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MLA Emergency Relief Fund application
Please fill out this form and someone from the task force will respond to you within 10 business days.
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Email
*
Your email
Name
*
First and last name
Your answer
Email
*
Your answer
Membership type (regular, student, etc.)
*
Your answer
How much funding are you applying for? (Limit of $1,000).
*
Your answer
Please provide a brief statement of need, including areas where you need funding assistance (housing, childcare, lost income, etc.)
Your answer
Please confirm here that if you are receiving $600 or more, that you will complete a W-9 or equivalent form.
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