Helping Hands Application – Willoway Nurseries, Inc.

Hands joined in a circle

Applications must be completed, including supporting documentation, before they will be reviewed. They are processed on a first-come, first-served basis.

Please fill out all fields to the best of your ability.

A decision will be provided within 2 business days of receipt of the application and all supporting documentation.

Name *

First

Last

Employee #

Phone *

Address *

Address Line 1

City

State

Zip Code

Amount Requested *

Date Hardship Began *

Description of Hardship *

Please describe, in detail, the emergency situation that created a financial hardship and the assistance you are requesting (e.g., payment of utility bills, rent/mortgage, travel, etc.). Please also list household members that are being affected by this situation and need to be accounted for. (Can list as mom, dad, child 1, child 2 etc. if don’t wish to give names)

Supporting Documents

Click or drag files to this area to upload. You can upload up to 10 files.

Pleae upload any documentation supporting your request such as a utility, rent, or medical bills. If upload is not possible, paper copies can be submitted directly to Human Resources, or digital copies can be emailed to helpinghands@wwninc.com.

By submitting this application you authorize Willoway Nurseries to disclose this information, any supporting documentation and any other relevant information (including protected health information or “PHI”) to the Helping Hands Committee as it pertains to the request for assistance from the Helping Hands Employee Emergency Assistance Fund.

By checking this box, I agree to submit my application with the necessary supporting documentation, including invoices, and understand that my request cannot be processed until I provide documentation.
By checking this box, in the event of a catastrophic event, I give the Helping Hands Committee permission to ANONYMOUSLY share my situation with WNI employees in the hopes of receiving additional assistance.