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.

Saint Faustina is our conference patron.

Saint Faustina Conference

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