Taking Care COVID-19 Expanded Emergency Relief Application

COVID-19 Emergency Funding

Who is eligible for Taking Care?

Any theatre professional currently residing, and who has actively worked, in the Washington metropolitan area within the past two years.

Process

During the continuing COVID-19 crisis, theatreWashington is expanding grants to Washington area theatre professionals financially affected by the loss of work by offering assistance from $500 to $5000, with the average grant estimated to be $1500. Applications will be reviewed by the staff and Advisory Panel on a monthly basis received by the 5th of each month. Grants will be awarded to applicants with the greatest need based on the information provided below, and the amount of the grant determined by the number of applications received. Previous funding will be taken into account when distributing grants.

While this is a critical time for many in the community and the assistance we can provide is limited, we hope to provide assistance to as many of our colleagues as the funding allows.

For grants awarded over $500, receipts or other supporting paperwork will be requested from the applicant for payment to be dispersed.

IMPORTANT: Please be sure to complete all questions so that the Advisory Panel has your full information to consider during the review process. Thank You

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* 1. Applicant Information

Professional/Chosen Name

Legal Name (If different)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. For how many years have you been working professionally in the Washington theater community?

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* 3. Are you a person living with a disability?

Yes

Prefer not to answer

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* 4. What is your race or ethnicity?

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Multiracial or Multiethnic

Native American or Alaska Native

Native Hawaiian or other Pacific Islander

White

Another race or ethnicity, please describe below

Self-describe below:

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* 5. Do you identify as transgender or another non-cisgender identity?

Yes

Prefer not to answer

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* 6. What organizations are you a member of, if any?

AEA - Actors Equity Association

ATPAM - Association of Theatrical Press Agents and Manager

SAG/AFTRA -Screen Actors Guild, AFTRA

IATSE -International Alliance of Theatrical Stage Employees

SDC -Stage Directors and Choreography Society

AGVA -American Guild of Variety Artists

USA -United Scenic Artists

AFM -American Federation of Musicians

Other (please specify)

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* 7. In what capacities have you most recently worked in Washington theatre?

Actor

Administrator

Choreographer

Director

Designer

Technical

Stage Manager

Musician

Other (please specify)

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* 8. List Your Most Recent PRE-COVID Theatre Projects

Dates

Theatre and Production Name

Position or Role

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* 9. List Your Most Recent PRE-COVID Theatre Projects

Dates

Theatre and Production Name

Position or Role

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* 10. List Your Most Recent PRE-COVID Theatre Projects

Dates

Theatre and Production

Position or Role

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* 11. Briefly describe any theatre work that you lost as a result of the pandemic.

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* 12. Is there anything more you would like to say about your projects and production work?

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* 13. Are you currently employed?

Full-time

Part-time

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* 14. If you are employed full-time or part-time, please list your employer(s)

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* 15. Purpose of financial assistance (note: if your expenses are related to an unforeseen medical emergency, please instead complete the Taking Care Medical Emergency Fund application on theatreWashington.org)

Living expenses due to major loss of work

Expenses because of non-medical emergency

Debt relief due to major loss of work

Expenses related to dependent care

Other (please specify)

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* 16. Describe your emergency need for financial support

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* 17. If you are a parent, legal guardian, or caregiver, please provide a brief description:

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* 18. Do you have other sources of assistance (i.e. unemployment, grants, family/friends)?

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* 19. What is the combined CURRENT MONTHLY income for your household (you and spouse or significant other with whom you share finances; not group house members or roommates)? Not pre-Covid monthly income.

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* 20. What is the combined balance in your checking and savings account(s)?

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* 21. Amount of assistance requested to cover expenses

$500

Up to $1,000

Up to $2,000

Up to $3,000

Up to $4,000

Up to $5,000

Other (please specify)

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* 22. Do you have health insurance?

Yes

Other (please specify)

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* 23. I have read and understand the “Taking Care” Assistance
Guidelines as provided in this application. I attest that all
information provided in this application is accurate and has
not been misrepresented in any way.

Yes

Taking Care COVID-19 Expanded Emergency Relief Application

COVID-19 Emergency Funding

Question Title

* 1. Applicant Information

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* 2. For how many years have you been working professionally in the Washington theater community?

Question Title

* 3. Are you a person living with a disability?

Question Title

* 4. What is your race or ethnicity?

Question Title

* 5. Do you identify as transgender or another non-cisgender identity?

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* 6. What organizations are you a member of, if any?

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* 7. In what capacities have you most recently worked in Washington theatre?

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* 8. List Your Most Recent PRE-COVID Theatre Projects

Question Title

* 9. List Your Most Recent PRE-COVID Theatre Projects

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* 10. List Your Most Recent PRE-COVID Theatre Projects

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* 11. Briefly describe any theatre work that you lost as a result of the pandemic.

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* 12. Is there anything more you would like to say about your projects and production work?

Question Title

* 13. Are you currently employed?

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* 14. If you are employed full-time or part-time, please list your employer(s)

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* 15. Purpose of financial assistance (note: if your expenses are related to an unforeseen medical emergency, please instead complete the Taking Care Medical Emergency Fund application on theatreWashington.org)

Question Title

* 16. Describe your emergency need for financial support

Question Title

* 17. If you are a parent, legal guardian, or caregiver, please provide a brief description:

Question Title

* 18. Do you have other sources of assistance (i.e. unemployment, grants, family/friends)?

Question Title

* 19. What is the combined CURRENT MONTHLY income for your household (you and spouse or significant other with whom you share finances; not group house members or roommates)? Not pre-Covid monthly income.

Question Title

* 20. What is the combined balance in your checking and savings account(s)?

Question Title

* 21. Amount of assistance requested to cover expenses

Question Title

* 22. Do you have health insurance?

Question Title

* 23. I have read and understand the “Taking Care” AssistanceGuidelines as provided in this application. I attest that allinformation provided in this application is accurate and hasnot been misrepresented in any way.

* 23. I have read and understand the “Taking Care” Assistance
Guidelines as provided in this application. I attest that all
information provided in this application is accurate and has
not been misrepresented in any way.