COVID-19 Emergency Relief Fund Application
Español: https://forms.gle/33yofcEXJsJTJv3r8

Oregon Spinal Cord Injury Connection (www.oregonsci.org) is distributing over $233,000 in CARES Act grant money to Oregonians and SW Washingtonians living with paralysis who have been adversely affected by COVID-19. You must meet these criteria to receive funds.

Please apply using this form to receive up to $1500 in COVID relief funds. Funds will be distributed via PayPal, Amazon Gift Cards, or VISA Cash Cards. VISA Cash Cards will be distributed by December 15th. PayPal and Amazon Gift Cards will be distributed within two weeks of a completed application. If you would like to receive funds via PayPal but don't have an account follow this link to create a PayPal account (https://www.paypal.com/us/home).

We would like to reach as many people with paralysis in Oregon and SW Washington as possible. If you know others that qualify please share this relief opportunity with your networks by copy/pasting this link on social media: https://forms.gle/m9dMQpNwo99LkhDF6.

If you or someone you know needs help completing this application for any reason or doesn't have access to internet, please call our Community Health Worker Program at (541) 778-7265.

For questions please email relief@oregonsci.org.
Are you located in Oregon or SW Washington? *
Do you live with a form of paralysis? *
First Name *
Last Name *
Email Address *
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
Have you been financially affected by COVID-19? *
Which of the following categories represents your current greatest need? *
Objective of this grant is to give some financial relief to people with paralysis experiencing more hardship than normal due to COVID. Please elaborate on how COVID has affected you. *
If selected what is the best method to receive the money? *
Submit
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