Reimagining Communities through Healing Stipends 
Families for Justice as Healing is excited to offer one time payments for healing/emergency stipends up to $500.00.  This payment can be received in two forms, either gift card or direct deposit via bill.com. In order to receive this one time stipend please complete all the questions on this form. Funding is limited and is based on availability. Please give grace when applying, we are working hard to fulfill everyone's request.
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Name *
Email *
Phone Number
Address *
Are you directly impacted or formerly incarcerated? *
Are you a staff, volunteer or community member?
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How much are you requesting? $50.00 up to $500.00 *
How would you like to receive the funds?
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Is this a healing stipend or emergency funds? *
Please provide a  short description of what you will use this stipend for? *
Have you received a healing stipend from us *
Submit
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