Emergency Grants
Name
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Age
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Address
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City
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State
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Zip
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Telephone
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Cell Phone
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Email
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Soc. Sec. #
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Are you a member of the Dramatists Guild?
If not, have you ever been a member?
Are you a member of any other guild or union?
If yes, please specify.
Your answer
Your present source of income (royalties, wages, pensions, dividends, interest, etc.) Please specify with amount.
Your answer
If without income, what was your most recent financial source?
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If married, is your spouse employed?
Do you own any of the following: Securities, bonds or real estate? Please specify.
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Bank accounts (specify bank, branch, amount).
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Are you currently receiving Social Security benefits? (if 'Yes' Please specify type, amount per month.)
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Are you currently receiving unemployment? (if 'Yes' Please specify amount per month.)
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Do you own your home or do you rent?
If home owner, what is your monthly mortgage payment?
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If renter, what is your monthly rent payment?
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Please list your dependents (name, age, relationship)
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Have you written, or are you currently writing for the professional theater? Please provide details.
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Have you sought work outside the theater? Please provide details.
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How did you hear of the Dramatists Guild Foundation?
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Please outline the nature of your current situation and your immediate financial needs, with an estimate of how much financial assistance you need.
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Prior to this application, have you received assistance from the Dramatists Guild Foundation?
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