Kickass Single Mom Stimulus Application
Emma Johnson and are giving away $500 week to moms in a financial pinch thanks to the global pandemic and ensuing economic collapse. The only qualifications are:
1. You're a single mom.
2. You need cash, ASAP.


First and last names *
Email *
Paypal email *
Phone *
City, state, country *
Link to your Facebook, Twitter or Instagram account, to verify you are real. Use an actual link, e.g.: or I am not going to search around the Internet to find you. *
How many kids do you have? Any other people you are responsible for? *
What is your job? Did you lose work because of Covid-19? BE SPECIFIC and tell me WHAT YOUR JOB IS. Important. *
*2* sentences (no more!) explaining why you need $500 now. *
Do you agree that if you receive this money, your name and responses to the above may be used in social media, email, on, etc.? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.