing, other items, foodstuffs, toys, and services provided.
I understand that this release includes children’s toys and the risks associated with the use thereof, including, but not limited to, choking and lead poisoning.
I further agree to indemnify and hold harmless the releasees from any loss, liability, damage or costs including court costs and attorney fees that they may incur in connection with receiving assistance from releasees. It is my express intent that this Waiver of Liability and Hold Harmless Agreement shall bind the members of my family, spouse, and estate. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Michigan. If any portion of this contract is illegal, the illegal portion shall be severed, and the remainder of the contract shall remain in full force and effect.
I hereby give permission for Outreach East and its satellite St. Francis Xavier Parish located in Otisville, MI to request from or give information to the Genesee County Department of Social Services, Lapeer County Department of Social Services and/or any agencies that might be assisting me. 
I understand that I can only receive help from one organization and my file will be closed at Outreach East if I use other organizations in addition to Outreach East.
I further understand that any false or misleading statements given will prevent me from obtaining any further assistance.
In signing this agreement, I acknowledge and represent that I have read the foregoing, understand it, and sign it voluntarily. No oral representations, statements, or inducements, apart from the foregoing written agreement, have been made. I execute this agreement for full, adequate and complete consideration intending to be bound by the same.