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B.R.A.V.E.

Application

Welcome to the BRAVE Program Application Portal. Please read the instructions below before beginning your application to ensure a smooth and timely review.


This application portal is NOT for emergency medical or mental health assistance. If you are having a medical or mental health emergency, please call 911.


1. Complete the Online Application

Fill out every section of the application with accurate and up‑to‑date information. All fields marked with an asterisk must be completed.


Urgent Requests

Please only select this option if you are currently experiencing an emergency financial crisis where time is of the essence. Examples of an URGENT request may include:

  • Temporary emergency housing

  • Emergency food assistance

  • Risk of eviction or utility shut-off

  • Funeral expenses


Please Note: This application portal is NOT for emergency medical or mental health services. If you are experiencing a medical or mental health emergency, please call 911.

Is this an URGENT Request?
Have you ever received assistance from the BRAVE program?

Personal Information

Birthday
Month
Day
Year
Multi-line address

Service Verification

Select all that apply

Residency Verification

Eligible applicants are required to live or work in Columbiana County, Ohio to receive BRAVE assistance.

Do you live or work in Columbiana County, Ohio?

Assistance Information

What type of assistance are your requesting?
Have you received assistance from any other agency or organization for this issue?
Yes
No
How did you hear about BRAVE?

Supporting Documents

We require applicants to upload:

  1. Identification verification such as drivers license, passport, veterans ID card or government issued state ID.

  2. Proof of your residency or occupation within Columbiana County. For proof of residency you may upload a document such as: utility bill, paycheck stub or lease agreement. For proof of occupation within Columbiana County we ask for a copy of your paycheck stub or an employee ID card.


Examples of documents which are not required but are recommended depending on your situation may include:

  • Eviction Notice/Shutoff Notice

  • Utility or Other Bills

  • Hotel Reservation

  • Transportation Costs (e.g. rental car)

  • VA Identification

  • DD-214

  • Employer ID Card

  • Character Statements

  • Obituary

  • Any Additional Supporting Documents

Add up to 10 files

Applicant Acknowledgments

Please enter your initials into each of the boxes below indicating you have read the applicant acknoledgement statements and are in agreement with these conditions.

By signing below, I certify that all information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that providing false or misleading information may result in denial of assistance.

I acknowledge that:

  • Incomplete applications may be denied

  • Submitting required documentation is my responsibility

  • Meeting eligibility does not guarantee approval

  • The BRAVE Board will review my request and determine assistance based on need, guidelines, and available funds

My signature below confirms that I have read, understand, and agree to the terms of this application.

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