Neighbor Group Application

Neighbor for Neighbor

Neighbor Groups are everyday citizens looking to make their community a more united and welcoming place for their immigrant neighbors in the United States that are chasing the American dream.

In Neighbor for Neighbor, Neighbor Groups will be paired with a Beneficiary, an individual or family that have recently entered through or are undergoing the process of lawful humanitarian pathways to citizenship in the United States.

Learn more about the program here:

Neighbor for Neighbor About page

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Eligibility Criteria

Groups of 3 or more. A Neighbor Group must consist of at least three people that are 18 years old or older, U.S. Citizens, or U.S. permanent residents (green-card holder).
Responsibilities. Neighbor Groups must commit to providing some of the Neighbor for Neighbor Core Services based on their collective capacity throughout the 90-day support period.
- This means that groups are not required to fulfill all services and needs of the Beneficiary group, but as many as they are willing to based on their available resources, time, and skills.
Point of Contact. Each Neighbor Group must designate one member to be the main point of contact between the group and Patchwork Indy.
Background Checks. Each group member must complete and pass a background check.

Neighbor Group Application Form

Neighbor Group Name

Can be anything you like to identify your group! For example, Iowa St Friends, Little Flower Neighborhood Sponsors, The Fantastic Five, etc..

Neighbor Group Location

City

State

Postal / Zip Code

Group Members

When listing group members, please use formal names spelled the same way as on official identification (e.g., Drivers License). This will assist us in confirming background checks required as part of the application process. We also ask that you provide one secondary point of contact for your group. Groups must be made of at least three people.

Group Coordinator - Primary Contact (Required)

First name

Last name - Primary

Address - Primary

Home Phone - Primary

Cell Phone - Primary

Email - Primary

Group Member #2 - Secondary Contact (Required)

First Name - Member 2

Last Name - Member 2

Address - Member 2

Home Phone - Member 2

Cell Phone - Member 2

Email - Member 2

Group Member 3 (Required)

First Name - Member 3

Last Name - Member 3

Address - Member 3

Home Phone - Member 3

Cell Phone - Member 3

Email - Member 3

Group Member 4

First Name - Member 4

Last Name - Member 4

Address - Member 4

Home Phone - Member 4

Cell Phone - Member 4

Email - Member 4

Group Member 5

First Name - Member 5

Last Name - Member 5

Address - Member 5

Home Phone - Member 5

Cell Phone - Member 5

Email - Member 5

I have additional members in my group.