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Stowe C19 General Relief Fund
This is a short-term solution to help provide basic grocery assistance. If your needs are going to be longer-term, we can help you access other organizations that can help.
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* Indicates required question
1. I am a resident of Stowe.
*
Yes
No
2. As a direct result of Covid-19, I am:
*
Unemployed
Furloughed
Working materially less hours than before
No longer operating as a self-employed/small business owner
3. I am head of a household:
*
Single with no dependents
Single with 1-2 dependents
Single with 3+ dependents
Married with no dependents
Married with 1-2 dependents
Married with 3+ dependents
4. Do you need additional support at this time? We can help you find other sources of assistance.
*
Yes
No
5. My name and address:
*
Your answer
6. Email address:
*
Your answer
7. Phone #:
*
Your answer
I attest that the information above is truthful and correct to the best of my knowledge.
*
Yes
Please be assured, all information provided will remain confidential. We will contact you within 4 days from the time you submit this survey. Thank you for your patience!
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