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Lambda Theta Alpha Foundation Disaster Relief Fund Application (2020)
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1. Are you applying on behalf of someone other than the person completing this application? (If Yes, please answer Questions 2, 3, and 4)
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2. Relief Recipient (Person affected by Natural Disaster) First and Last Name:
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3. Relief Recipient's E-mail address or Phone Number:
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4. Relief Recipient's Mailing Address:
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5. Applicant's First Name:
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6. Applicant's Last Name:
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7. Applicant's Email Address:
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8. Applicant's Mailing Address:
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9. Applicant's Phone Number:
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10. Greek Organization Affiliation, if applicable
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11. Are you (or the Relief Recipient) currently displaced due to a natural disaster?
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12. For which Natural Disaster are you requesting relief?
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13. Please briefly describe the reason for your request, how has the recent Disaster affected you or the Recipient, please include details on any losses or hardships incurred:
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14. How much money (up to $250) do you need to help provide relief?
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15. Proof of damage or need is required for evaluation and processing. Please send supporting documents to finance@ltafoundation.org. Support should include but is not limited to: photos of loss or damaged property (if applicable), invoices or receipts of purchases made as a result of the Natural Disaster, and proof that the damages (or need) are not covered by insurance. In the event that you are requesting funding for a community event, you will be required to provide copies of receipts for items purchased for the event. Please confirm below that you have sent all the required supporting documentation to finance@ltafoundation.org?
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16. I confirm that the damages/need noted above are not covered by insurance.
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17. Please briefly describe how the relief award would benefit the Recipient:
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18. How did you hear about the Lambda Theta Alpha Foundation:
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