CFEA ARTIST OUTREACH APPLICATION

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Please submit the information below to be considered for CFEA's Artist Outreach Program.

Email | Phone Number *

Name | Age *

First and last name

Home Address

Marital Status *

Married

Domestic Partnership

Single

Divorced

Total Number of Family Members in Household *

Number of Kids in Household *

Employment *

Full Time

Part Time

Furloughed

Laid Off

Unemployed

Are you a member of Central Florida's Arts and Entertainment Community? If so, in what capacity? *

Explain Hardship *

Is Your Hardship Related to Covid *

Yes

Other:

Please Provide your Electronic Banking Handles (ie: CashApp, Pay Pal, Venmo)

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