oSTEM Community Relief Emergency Fund Application
This is the application for our oSTEM Community Relief Emergency Fund. This fund is to help our community with any urgent financial needs due to housing insecurity and limited resources during this public health crisis.

This emergency fund was started from funds that were allocated from canceling our Leadership Development Program in April. It was a priority to the health and well-being of our community to cancel the event and re-allocate funds, instead of postponing the event for a future date.

If you have any questions about this funding application, please contact emergency-funding@ostem.org

If you're able to donate to this fund visit: https://tinyurl.com/ostem-relief-fund

*We may use anonymized responses from this application in the future to seek additional funding support.
Email address *
1) Name *
Your answer
2) Pronouns *
Your answer
3) Email Address *
Your answer
4) Phone Number *
Your answer
Paypal is our preferred method of disbursal. What is your PayPal-associated email? *
Your answer
If PayPal does not work for you, could you please share your preferred electronic method of disbursal? *
Your answer
5) Best way to get in contact with you *
5a) If you chose Slack in the previous question, please provide your Slack handle for oSTEM Squad Slack Workspace (http://bit.ly/ostemsquad) .
Your answer
6) What region are you in? *
7) What is your oSTEM chapter (if applicable)?
Your answer
8) Please describe the circumstances surrounding your acute financial need. *
Your answer
9) Requested emergency funding amount? *
Your answer
12) If you have additional emergency needs around housing or food sources - please refer to our oSTEM COVID-19 Resources List for additional information on state/city-specific mutual aid efforts.
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