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* 1. First and Last Name:

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* 2. Phone Number:

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* 3. Email AND Social Media Handle:

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* 4. Do you live in the South Florida area?

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* 5. What county in the South Florida area do you live in?

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* 6. Payment contact tag (Please Specify Venmo, Cash App, Paypal):

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* 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.)

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* 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.

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* 9. Where do/did you work?

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* 10. Have you been laid off or lost hours as a result of the outbreak of Covid-19?

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* 11. What area of the service industry do you work in?

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* 12. What is the minimum amount of money needed right now to cover your immediate expenses to survive? (e.g. rent, food, medicine, etc.)

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* 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.)

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