The Collective Mutual Aid Fund
The Collective Mutual Aid Assistance program is powered by The Black Collective, Inc. in partnership with The Smile Trust, Inc. and The Miami Climate Alliance.

Centering the experiences of the African diaspora, the Black Collective is an organization committed to promoting a shared agenda to elevate political consciousness and amplify the economic power of Black communities. In the face of COVID-19, we understand that things have become hard for everyone and we are trying to offer some help to those in need.

To apply please fill out this form in its entirety.
First Name *
Last Name *
Phone Number (xxx-xxx-xxxx) *
Email (ex. "youremail@gmail.com")
Zip Code *
County *
City *
Have you completed the census? *
If selected we are asking you to “pay it forward” by completing the 2020 Census. By doing so you are making sure resources come to your community by making sure everyone counts. Are you willing to complete the census? *
Are you currently receiving any assistance (i.e. cash assistance, food stamps, etc?) *
**Please note answering "yes" to this question WILL NOT DISQUALIFY you from receiving assistance from us.**
Number of people in Household? *
How many people are under 18 in your household? *
Are you able to receive digital payment? *
Please share the NAME connected to the account? *
Please share the PHONE NUMBER connected to the account? *
Demographics
Race *
Required
Ethnicity *
Household Income *
Gender *
Preferred Language *
What are some additional needs you may have?
Can you give us a brief description on what you will use the resources for?
Submit
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