Omni Circle Application
Please fill out all of the information below in order to be considered for an Omni Circle grant.
Email address *
Associate Name (First and Last) *
Your answer
Date of Hire *
MM
/
DD
/
YYYY
Phone Number *
Your answer
Omni Property/Hotel Name *
Your answer
Position *
Your answer
What type of Associate are you? *
Associate's Gross Annual Income from Omni Hotels & Resorts *
Your answer
Additional Household Gross Annual Income? *
Your answer
TOTAL Household Gross Annual Income? *
Your answer
# of Individuals (kids, etc.) excluding self dependent on your salary? *
Your answer
Have you ever received assistance from the Omni Circle? *
Have you applied for Federal and/or State Unemployment? *
If you receive a grant from the Omni Circle, what will you use the funds for? *
Your answer
Please describe the nature of your loss. *
Your answer
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