JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Alivio Open Mic Emergency Relief Fund
This emergency fund is for any creative (artist, vendor, entrepreneur) that has supported and engaged with Alivio Open Mic and has been financially impacted by Covid-19. Each eligible applicant will receive a $250.00 direct cash payment as funds keep entering our GoFundMe campaign.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Artist or Vendor Name
*
Your answer
Phone Number
*
Your answer
Current Address
*
Your answer
What art do you create?
*
Your answer
How do you identify yourself? LGBTQ? Immigrant? Black? Brown? Latinx? Female? Trans? Dreamer? Etc.
*
Your answer
Have you engaged with Alivio Open Mic? Engaged can mean, but is not limited do, performing, vending, featuring art, event curation, etc.
*
Yes
No
Describe how you engaged with Alivio Open Mic.
*
Your answer
How do you, if at all, rely on Alivio Open Mic to help you creatively or economically?
*
Your answer
How has Covid-19 impacted you personally and financially?
*
Your answer
What do you intend to use this emergency relief for?
*
Your answer
What is your preferred means of payment?
*
Venmo
Paypal
Zelle
Other:
Please include your cash transaction app username For example: @alivioopenmic is our Venmo username. If you selected Zelle, include your phone number linked to your Zelle account. If you selected "other," please specify.
*
Your answer
Lastly, how will you share our campaign on your social media outlets right now?! Tag Alivio Open Mic on Facebook or Instagram.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report