This form is for individuals who have lost wages as a result of the coronavirus who are **not artists or service workers** (if you are in one of these categories, see links below).
The information gathered from this intake form will be used to assess need and distribute funds, however filling out this application does not guarantee funds. Individuals will need to show proof of impact (typically a paystub), but physical records of identification will not be kept on file. Additionally, you
Incomplete or invalid information will not be processed.
Please do not include any personal and private information on this form including, but not limited to, medical record numbers or social security numbers.
This application is rolling. We will be in communication when funds will be distributed, but this is dependent also on assessing critical needs as they develop.
Information for artists:
https://www.northstardurham.com/artistreliefInformation for service workers:
https://www.gofundme.com/f/creating-social-distance-the-triangle-ncand
https://frankielemmonschool.org/rwrfundform/