JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Pay It Sideways
Nonprofit Application
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of Nonprofit:
*
Your answer
Contact Name:
*
Your answer
Email Address:
*
Your answer
Daytime Phone Number:
*
Your answer
Mailing Address:
*
Your answer
Zip Code:
*
Your answer
The approximate number of households/people served who have been affected by COVID-19:
*
Your answer
Estimated Cost:
*
Your answer
Brief description of the services you are providing people in the Kearney area:
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
