Hope Stays Open: Financial Assistance Request
Submitting this form does not guarantee assistance. Each week, a limited number of families will be selected through a random drawing. Those selected will be asked to verify that they have been directly affected by the federal government shutdown before receiving funds. 

All requests for consideration and the information provided will remain 100% confidential. We understand that some families prefer to keep their circumstances private, and this process ensures their dignity is respected.
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Email *
Full Name *
Phone Number *
Mailing Address *
How has your family been directly affected by the federal government shutdown? *
Required
If 'Other' was selected above, please explain how you've been affected.
Number of individuals in your household *
Please briefly describe how receiving $100 would help your family during this time. *
How did you hear about the 'Hope Stays Open' campaign? *
Required
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