Lambda Theta Alpha Foundation Disaster Relief Fund Application (2018)
Thank you for your interest in receiving assistance from the Lambda Theta Alpha Foundation. The Lambda Theta Alpha Foundation Disaster Relief Fund was established to help provide relief to those affected by a natural disaster. Please review all questions and ensure all information is correct and accurate. We ask that you provide as much detail as possible, as all information provided will assist in determine need and support. If any questions should arise, please contact us at info@ltafoundation.org
Email address *
1. Are you applying on behalf of someone other than the person completing this application? (If Yes, please answer Questions 2, 3, and 4) *
2. Relief Recipient (Person affected by Natural Disaster) First and Last Name:
Your answer
3. Relief Recipient's E-mail address or Phone Number:
Your answer
4. Relief Recipient's Mailing Address:
Your answer
5. Applicant's First Name: *
Your answer
6. Applicant's Last Name: *
Your answer
7. Applicant's Email Address: *
Your answer
8. Applicant's Mailing Address: *
Your answer
9. Applicant's Phone Number: *
Your answer
10. Greek Organization Affiliation, if applicable
For individual requests only
Your answer
11. Are you (or the Relief Recipient) currently displaced due to a natural disaster? *
12. For which Natural Disaster are you requesting relief? *
Your answer
13. Please briefly describe the reason for your request, how has the recent Natural Disaster affected you or the Recipient, please include details on any losses or hardships incurred: *
Your answer
14. How much money (up to $500) do you need to hep provide relief? *
Your answer
15. Proof of damage and support is required for evaluation and processing. Please send damage supporting documents to info@ltafoundation.org. Support should include but is not limited to: photos of loss or damaged property, invoices or receipts of purchases made as a result of the Natural Disaster, proof that the damages are not covered by insurance. I have sent all the required supporting documentation to info@ltafoundation.org? *
16. I confirm that the damages noted above are not covered by insurance. *
Required
17. Please briefly describe how the relief award would benefit the Recipient: *
Your answer
18. How did you hear about the Lambda Theta Alpha Foundation: *
A copy of your responses will be emailed to the address you provided.
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