Request edit access
RSVP: Application Assistance Event
Please fill out this form if you plan to attend the application assistance events listed in this form and will need support in applying to the Excluded Worker Fund.

You can check if you are eligible for the fund by using this tool: https://maketheroadny.formtitan.com/ewfchecklist#/ 

To find out what documents you will need for the fund, please review the checklist here and bring it with you to the event: bit.ly/FEWchecklist

En Español:

Complete este formulario si planea asistir a los eventos de asistencia con la solicitud que se enumeran en este formulario y necesitará ayuda para solicitar el Fondo para trabajadores excluidos.

Puede verificar si es elegible para el fondo utilizando esta herramienta: https://maketheroadny.formtitan.com/ewfchecklist#/

Para saber qué documentos necesitará para el fondo, revise la lista de verificación aquí y tráigala al evento: bit.ly/FEWchecklist

Sign in to Google to save your progress. Learn more
Full Name / Nombre *
Phone / Telefono *
Email / Correo Electronico
Zipcode / Codigo Postal *
Which application assistance event are you RSVPing for? Please only check the event that you plan to attend.  // Cual evento de ayuda planea asistir? NOTE: ONLY SUNDAY APPTS IN BROOKLYN AVAILABLE. / SOLO CITAS PARA DOMINGO EN BROOKLYN DISPONIBLE. *
Required
Please mark the hours you are likely to show up to the event. // Porfavor comparta las hora que usted llegaria al evento. *
Are you eligible for the Excluded Worker Fund? // Usted es eligible para el Fondo de Trabajadores Excluido? *
You need to bring all required documents to the event for an EWF application specialist to help you apply. Please agree to the following: // Usted necesita traer todo los documentos requiridos al evento para un organizador apoyarle. Porfavor marca lo siguente: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Make The Road NY. Report Abuse
Google Forms