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
If you're able to donate to this fund visit:
*We may use anonymized responses from this application in the future to seek additional funding support.
3) Email Address
4) Phone Number
Paypal is our preferred method of disbursal. What is your PayPal-associated email?
If PayPal does not work for you, could you please share your preferred electronic method of disbursal?
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 (
6) What region are you in?
Region A (New Jersey, New York, Pennsylvania)
Region B (Michigan, Ohio, Indiana, Kentucky, West Virginia, Virginia, Delaware, Maryland)
Region C (Alabama, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee)
Region D (Illinois, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota, Wisconsin)
Region E (Colorado, Montana, New Mexico, Oklahoma, Texas, Utah, Wyoming)
Region F (Alaska, Arizona, California, Hawai'i, Idaho, Nevada, Oregon, Washington)
Region G (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont, Toronto - Canada, United Kingdom)
7) What is your oSTEM chapter (if applicable)?
8) Please describe the circumstances surrounding your acute financial need.
9) Requested emergency funding amount?
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.
Send me a copy of my responses.
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This form was created inside of oSTEM Incorporated.