South Florida Hospitality+ Fund Question Title * 1. First and Last Name: Question Title * 2. Phone Number: Question Title * 3. Email AND Social Media Handle: Question Title * 4. Do you live in the South Florida area? Yes No Question Title * 5. What county in the South Florida area do you live in? Palm Beach County Broward County Miami-Dade County Question Title * 6. Payment contact tag (Please Specify Venmo, Cash App, Paypal): Question Title * 7. Do you identify as any of the following? Please choose all that apply. (Note that our aim is to provide everyone access to emergency funds.) Black, Indigenous, Person of Color LGBTQIA+ Disabled Immunocompromised No Other (please specify) Question Title * 8. Have you applied for Unemployment? (Note that if you are eligible for unemployment, please apply and get a scope of your needs before applying for community emergency funding. We recognize that unemployment payments may not come as quickly as needed or be enough to cover expenses, this fund is meant to be a stop gap. Yes, Full Unemployment Yes, Partial Unemployment No I am not eligible Please tell us anything you'd like us to know about your unemployment application status: Question Title * 9. Where do/did you work? Question Title * 10. Have you been laid off or lost hours as a result of the outbreak of Covid-19? Laid off entirely Lost hours (please specify approximately how many hours and what percentage of income you've lost) Question Title * 11. What area of the service industry do you work in? FOH BOH Bar Dishwasher Kitchen Coffee Door/Security Hotel Distribution/Supply Other/Gig-economy (please specify) Question Title * 12. What is the minimum amount of money needed right now to cover your immediate expenses to survive? (e.g. rent, food, medicine, etc.) Question Title * 13. Is there anything else we should know about your current circumstances that hasn't been addressed in this survey? PLEASE EMAIL SOME FORM OF VERIFICATION FOR HOSPITALITY or GIG/EVENT EMPLOYMENT or FORMER EMPLOYMENT to SOFLOHOSP@GMAIL.COM. (This is mandatory for consideration of disbursement.) Done