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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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* Indicates required question
Email
*
Your answer
First and Last Name
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Your answer
Phone number
*
Your answer
Address
*
Your answer
Do you work in the tech industry?
*
Yes
No
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.
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Yes
No
LinkedIn Profile (URL)
*
Your answer
Are you 18 years of age or older?
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Yes
No
Have you applied to the fund before?
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Yes
No
If yes, when?
Your answer
Have you previously received a distribution from the fund?
*
Yes
No
If yes, when? (Please share all distribution dates)
Your answer
Purpose for applying to the Developer Health Fund
*
Your answer
Amount of funding requested (USD)
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Your answer
How will receiving funds assist your need?
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Your answer
If necessary, would you be open to receiving less than the amount requested?
*
Your answer
Additional information you'd like to share with us
Your answer
Would you like to receive Developer Health resources?
*
Yes, subscribe me to the Developer Health Insights monthly newsletter.
No, I would like to opt out.
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