Austin Barista Support Application

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Please fill out the form below to apply for financial support from the Austin Coffee Collective. We will be reviewing each application and verifying employment. We love you all and want to help as much as we can! - Austin Coffee Collective

Email *

Name

Address

Where do you work?

How many hours a week do you average?

Are you experiencing any of the following due to COVID-19?

A temporarily closed shop, no pay

A temporarily closed shop, hourly pay no tips

An open shop, cut hours and tips

An open shop, working normal hours but tips are down

Being laid off

Other:

Clear selection

Do you have any immediate needs?

Bills

Rent

Groceries

Other

Clear selection

If so, please explain further - date due, amount needed

Is there anything else you would like us to know about your financial situation?

Submit

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