Are you a citizen or Legal Permanent Resident of the US?
Clear selection
Career:
Are you a full time musician? *
Category: *
Required
Music Projects (currently active): *
Your answer
Corresponding Websites / Social Media: *
Your answer
What percentage of your income is from performance or session work? *
Have you suffered lost wages due to Covid-19 cancellations? *
If yes, please indicate how much revenue you have personally lost (not your band or project as a business entity) *
Your answer
Please describe the extent of your cancelled performances or work: *
Your answer
Do you have dependents? *
Do you live in a dual-income household? *
Access to support (check all that apply): *
Required
Please list and describe the financial responsibilities you are not able to cover because of lost work during the Covid-19 pandemic (in as much detail as possible including dollar amounts): *
Your answer
How did you hear about the The Payback Musicians' Emergency Relief Fund?