Consent & Acknowledge

THIS SIGNED FORM IS THE AUTHORITY by which I consent to the exchange of personal information between St Faustina Conference / Catholic Charities and other relevant agencies/businesses. The information exchanged will be used for professional purposes only. It includes information such as name, address, telephone number, and utility account number pertaining to a person’s request or assistance for rent and/or utilities from the respective landlord and/or utility company, which has been given, as well as any other information, deemed important for the delivery of services.

Sign here:

Saint Faustina Conference

For Assistance:



Find us:

SVdP Saint Faustina Conference

PO Box 1574

Spotsylvania, VA 22551