Feed Five Families Grant
A grant for five families designed for those that have been laid off of work due to COVID-19. The grant is for $200 to go towards groceries, medical necessities and/or transportation. All applications are confidential and will only be reviewed by the President of Benny’s Books, and an independent team of 2 people.
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电子邮件地址 *
Name *
How many people are in your household? *
What is your current address? *
Were you laid off of work as a result of COVID-19? (If you were a student and had to stop school as a result, please check yes) *
必填
If yes, when were you last employed?
年
/
月
/
日
Are you a single parent? *
Have you applied for any other grant relief programs? *
How many people in your household are currently working? *
Does anyone in your immediate family have COVID-19? *
Are you receiving any state or federal government assistance? (TANF, VA Compensation, Etc.) *
Current Phone Number? *
Emergency contact (name and phone) *
Family income *
Grant's Terms and Conditions
1. I understand that the grant is to be used for groceries, medical necessities, and/or transportation and anything outside of that will disqualify me from receiving grants in the future from Benny's Books.

2. I affirm that all answers are true and correct to the best of my knowledge.

3. Grants will be distributed bi-weekly starting April 24, 2020 and will end on May 30, 2020. The last day to apply will be May 27, 2020 or when all funding is exhausted from the grant, whichever comes first.

4. Checks will be mailed out on the day of the distribution. A representative will email you and/or call you to verify all information before the check is sent.

By checking below, I express my understanding and intent to enter into this grant and use it for its intended purpose.

Please Check Box to Continue *
必填
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