Barrier Breakers Program Application

Sponsored by the Brightspeed - Community Care Partnership

About Brightspeed

Brightspeed is proud to support United Way Tar River Region—a partnership rooted in a shared belief that strong communities are built on strong connections. Brightspeed is committed to building a future where more people in North Carolina have access to the internet experience they deserve: fast, reliable 100% fiber internet for homes and businesses backed by support that puts customers first. Through relationships with local organizations, schools, nonprofits, and community programs in Nash and Edgecombe Counties, Brightspeed helps keep people connected to the everyday moments that matter most.
To learn more CLICK HERE.

Applicant Information

Name:

Address:

City, State and Zip Code:

County of Residence:

Phone:

Email:

Preferred Contact Method:

Phone

Email

Unmet Need

Describe the need/barrier you are facing (1–3 sentences):

How is this need affecting your stability (work, housing, health, family):

Amount requested:

Deadline or urgency:

Other Resources

Have you applied for or received help from other agencies for this need?

Yes

No

If yes, list outcomes:

Documentation

Attach bill, estimate, invoice, or other proof (if available):

Upload requirements

Review & Approval Process

A clear, fair, and fast process is in place with the volunteer review committee that includes:

Step 1: Intake
Step 2: Initial Screening
Step 3: Committee Review
Step 4: Approval & Payment
Step 5: Follow‑Up

Certification

I certify that the information provided is true and accurate. Please type your full name and date below.

Date:

THE LATEST