COVID-19 RELIEF FUND FOR LI HOSPITALITY WORKERS
* For those that are reading this and feel that they qualify for funds raised by the LIHA in this fundraising drive, please fill out this application. The Criteria to recieve funds are the following:

1- Applicants have worked in a single Long Island based hospitality organization for at least the previous 12 consecutive months leading up to the COVID-19 pandemic (March 1, 2019 thru February 29, 2020 or later);
2- Applicants earned $45,000 or less annually (salary, hourly wage and/or gratuities combined);
3- Applicants worked 30 hours per week or more (for at least 40 of the last 52 weeks worked);
4- Applicants provide proof of furlough or termination (on or after March 1, 2020);
5- Applicants are currently either furloughed or unemployed.
If applicant does not have formal documentation of proof for any of the above criteria, applicant may instead provide a contact at the company they worked for so that the LIHA may validate eligibility.

Note:
√ Funds to be distributed to those meeting criteria in dollar increments to be determined by LIHA Board of Directors based on total monies raised, and distributed on a ‘first-come, first-served basis’.
√ Any unclaimed funds will be disbursed pursuant to the Mission of the LIHA, where 100% of outstanding unclaimed money will be granted to the four local Long Island colleges offering degrees in Hospitality solely for hospitality student scholarships and grants.
√ The LIHA is a non-profit 501(c)(6) business association. Contributions are not deductible as charitable contributions on the donor's federal income tax return. They may be deductible as trade or business expenses if ordinary and necessary in the conduct of the taxpayer's business.





Name *
First and last name
Address
Phone number *
Email *
Most recent place of employment from which applicant was furloughed or terminated *
Dates of employment (start date and end date) *
Annual earnings *
Number of hours per week worked, on average *
Does applicant have documentation to validate eligibility? *
Contact person at most recent place of employment(Email/Phone Number) *
If a college student, please indicate your 1) Academic Major; 2) Part-time or Full-tim status and 3) College Campus where you are registered *
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