Teammates who are experiencing a personal crisis and need help to overcome unanticipated obstacles can apply for assistance.

SCHNUCKS PROUD ASSISTANCE FUND

APPLICATION FOR ASSISTANCE

THE PROGRAM: This Fund helps teammates or eligible dependents who are experiencing economic hardship and are unable to afford housing, utilities, funeral costs, hospital bills and other basic living needs because of a natural disaster; life-threatening illness or injury; death or other catastrophic or extreme circumstances beyond the teammate’s control.

ELIGIBILITY: All current and future Schnucks teammates who have experienced financial hardships due to emergency situations beyond their control are eligible to apply for The Schnucks Proud Assistance Fund. If the teammate has passed away, then a spouse or eligible dependent may apply. An teammate can only be approved for assistance once within a one-year period.

GRANTS: The maximum grant amount available for assistance is $3,000.00. The maximum award is not guaranteed, and in many cases, a lesser amount will be awarded. All payments are made directly to vendors as bill payments; certain exceptions may apply.

TEAMMATE CONTRIBUTIONS: Teammates may contribute to the assistance fund with the understanding that donations cannot be designated to assist specific individuals. All teammate donations will be added to the general fund.

The fund is powered by United Way of Greater St. Louis and United Way staff is available to assist all applicants with this process. Call 1-866-240-3967 or email SchnucksProud@stl.unitedway.org with questions.

If you prefer to mail your application, you may download a printable version here.

Section A: Will You Qualify?

To qualify for this program and receive assistance you must meet all 3 of these requirements:

You must be currently employed by Schnucks and have been employed at the time of the incident.
The qualifying incident must have happened within the past 60 days.
Your situation MUST fall into one of the following categories:

Natural Disaster: For situations, such as a wildfire, flood, tornado, hurricane, severe storms or earthquake not covered by insurance or FEMA, that have damaged or destroyed the teammate’s primary residence. The Fund cannot pay to repair other property and cannot pay to replace non-essential items, such as electronics or furnishings. Photographs or insurance reports may be requiredLife-Threatening or Serious Illness or Injury: For the teammate, spouse and eligible dependent(s). The Fund is not a substitute for medical insurance and is not intended to cover insurance deductibles. Teammates do not automatically qualify for a grant when they, or their dependents, are diagnosed with or suffer a life-threatening or serious illness or injury. There must be resulting financial need including an inability to pay basic living expenses. Doctor confirmation or medical documentation will be required.Death Incident: This includes the death of the teammate, spouse or eligible dependent(s). The loss of income, cost of burial or funeral expenses, or resulting medical bills prevents a teammate or the teammate’s family from affording basic living expenses. The Fund cannot pay for travel to funerals or grave markers. Copy of the death certificate or obituary will be required.Catastrophic or Extreme Circumstances: This includes but is not limited to: fire, major home damage that could not be prevented, serious crime against the teammate (robbery, arson, assault, domestic abuse, extreme vandalism), or another reportable incident beyond the teammate’s control that impacts the ability to afford basic needs. Catastrophic or extreme circumstances do not include: credit card debt, home foreclosure, wage garnishment, bankruptcy, child support payment, car repair, taxes, or accumulated financial distress. Police, Fire or other official incident report may be required

Section B: Your General Information

Applicant first name

Applicant last name

Permanent address

Address line 1	Address line 2
City	State
Zip code	Email

Daytime phone

Is it okay to leave you a message at your daytime phone number?

YesNo

Other phone

Is it okay to leave you a message at your other phone number?

YesNo

Current mailing address, if different from above (approval notification is sent to you by mail, so please provide a valid mailing address.)

Address line 1

Address line 2

City

State

Zip code

Teammate Name

Teammate Number

Store number or location

City

State

Date of hire

Job Title

Supervisor

You will be asked to upload a copy of a paystub or payment statement to help verify employment within the last 30 days on the final page of this application.

Section D: Assistance Grants

Grants are only to help pay for limited types of essential living expenses, which are:

Rent, mortgage or other housing payments
Temporary housing and security deposits for new housing
Essential utility bills (electricity, heat, water)
Medical expenses incurred within past 60 days related to the incident and not covered by insurance
Resulting financial need from family member or dependent diagnosed with life-threatening disease
Resulting financial need as a result of cost of burial or funeral expenses (see Section A.) capped at $3,000
Crime such as robbery, arson, assault, domestic abuse, vandalism that impacts the ability to afford basic needs

Grants cannot be made to pay for other, non-essential expenses do not request payment for these things, such as:

Insurance premiums or deductibles
Cable, phone or internet service
Car payments, repairs or car insurance
Furniture, appliances, electronics
Accumulated financial issues or credit card debt
Accidental damages due to negligence
Legal fees, legal fines or court costs

If the application is approved, payments will be made on your behalf to the vendor(s) you list. All grants are made directly to vendors as bill payments; certain exceptions may apply.

Provide the name of the vendor to be paid, the complete address, the account number or identifying information, amount due, and due date. Although the maximum grant amount is $3,00.00, smaller sums are often awarded, so list the vendors in order of priority. For each vendor, attach appropriate documentation (bills, lease, mortgage coupon, statement, etc.).

NOTE : We cannot make payments without clear, complete information including full account numbers or other payment information, addresses and documentation. Omitting this information or copies of your bills will delay your application.

Vendor/Biller information

Vendor/Biller name

Complete Mailing Address for Payment

Address Line 1

Address Line 2

City

State

Postal Code

Basic need covered

Payment Amount

Due date

Account Number or Identifying Information

You will be prompted to upload appropriate vendor documentation on the last page of the application.

Section E: Declarations and Agreement

No teammate is entitled to receive a grant, either by their employment, their history of contributions to the Fund or because of any precedent inferred from a previous grant from the Fund. Grants will not be made before teammate has demonstrated an immediate financial need and provided all required documentation.

This application will be treated in a confidential manner by United Way of Greater St. Louis; however non- identifying statistical information will be reported to Schnucks on a periodic basis.

Teammates are expected to provide truthful and accurate information. In its due diligence, if United Way discovers any information to be untrue, it shall have the right to unilaterally waive its confidentiality and report its findings to Schnucks. The fiduciary expectations of all Schnucks teammates are paramount, and a breach of these standards will be reported to Schnucks.

You will be asked to review and electronically sign this document on the next page

Please upload a copy of a paystub or payment statement to help verify employment within the last 30 days on the final page of this application.

Upload medical documentation, if needed

Upload a copy of the death certificate or obituary notice

Upload police, fire, or other official incident report

Attach appropriate vendor information

Application Checklist -- Did you remember the following?

Carefully read the requirements to see if you qualify?A copy of your paystub or payment statement (to help verify employment within the last 30 days)Complete Sections A-D on applicationCheck Section D that your grant requests are allowed by the programAttach copies of documentation such as: bills, leases, mortgage coupon or statementInclude all required documentation (medical, police, fire reports, obituaries, etc.)Sign Section E: Declarations and Agreement (on following page)