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About Us
Assistance & Referral
Thrift Store
Health Center
- Health Services
- Health Maintenance Plan
Food Pantry
Get Involved
Capital Campaign
- Naming Rights Opportunities
- Purchase a Paver
News & Events
Contact Us

Donate

About Us
Assistance & Referral
Thrift Store
Health Center
- Health Services
- Health Maintenance Plan
Food Pantry
Get Involved
Capital Campaign
- Naming Rights Opportunities
- Purchase a Paver
News & Events
Contact Us

Schedule Pickup

Your Name* Please leave this field empty. Your Email* Your Phone Number* Address*

What is 7 + 4 ?

The thrift store schedules pickups of saleable goods on the following days based on availability:

Tuesday 9 am to noon and 1 to 3 pm
Wednesday 9 am to noon and 1 to 3 pm
Thursday 9 am to noon and 1 to 3 pm
Friday 9 am to noon and 1 to 3 pm
Saturday 9 am to noon and 1 to 3 pm

We will contact you within 24 hours to discuss your pickup. Please check the website for items that are not accepted prior to making your request. Thank you for supporting Rockwall Helping Hands.

Emergency Assistance Application

After you submit an application online, a member of our Assistance & Referral Intake team will contact you to complete our application process and set an appointment. Certain documents are required during this upcoming appointment. Click the links to learn more:

Required Documents- English

Required Documents- Spanish

Residents of Rockwall County or the 75189 ZIP code area may apply here.

Your application will not be complete until all required documents are emailed to ASSISTANCE@ROCKWALLHELPINGHANDS.COM or brought to our offices for copying. We are unable to make appointments until the application is completed and all documents have been received.

Applicant Information

Last Name* Middle Name First Name*

Date of Birth*

Primary Household Phone* Email* Please leave this field empty.

If you do not have an email, you can provide the email of someone willing to receive email messages on your behalf or contact Helping Hands for a printed copy of the application

Apt. Complex / Housing Addition

Street Address* Apt./Lot City* County* State* Zip Code*

Gender*

Race/Ethnicity - Select One*

African American/BlackHispanic/LatinoWhite/CaucasianNative AmericanTwo or moreOther

Marital Status*

SingleMarriedDivorcedSeparatedWidowedDomestic PartnerCommon Law

Education*

High School Diploma or GED9-12 High School (Grades 9-12)Associates’ DegreeBachelor’s DegreeMaster’s DegreeDoctorate DegreeTrade/Technical SchoolMiddle School (Grades 5-8)Elementary School (Grades 1-5)None

Veteran*

YesNo

Disabled*

YesNo
Applicant income ($)

Add person living in the household?

YesNo

First Name* Last Name* Date of Birth*

Gender*

Race/Ethnicity*

African American/BlackHispanic/LatinoWhite/CaucasianNative AmericanTwo or moreOther

Marital Status*

SingleMarriedDivorcedSeparatedWidowedDomestic PartnerCommon Law

Education Level Completed*

Veteran?*

YesNo

Disabled?*

YesNo Cell Phone*

Add another person living in the household?

YesNo

First Name* Last Name* Date of Birth*

Gender*

Race/Ethnicity*

African American/BlackHispanic/LatinoWhite/CaucasianNative AmericanTwo or moreOther

Marital Status*

SingleMarriedDivorcedSeparatedWidowedDomestic PartnerCommon Law

Education Level Completed

Veteran?*

YesNo

Disabled?*

YesNo Cell Phone*

Add another person living in the household?

YesNo

First Name* Last Name* Date of Birth*

Gender*

Race/Ethnicity*

African American/BlackHispanic/LatinoWhite/CaucasianNative AmericanTwo or moreOther

Marital Status*

SingleMarriedDivorcedSeparatedWidowedDomestic PartnerCommon Law

Education Level Completed*

Veteran?*

YesNo

Disabled?*

YesNo Cell Phone*

Add another person living in the household?

YesNo

First Name* Last Name* Date of Birth*

Gender*

Race/Ethnicity*

African American/BlackHispanic/LatinoWhite/CaucasianNative AmericanTwo or moreOther

Marital Status*

SingleMarriedDivorcedSeparatedWidowedDomestic PartnerCommon Law

Education Level Completed*

Veteran?*

YesNo

Disabled?*

YesNo Cell Phone*

Add another person living in the household?

YesNo

First Name* Last Name* Date of Birth*

Gender*

Race/Ethnicity*

African American/BlackHispanic/LatinoWhite/CaucasianNative AmericanTwo or moreOther

Marital Status*

SingleMarriedDivorcedSeparatedWidowedDomestic PartnerCommon Law

Education Level Completed*

Veteran?*

YesNo

Disabled?*

YesNo Cell Phone*

Add another person living in the household?

YesNo

First Name* Last Name* Date of Birth*

Gender*

Race/Ethnicity*

African American/BlackHispanic/LatinoWhite/CaucasianNative AmericanTwo or moreOther

Marital Status*

SingleMarriedDivorcedSeparatedWidowedDomestic PartnerCommon Law

Education Level Completed*

Veteran?*

YesNo

Disabled?*

YesNo Cell Phone*

Add another person living in the household?

YesNo

First Name* Last Name* Date of Birth*

Gender*

Race/Ethnicity*

African American/BlackHispanic/LatinoWhite/CaucasianNative AmericanTwo or moreOther

Marital Status*

SingleMarriedDivorcedSeparatedWidowedDomestic PartnerCommon Law

Education Level Completed*

Veteran?*

YesNo

Disabled?*

YesNo Cell Phone*

Add another person living in the household?

YesNo

First Name* Last Name* Date of Birth*

Gender*

Race/Ethnicity*

African American/BlackHispanic/LatinoWhite/CaucasianNative AmericanTwo or moreOther

Marital Status*

SingleMarriedDivorcedSeparatedWidowedDomestic PartnerCommon Law

Education Level Completed*

Veteran?*

YesNo

Disabled?*

YesNo Cell Phone*

Add another person living in the household?

YesNo

First Name* Last Name* Date of Birth*

Gender*

Race/Ethnicity*

African American/BlackHispanic/LatinoWhite/CaucasianNative AmericanTwo or moreOther

Marital Status*

SingleMarriedDivorcedSeparatedWidowedDomestic PartnerCommon Law

Education Level Completed*

Veteran?*

YesNo

Disabled?*

YesNo Cell Phone*

Add another person living in the household?

YesNo

First Name* Last Name* Date of Birth*

Gender*

Race/Ethnicity*

African American/BlackHispanic/LatinoWhite/CaucasianNative AmericanTwo or moreOther

Marital Status*

SingleMarriedDivorcedSeparatedWidowedDomestic PartnerCommon Law

Education Level Completed*

Veteran?*

YesNo

Disabled?*

YesNo Cell Phone*

Household budget

Expenses

Rent/Mortgage ($) Electricity ($) Gas (Atmos, Propane) ($) Water ($) Telephone (Home) ($) Telephone (Cell) ($) Cable/Satellite TV ($) Internet Access ($) Car Payment ($) Car Insurance ($) Gasoline/Car Repairs ($) Credit Card Payments ($) Health Insurance ($) Life Insurance ($) Food ($) Medical/Prescriptions ($) Loans ($) Storage Rental ($) Entertainment ($) Tobacco/Alcohol ($) Child Support/Daycare ($) Probation Fees ($) Fines/Tickets ($) Other ($) Total Expenses ($)

Income

Total household income for all household members

Monthly Income ($) Wages ($) SSI ($) Retirement ($) Disability ($) Family ($) SNAP ($) Child Support ($) Cash ($) TANF ($) Housing Voucher ($) Self-Employment ($)

Is anyone receiving WIC?

YesNo

What do you need help with today?

Food?

YesNo

Gas (Atmos)

YesNo Amount Needed ($):

Water

YesNo Amount Needed ($):

Electric

YesNo Amount Needed ($):

Propane

YesNo Amount Needed ($):

Rent/Mortgage

YesNo Amount Needed ($):

Sliding Scale

YesNo
Other (Please explain and include the amount needed)

Information Consent/Release

Please read both sections and check the box next to it to show you have read it and agree.

I certify that the facts contained in this application are true and complete to the best of my knowledge, and I understand that falsified statements on this application will be grounds for denial of assistance. I authorize Rockwall County Helping Hands to verify or document all statements contained herein, and I authorize any agencies/organizations/vendors contacted by Rockwall County Helping Hands to provide any and all information concerning my employment, income, assets, benefits and any other information, personal or otherwise, to Rockwall County Helping Hands. I authorize Rockwall County Helping Hands to obtain /to release information to/from any other agencies involved in my application, request for, and provision of assistance. I understand that information will only be requested and/or released if Rockwall County Helping Hands needs to verify information and/or works with another assistance entity in trying to meet my need for assistance or upon request by law enforcement agencies. Photography Consent I hereby grant to Rockwall County Helping Hands the right, without fee, to make and use video tape recordings/still photographs of me in connection with the subject production in any manner or form and for any lawful purpose at any time. I waive the right that I may have to review or approve the finished product, or to the use to which it may be applied. I release and discharge Rockwall County Helping Hands from any liability to me by virtue of any representation that may occur in the making or editing of said video tape recordings/photography. Release of Information to Sponsor I understand that my name, information about household members, phone numbers, address and other information may be shared with a business, organization, church, family, or other entity (sponsor) to the extent necessary to obtain special program assistance for my family. I give permission to Rockwall County Helping Hands to share my personal information with a sponsor/potential sponsor as necessary to obtain special program assistance for my family. I have read this agreement before signing below and warrant that I fully understand its contents. I understand that it is my responsibility to thoroughly wash all fresh fruit and vegetables. I understand that it is my responsibility to carefully examine all food to make sure it is safe for consumption. I understand that the policy of the Rockwall County Helping Hands food pantry is based on consideration of USDA guidelines. I hereby release Rockwall County Helping Hands from all liability for the soundness/quality of the food I accept for myself and for my household today and in the future.

Please check all the consent boxes before submitting.

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