Developer Health Fund Application
Thank you for taking the first step towards accessing the resources you need to support your health.
Please complete the application to the fullest extent possible.
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Email *
First and Last Name *
Phone number *
Address *
Do you work in the tech industry? *
Are you a member of the G2i Developer Collective? The Collective is comprised of developers who have passed the G2i interview and are eligible to work on G2i client projects. *
LinkedIn Profile (URL) *
Are you 18 years of age or older? *
Have you applied to the fund before? *
If yes, when?
Have you previously received a distribution from the fund? *
If yes, when? (Please share all distribution dates)
Purpose for applying to the Developer Health Fund *
Amount of funding requested (USD) *
How will receiving funds assist your need? *
If necessary, would you be open to receiving less than the amount requested? *
Additional information you'd like to share with us
Would you like to receive Developer Health resources?  *
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