Black in BC: Mutual Aid Application

We operate on a trust-based system. Therefore, neither Black Mutual Aid BC nor Black Lives Matter Vancouver will be held liable in the event that information received from applicants is found to be untruthful. 

Funds will be sent out on a first come, first served basis, with priority going towards folks NOT ELIGIBLE for EI and CERB and the most vulnerable folks in our Black community (senior citizens, disabled community members, LGBTQ+ folk, parents and vulnerable women).
 
This fund is created with the spirit of community trust. We are all community organizers who want to stay transparent and accountable to our community. We want to help those in the Black community in BC access support through funds. If you have other means of finding support, please seek those out, and leave this fund for folks in need.

If you have trouble filling out this form, please call or text (778) 767-5690. We have volunteers available who can help you fill out this form. Please let us know if you would rather communicate in a language that is not English. We may have volunteers that can help translate into your preferred language.

We will distribute available funds daily in one-time allotments of $150. We cannot guarantee instant deposit of these funds, funds may take several days to deposit depending on which institution you bank with.

If you are not from BC, please contact us at blackinbccommunity@gmail.com. We will do our best to connect you with resources in your home province.

NOTE- AT TIMES OUR EMAILS GO TO SPAM. PLEASE CHECK YOUR SPAM BOX PERIODICALLY AFTER APPLYING BEFORE REACHING OUT TO US.

-- PLEASE DO NOT INCLUDE ANY PERSONAL BANKING INFORMATION ON THIS FORM, FUNDS WILL BE TRANSFERRED VIA E-TRANSFERS ONLY --

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* 1. Everyone who receives funds will have their first and last initials published in the public record on GoFundMe to ensure the money is distributed fairly. Do you consent to your first and last initials being published? (We cannot distribute funds to those who cannot agree to these terms.)

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* 2. Do you identify as a Black, Black-mixed, Afro-LatinX, Black Indigenous or African descent person?

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* 3. Can you tell us a little about yourself? 

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* 4. Do you have children or dependents under the age of 18?

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* 5. If you answered yes to the question above (Q #4), how many children or dependents do you have?

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* 6. Please state your First and Last Name (as associated with your bank account).

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* 7. What's the best way to contact you?

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* 8. What is your phone number and email address? (please ensure this informations is accurate)

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* 9. Was this form filled out during an in-person outreach effort by the Black in BC Mutual Aid team?

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* 10. If answered yes to #9 above please list the date and location of the outreach effort

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* 11. Is there anything else you want to share?

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* 12. By initialling here, I confirm that all data entered on this application is current, and true to the best of my ability. I agree to the use of my supplied personal information by Black in BC Mutual Aid, and Black Lives Matter Vancouver. All personal data is only used for the purposes of this fund, is not shared with anyone, and will be deleted within 90 days.

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